HomeMy Public PortalAbout5606 NOEL DR_Plumbing__ ' DEPArTIYENT O COUP= ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUlfrY OF LOS ANGELES pUILDIN
WILLIAM d FOX, COUNTY ENGINEER Yn/�
APPLICANT TO FILL IN LOCALITY / V
BUILDING NEAREST
ADDRESS �� CROSS ST
DISTRIO 'GROUPaI jQN/E PERMIT NO
LOCALITY
NEAREST
CROSS ST RECEIV BY Ready for laepeetlon DATE7ISSUED
OWNER
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY TEL NO
INSPECTION RECORD
PLUM�G}/? K Le-17 A L/M/r,^1a 10 1 ✓
ADDRESS /
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CIT J TEL NO /Z oA7O rie
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LICENSE NO []COUNTY .J
PERMIT FEES
CUMBER TYPE OF FIXTURE OR ITEM FEE b I
WATER CLOSET(TOILET) 0 080 t O
BATH TUB ! 0 SO G
SHOWER a 080 G
LAVATORY(WASH BASIN) ! 080 46 o
KITCHEN SINK ! 080 f l'?
LAUNDRY TUB OR TRAY 41 080 G
- SLOP SINK 4D 080
FLOOR SINK ! 0 80 _
FLOOR DRAIN G 080
DISHWASHER 0) Goo
DRINKING FOUNTAIN Q 080
URINAL 111 080
GAS SYSTEM OUTLETS 41 100 Jope
WATER HEATER 100,
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDERSLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING 1a rs S•(
TOTAL FEE Q GAS PIPING w 4
1 HEREBY ACKNOWLEDGE THAT I HAVE READ T IS APPLI GA8VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY OAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN
ER OF THE A804E DESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE � -
FINAL
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76AG67-CERB17 4-64
APPLICATION FOR PLUMBING P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FCROSS
ING
BUI 1 jG AN� SAFETY DMSION Ess
JOHN A LAM IE COUNTY ENGINEER
OZ A.11
WILLIAM A JENSEN SUP T OF BUILDING LITY
FOR,APPLICANT TO FILL IN NEARESTT
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET Ills MAIL
BATH TUB 125 ADDRESS
SHOWER I n CITY TEL NO
LAVATORY I M CONTRACTOR N.66ez-,
SINS 125 ADDRESS
DISHWASHER 125 CITY NO
8 STA
LAUNDRY TUB 125 REGISSTTRAATTIIO NO o COUNTY
CLOTHES WASHER 125 DISTRI NO GRQVPPo ZONE P ESSED BY
WATER HEATER ISO ZJ }
oe
150 INDUSTRIAL SYSTEM OUTLETS WATE APPROVAL d
O
OUTLETS OVER S PER SYSTEM 90 INSPECTION RECORDA U
oe
J� o
v
D.
� N
Z
APPROVALS DATE INSPECTOR-8 SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK / r
j� ROUGH PLUMBING `
TOTAL FEE �✓ GAS PIPING
1 HEREBY ACKNOWLLDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AN STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER �J
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURE$
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PR P RTY UTILITY CO NOTIFIED l V'
SIGNATURE
TTEE
OF PERMI
FINAL
ATION ROBERT A WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
i
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COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0601060005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 ERT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 16116 LT 2 5606 NOEL DR "
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802319
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET DUFFY
5387-022-022 01 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 596 GRID H3 LOCALITY TEMPLE CITY C
45 MATER CLOSET/URINAL 1 00 FIR 16 20
TENANT TOTAL FEES 43 95 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
01/06/06 JK 07/05/06
OWNER TEL NO - FINAL DATE FIN CODE
VARDOULIS, KATHY (626) 755-1910- nn 1
5606 NOEL DR a7✓- 6
TEMP 917602319 DESCRIPTION OF WORK
WATER HEATER CHANGE OUT
i
APPLICANT TEL NO
TEKANA (310) 515-1311-
17111 S BROADWAY SPECIAL CONDITIONS
GARDENA CA 90248
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
ACTION CONTRACTORS (310) 515-1311-
17111 SOUTH BROADWAY LIC NO UNDFR SLAB WORK
GARDENA, CA 90248 652535BC36 ,
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER TEL NO
ROUGH PLUMBING
LIC NO
GAS PIPING
I
GAS VENT
HOT RATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
II CWV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTE TO BS0508