HomeMy Public PortalAbout5134 SERENO DR_Plumbing__ >e,uer' D11017 11-1150 APPLICATION FOR PESIIOT
DEPARTAENT OF BUILDING AND SAFETY PLUMBING
OOUNTY OF IAS ANGELES
` WILLIAM J. FOX, DNI[►ENGINEER
Fr NUI.
!� FOR APPLICANT TO FILL IN 3l0
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PLUMBER RED IVSD BY READY FOR DAT[ ISW[D
FI RBT INSPECTION _�'
ADDRESS 3 0 o E Y— c E
CITY DSE TEL NO t BuILDIN
ADDRESS .J
COUNTY 2 1RKO in I•0 LDOALIT
JOf�nw Ld N[AR[YT
PERI FIM ORO®BT [�
MYMB[R TYK OF FIK m OR ITEM ►[[ OWNER /C
WATER CLOBR(TOILET) @ 050 • MAIL
"O ADDRESS
BATH TUB 060 Q CITY G TEL No v
SHOWER @ O 60 I m
HEREBY ACKNOWLOC THAT 1 HAVE REM THIS
LAVATORY (WASH BASIN) @ O 60 O APPLICATION AND STAT[ THAT THE ABOVE 18 OnRREOT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ O SO Q AND STATE LAWS REGULATING PLUMBIM4
D LOS
LAUNDRY TUB OR TRAY @ O 6O ANOEL[R COUNTY LICCNBFORR I THE
THE LEGAL (OWNER
C CAB SYBT[M--x—OUTLETB @ 460 �' Or THE R®ID PROPERTY DESCRIBED ABOVL
SIONATUR[ W Jam// w
I WATER HEATER @ 050 P[RMITT[frfTOar�& �nM
SLOP RINK @ Gain UTSPEIMON RECORD
ILOCR SINK @ O SO /yam
FLOOR DRAIN @ 460
DIBNWASH[R @ 4SO ._
DRINKING FOUNTAIN @ O 60
URINAL @ 460
NOUS[ SEWER @ 050 z 2
MISCELLANEOUS
0
O
APPROVALS
DATE IIaRP@lOR'E M11ME
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL @ 1 DO CERBPOOL
R[PTIC TANK( SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1 GO BEWER
PERMIT too GAS TEST
UTILITY C4 NOTIFIED I.111i /
TOTAL FEE • FI Vol
J i
G
7N oee 19 11-W APPLICATION FOR PERMIT
.DEPARTMENT OFBUILDING AND SAFETY PLUMBING
COUNTY OFFLOSIAS ANGELES
WILLIAM J. FOX, DHIe► [NGIN[sR
DIW
FOR APPLICANT TO FILL IN i.y srz/
i J V
PLUMBER • prE
R [IVtO RADY FDR DAT[ IBSU[D
N SSA 0,V0 R, ►1 I EarION I
ADDRESS `
ID % N s �NO R.CITY PcE Ct TELND LDIND S313
COUNTY09 No EXPIRE" _ LOCALITY /T
PESMIT FEES
e" RCTwX aj r"EA Aw
NYMB[11 TY'[Dr nxTUPE DR nw r[E OWNER W Rra/�y�_I.l Q
I WATER CLOSET(TOILET) @ 030 B ADDRESS / /114 S G.G O A v
BATH TUB @ O 6O CITY Pc C T TEL. ND -0rl0
SHOWER @ MSG I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BABIN) @ D BO APPLICATION AND STAT[ THAT THE ABOVE IB CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK @ 050 ANDSTAT[ LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 PCBB[S0 THE ABOVE VALID LOB
LAUNDRY TUB OR TRAY @ O 60 ANGELES COUNTY LICENSE. OR 1THE LEGAL OWNER
13AB BYST[ U'rl[T'B @DBD
OF THE RESIDENTIAL PROPERTY ORIB[D ABOVL
SIGNATURE W
WATER HEATER @ 050 PERMITT
SLOP SINK @ D SO INSPECTION RECORD
rLDOR SINK @ C.SO
rLOOR DRAIN @ 0.60
DISHWASHER @ O.SO
DRINKING FOUNTAIN @ 0.50
URINAL @ O SO J
HOUR[ SEWER @ 0.S0 Z
MIBCELLAHE13US c POC 'L-1 e-
L ¢9 O
APPROVALS
DATE 1NlfROR�[ M11ME
ROUGH PLUMBING
CAB PIPING 1
GAB VENT
CESSPOOL @ 1 OO CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( PIT ( ) @ 1 OO i BEWER
PERMIT 1.013 Gwe TEST
UTILITY OO NOT►I[D 3
TOTAL FEE ID
'FINAL /
YussP IT B-w M APPLICATION FOR PERMI!
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J FOX CHIEF ENGINEER
FOR APP CANT TO FI IN DIST Sr'S:IiO GROUP ZONfi PERMIT NO
PLUMBER ` RECEIVED By READY FOR DATE ISSUED
FIRST INSPECTION s
ADDRESS /y+ r �.t-,
CI II EL.iQb��� / h ADDRESS
LICENSE COUNTY O EXPIRESLOCALITY �:�// aJ
NEAREST
PERMIT FEES CROSS ST
MUMBRR TYPR or FUTURE OR TI¢M FEE OWNER .Y,
' MAIL
WATER CLOSET (TOILET) a O BO S ADDRESS
BATH TUB Ono CITY TEL NO
SHOWER 050 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY WASH BASIN) O E APPLICATION AND STATE THAT THE ABOVE Ip CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN BINK @ O SO STATE LAWS REGULATING PLUMBING
1 CERTIFY THAT 1 POSS¢SSs THS ABOVE VALID LOG
LAUNDRYTUBORTRAY O 50 ANGELES COUNTY LIC SNS OR I AM THE LEGAL OWNER
OF THE RESIDENT PBQP DESCRIBED BOVE
GAS SYSTEM_OUTLETp O SO
SIGNATURE OF
WATER HEATER O 60 PERNITTS 1� ��f _
SLOPBINK O SO IN 'PION R&ORD
FLOORBINK O SO
FLOOR DRAIN Oso
DISHWASHER O SO
DRINKING FOUNTAIN @ O SO
URINAL li6 O SO J
a
HOUGH GEW¢R o so Z
MISCELLANEOUS C1
K
O
APPROVALS
DATE INSPRCTOR R NAMW
ROUGH PLUMBING
GAB PIPING
GAS VENT
CESSPOOL 40 1 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( I PIT ( ) @ 1 OO SEWER
PERMIT 1 GO GAS TEST
CO NOTIFIED
TOTAL FEE S O UTILITY e
FINAL v /�'m/n