HomeMy Public PortalAbout5272 SERENO DR_Plumbing__ o u 1'd aw errs T-n APPLICATION FOR PEPAW
ART111ENT OF BUELDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WM J. FOX.CHIEF ENGINEER
ONIL r MIT No.
t J
• ROUGH FIXTURES cl;mr,4
NEATER CESSPOOL BEPTICTANKREADY FOR DATE IBSUtD
RECE FIRST INSPECTION
MI u/ /2— 4
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME P I. ADDRESS
G ADDREHS + LOCALTIY
NEAREST
CITY T B rl� CROSSR
COUNTY
CERT No � QFIR • �' NAME
LOCATION OF SLrFAC TAN$ OR CESSPOOL z MAIL
wDDREes O :�-
NORTH O ���Q .41
CITY W K C TEL NO
IAM THE LEGAL POBSOSOR OF THE ABOVE LOS
ANGELES COUNTY cERTIFI ATI P QUALIFICA ION.
KIDIEtR
1 AM THE LEGAL OWNER OF THE PROP TY EBCRIB®
ABOVE
Owmm
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
ATN TUB FURNACE 0
C
MOWER DISHWASHER G
_LAVATORY REFRIGERATOR
ITCHSN SINK WATER SOFTENER
R SINK RANDTRAP
LOP SINK F DDRDRAIN
WASH TRAY URINAL "PROVALS
WATOt CLOBST DRINKING FOUNTAIN
DATE IRtRCT011 0 MArF
WATER++H�KATOt DENTAL LAVATORY ROUGH PLUMBING A 'V` y V b
[TER..>1GAS *DDA FOUNTAIN
OUTL GAB PIPING
CAB VENT
CESSPOOL
TOTAL NUMBER O►FIXTURE85TH SEPTIC TANK
CESSPOOL SEPTIC TANK SEWER
S UTILITY CO NOTIFIED / f Y
TOTAL FEE
' T"DEPZ
AOOF BOINGAAFTY APPLICATION FOR
PEUWn MENY OFANPLUMBING 1
t�
WILLIAM J FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO GROUP Z N PERMITNO
PLU BERHCEIVED BY READY FOR DATE ISSUED
FIRST I NSPECTION
, 66 MOWS
ADDRESS ��
CIT
Forest & No BUN N6 27 7DD M , .SB)26N0
CO HNE N 1 LOCALITY Q EM /L rm C /I , nn 4
NEAREST r5 S [04 y SEMEHY &D.
PERMIT FEES CROHB CT
NOM[[R TIF[OF MI 119 OR ITEM FEE OWNER r9CA0jPZ4F CI C�OQC�F C/(F/
MAIL
WATER CLOSET (TOILET) O A ADDRESS
RATH TUB @ O SO CIT' TEL NO 6-667.6
SHOWER @ O SO 1 HEREBY ACKNOWLKDGE THAT I HAVE READ THIS '~
LAVATORY WASH SAWN) APPLICATION AND STATE T THE ABOVE 1 ORRECT AND
AGREE TO COMPLY WI COU INANCES AND
STATE LAWS REGULA LUMBING
KITCHEN SINK O 00 1 CERTIFY TNA I ESS E ABOVE VALD LOS
LAUNDRY TUB OR TRAY O S ANGELES COUNTY I NSE OR A TH[ LEGAL OWNER
OF THE RESIDENT] P RTY RIBED ABOVE
GABS EM OUTLETS O SIGNATUR
WATER HEATER 4940 PER
SLOPSINK O 50 INSPECTION ORD
FLOOR SINK O SO 4.j NE 4v—
FLOOR DRAIN O EO / •,
DISHWASHER O SO '"- l 0
DRINKING FOUNTAIN O SO BG a'-4 uM Q
URINAL Q O SO I JQ
HOUSESEWER O SO /�� b Z
+ IB LLANEOUS �•aIL DO (y,_. �� 2
O 1
l
i APPROVALS
' DATE M[F[OTOR[ NAY[
ROUGH PLUMBING � '/i,�•
I /V (fU'4 v�•� w
OAB PIPING
OAS VENT
CESSPOOL 1 00 CESSPOOL
SEPTIC TANK SEPTIC TANK
DRAIN ( ) PIT ( ) ® 1 001 1 SEWER
PERMIT 1 00 GAS T 6! - �•�'
UTILITY Co OTIFIEO a✓ I
TOTAL FEE
FINAL R N
bLV7 It Df APPLICATION FOR PLUMBING PERMIT
DT11]
�.�I DIVISION OF BUILDING AND SAFETY
(' Deportment of County EngfnsaT
County of Los Angeles
WM J FOX. COUNTY ENGINEER BUILDING
ADDRESS
CASSATT D GRIFFIN Sup T of MYILDINa
wettf
LOCALITY
$ APP CANT TO IN NR REST
OWNr
MAIL n. �DISTRICT NO GROUP ZONE IEAOY'OR INSPECTION
AODRES �' /52 ✓ h—
INDUSTRIAL INDUSTRIAL
JrL. NO WASTE APPROVAL
PLUMBER n- INSPECTION BECORD
ADDRESS
CITY TEL biae
LI SE NO G G
NUMOMR TYPE OF FIXTURE OR IT" FCX
2 WATER CLOSET (TOILET) s
BATH TUB _
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER _
LAUNDRY TUB OR TRAY _
CLOTHES WASHER _
D
TOTAL NO 080 O APPROVALS
DATE INSPECTOR S SIGNATURE
GAB SYSTEM OUTLETS ® 100
UNDER SLAR WORK
WATER HEATER 100
ROUGH PLUMBING
PERMIT E �100� GAS PIPING
TOTAL FEE J `F4' GAS VENT
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDIRANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ()TI LITY CO NOTIPIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF ABOVE
DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE
OF PERMITTE FINAL 'V
WILLIAM J FO 1 COUNTY ENGINEER VALIDATION
_ j
0 14 7 FEB 2 3 340 In
BY r _ S
DEPUTY
O I/J
'DDDR'
DBePIT Ia DA APPLICATION! FOR PLUMBING PERMIT
DIVISION OF BUILDING AND SAFETY
(' Deportment of Comp Engineer
jDGRfFFIN
of Los Angeles
WMX, �T ==
NTY ENGINEER BUILDING (l
ADDRESS S O / eS'L AR.
