HomeMy Public PortalAbout5110 1/2 SERENO DR_Plumbing__ A
08917aas APPLICATION FOR ;,PLUMBING PERMIT
ND 1
ass/T DIVISION OF BUILDING ASAFETY �'
DeParlment of County Engtnwr- ,
Coanty of Los Angeles �6
I WM J FOX COUNTY ENGINEER ADDRESS ��L L�O
' CABBATT D GRIFFIN Bu,T or SuILOINa
LOGLITY � L/c �/
FOR APPLICANT TO FILL IN NEAREST
A c OSS ST
OWNER /V/ DISTRICT NGROUP 2 I feAnl roY INfrltttoR
MAIL jGa �"AI
MAIL 8
CITY TEL NO INDUSTRIAL I.
WASTE AP ROV
PLUMBER BANTER & SON INSPECTION RECORD
ADDRESS Q 21A
&m GabrW
CITY /J TEL NO
LICENSE NO
NuMeER "PROF FIXTURE OR ITEM IEE
WATER CLOSET (TOILET) S
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRYTUBORTRAY
CLOTHES W ASHER
TOTAL 1 ® ilfl CO APPROVALS
DATE INSP CTOR 5SIGNATURE
OAS SYSTEM OUTLETS IBI 100
WATER HEATER 100 UNDER SLAB WORK I 3L
ROUGH PLUMBING 41 11 t5cs
PERMITf 1 00
GAS PIPING
TGAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
1 HEREBY CERTIFY THAT 1 OP E RED A /OR GASTEBT
LICENSED AS REOUIRED S C AND OF
CALIFORNIA OR THAT M T LE E F E A VE UTILITYCO NOTIFIED
DESCRIBED RESIDEN PTY
SIGNATURE
OF PERMITT FINAL , t
WILLIAM J FOX COUNTY ENGINEER VALIDATION R A WOOD CHIEF PLDG INSPECTOR
1j)C04345�9 w2 3 800 �'