HomeMy Public PortalAbout5628 1/2 NOEL DR_Plumbing__ 76A667-CE 817468 � A
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APPLICATION FOR PLUMB NG ERMIT
COUNTY OF LOS ANGELES u
DEPARTNIENT OF COUNTY ENGINEERFw7ple
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING m City
FOR APPLICANT TO FILL IN PRNT OR TYPEWAMT
NUMBER FIXTURE OR ITEM EACH FEE OWRERy�. P. JAC$SOYL
WATER CLOSET 1 50 X11
KAM
BATH TUB 1 SO _D1111113111 dl'S*dF,m** 5628f Noel Dr
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SHOWER I so t T C TEL NO 286-5159
LAVATORY 1 50 CONTRACTOR W. E. Graham
SINK I so ADDR= 9127 Las Tunas Dr.
DISHWASHER 1 So CITY T.C. TSL NO 266-9293
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO 104466 CLASS C-36
SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GRO P ZONE SSED BY
LAWN SPRINKLER SYSTEM 200 V' 7 � S
WATER HEATER replac 50 INDDBTRM
WASTE APPROVAL Z
GAS SYSTEM OUTLETS 150 INSPECTION RECORD O
OUTLETS OVER 30
5 PER SYSTEM
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Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE $ 1 2 00
TOTAL FEE 0 APPROVALS DATE INSPECTOR 8 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
1 HEREBY ACKNOWL19DOZ THAT 1 HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ti
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND1 O TO
RESIDE IN THE ABOVE DESCRIBED RESID[ A ROPERTY FINAL
SIGNATURE JACK R ALLEN, SUP RV ING ECHANICAL ENG R
OF PERMI ngg!!:� &
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION CK M O CASH
pr,.3 2 1 Oa BEC 31 5 D 3.5 0
DEPARTMENT OF COUNTY ENGIIITEER
PLUMBING 1
MIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES
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WILLIAM ,L FOX. COUNTY ENOIMEER ADD EISS /l' V
FOR APPLICANT TO FILL IN LOCALITY
BUILDING �yy j, CROSS ST r �a `✓ d—
ADDRE88 SG�a/Z N' Q Q le
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DISTRI NO ORO P PERMIT NO
LOCALITY � 1 I gl)A�
NEAREST ..��LL..
CROSS 8T Y Ready ter Iespostlnn DATE
ISSUED
OWNER jaC-k s O rte\ /Di[`�
INOUSTRI L
MAIL ADDRESS WASTE APPROVAL
CITY TEL NO INSPECTION RECORD
PLUMB 56-%<`--A
ADDRESS
CI .Z d /'?C TEL N
ATE
LICENSE NOQ;Zd4'74COUNTY J
PERMIT FEES z
'JUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) ! 080 8 a'
O
BATHTUB ® 080
SHOWER S1 080
LAVATORY(WASH BASIN) 8) 0 N 14
KITCHEN SINK 0 080
LAUNDRY TUB OR TRAY a 0 80
SLOP SINK ! 080
FLOOR8INK a 080
FLOOR DRAIN ! 080
DISHWASHER ! 080
DRINKING FOUNTAIN G? 080
URINAL ! 080
OAS SYSTEM _ OUTLETS ! 100 V 0
WATER HEATER 41 100 --) D a
MISCELLANEOUS
APPROVALS
DATE INS CTOWSSIGNATURE
UNDER8LASWORK ki 20i.'E+�+
PERMIT ; 1 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI 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 FI ES
I HEREBY CERTIFY THATRI AM PROPERLY REGISTERED
AND LICENSED AS REQUIRED BY L08 ANGEL LINTY LASTEST
ER OFTTHE ASOV D NIB R RESIDENTIAL HE PERTY OWN- UTILITY CO NOTIFIED ZCe! St'
SIGNATURE
OF PERMITTEE _ _ _ _ _ - -
FINAL 126 5A P-A
TGAGST DSS 11 Ob 12.59
76A667 CE#9117 2 62 TEMPLE
IiOfdPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES ���-- ►
DEPARTNIENT OF COUNTY ENGRCM
BUII.DJOHNING AND SAFETY DIVISION Ew
A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUPT OF BUILDING F
FOR APPLICANT TO FML IN E
NUMBER FIXTURE OR ITEM EACH FEE OSS ST
OWNER
WATER CLOSET 1125 MAIL ,
BATH TOE 125 ADDRESS
SHOWER 125 CITY TFL NO
LAVATORY 125 CONTRACTOR C�
SmK 125 ADDRESS C
DISHWASHER 125 CITY
LAUNDRY T[1R 125 CONTRACTOR S STATE ❑❑
REGISTRATION N !l COUNTY ❑
CLOTHES WASHER 125 DISTRICT NO GROUP I 2 NE P OCE ED(BY
WATER HEA 150
GAS SYSTEM OUTLETS ISO WDUSTRIASTEPPROVAL
OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD d
0
V
OC
F
L7
W
O.
1A
Z
APPROVALS DATE INSPECTOR S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 3 v GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE -GAL
OWN6 P AND I ND TO
RESIDE IN THE ABOVE DESCR ED REBIDEN A ROPERTr UTILITY CO NOTIFIED
SIGNATURE
OF PERM ITTEp_'w4L___%_
FINAL
ATION ROBERT A WOOD
CCK,"MO CASH SUPERVISING MECHANICAL ENG R
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1 1 6 613 OCT 8 5 D 3.90- 11