CAHHATSUP T OF BUILDING
LOCALITPOAIC /I NEAREST I.i
F911211 Sl
OWN R e ^ �, DISTRICT NO GROUP zoN� READY FOR INEPECTIOX
MAIL / i
ADO REBS bk
INDUSTRIAL
.WASTE APPROVAL
PLUMBERA049 INSPECTION RECORD
ADDRESS Y
CITY / TEL NO
LICENSE NO
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) S
BATH TUB _
SHOWER
I LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
I
I LAUNDRY TUB OR TRAY
I
I CLOTHES WASHER
1
TOTAL NO ® 0 80 APPROVALS
DATE INSPECTOR S SIGNATURE
GAS HYBTlI+ OUTLETH ® too
UNDER SLAB WORK
WATER HEATER 1 00 C�
ROUGH PLUMBING Z 1 SS
PERMIT t t 00 GAS PIPING
TOTAL FEE 1946 GAS VENT
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT AL PROPERT
SIGNATURE
OF PERMITTEE FINAL 1
WILLIAM J FOX. COUNTY ENGINEER VALIDATION
BY1 —
Deaurr
(D ��
7"587tER617 7-56
APPLICATION FOR PLUMBIN PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION SOI.DI16
JOHN A LAMBIE COUNTY ENGINEER ADDSE88
COLEMAN W JENKINS SUPT OF BUILDING
IAC
FOR APPLICANT TO FELL IN NE T rj—
Ggj
^
NUMBER FIXTURE OR ITEM EACH FEE OW1RR
WATER CLOSLT $125 NAI.
SETH TdS 17S ADDRESS _SHOWER 1f5 CITY TEE.CONTRACTORLAVATORY Ifs 6SDR 176 � ADDSESSDISHWASHER 175 ZS CITY TEL
TATE L
LAUNDRY TOS Ifs SLICEN NO / Q /� CCLOTHES WASHER 175 pIBTRICT NO Z7O�N
WATER HEATER I.So �/T7 Q IC Z
OAS SYSTEM—OUTLETS— I so d INDUSTRIAL lg
OUTLETS OVER 5 PER SYSTEM m WASTE APPROVAL Z '
nlRrecnoH eccoeD
.S'�D .L'/G a✓ t.:mfr a.e /t��nlG,Cam If r�i� '
r
APPROVALS DATE INSM54R E SIONATURE
PERMIT j 2 00 UNDER SLAB WORK
ROUGH PLUMBING ..
TOTAL FEE
GAS PIPING
I NSTATEKAMY ACKTHAT
THE
THAT I HAVE REAANDTHISL IGTION GAS VENT
ANO RAT[ TOUT TH[ RDIMA 1[ CORRECT ANDLATING
WITH
LUM ALL cOUNTT awalNwMc[[ AND [TwT[ LAWSuuTlNa HOT WATER HEATER
RLU M[IXa
I H[REMY CERTIFY THAT I AM PROPERLY MOISTENEDAND/OR PLUMBING FIXTURES
LICENSED AE WQUIIK0 BY LOS ANa[L[ COUANDTATC OF
CALIFORNIA OR THAT 1 AM THE L[aAL NIPTEND TO GAS TEST
RESIDE ro THE AEDv[O[[cRI SIO uL UTILITY CO NOTIFIED
SIGNATURE
OF FERMITTEE
FINAL
0 c JACK R. ALLEN
M
cR Y o uEH SUPERVISING MECHANICAL ENG'R
5 1 2 3Z9 DCT 5 5 D 3 0.25~ Q