HomeMy Public PortalAbout5616 NOEL DR_Plumbing__ 78A887 CEIl817 10 67
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY MGM= BUILDING
BUILDING AND SAFETY DMSION ADDRENs r
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOC
FOR APPLICANT TO FILL IN PR NT OR TYPE CROSS 3T
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1 50 KRIL
BATH TUB 1 50 ADDRESS
SHOWER 1 50 C TEL
LAVATORY1 50 CONTRA
SINK 1 50 ADDRESS
DISHWASHER 1 50 C NO
CLOTHES WASHER 1 50 STATE LIC
LICENSE N CLASS
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO Gf3SLlP ZONE PROC SED BY
LAWN SPRINKLER SYSTEM 2 00 �f 02! ��
WATER HEATER 1 5075 U INDUSTRIAL. C7
WASTE APPROVAL
CD
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD V
OUTLETS OVER �� LLI
5 PER SYSTEM 30 f C� L/G �O N
Z
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 W 2 00
TOTAL FEE jrj
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK -
Name ROUGH PLUMBING
Address GAS PIPING
PAS VENT
City Tel NO HOT WATER HEATER
I N[REBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATUREJACK R ALLEN, SUPERVISIN CHANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION cK M o CASH
PLAN CHECK VALIDATION CK M o CASH
-_- _ Uj0 4 2 8 513 X15- 5 0 :5.50 V'
5
DEPARTMENT OF COUNTY MIRE EER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING WILLIAM J FOX, COUNTY ENGINEER ADDRESS
udh
FOR APPLICANT TO F LL IN LocaLlTv
BUILDING /,/ s NEAREST
ADDRESS CROSS ST
® � �� DISTRICT O GROUP 20 PERMIT NO
LOCALITY km J i ;
CROSS ST ` RECEIVED B Ready for Inepeatlon DATE ISSUED
OWNERto A
MAIL INDUSTRIAL
ADDRESS a WASTE APPROVAL
CITU ` It!& TEL NO INSPECTION RECORD
PLUMBER <&/I— G.
A� 7""C jpdr It«
ADDRESS � I I
CITY 4r TEL NO PD /�"O.
ATE
LICENSE ND i� 3 7 OUNTY ✓ �� J
PERMIT FEES !�
� z
NUMBER TYPE OF FIXTURE OR ITEM FEE 0
WATER CLOSET(TOILET) a 080 i Ll
BATH TUB a 080 O -T— 'c O
SHOWER 0 080 lo
LAVATORY(WASH BASIN) ! 080 D
KITCHEN SINK ! 0801-190
LAUNDRY TUB OR TRAY Q 080
SLOP SINK ! 080
FLOOR SINK ! 080
FLOOR DRAIN 8) 080
DISHWASHER ! 080
DRINKING FOUNTAIN ! 080
URINAL ! 080
GAS SYSTEM _ OUTLETS a 100 Q D
WATER HEATER @ 100 '00
MISCELLANEOUS
APPROVALS
DAT INSPECTOR'SSIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING -/&-
TOTAL FEE D GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GAS VENT
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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST /Q.� 7
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN.
ER OF THE ABOVE IESfDEN� PROPERTY UTILITY CO NOTIFIED J
SIGNATURE
OF PERMITTEE _ _. _
r FINAL 4.01
78A887 DBS 17 1/88