HomeMy Public PortalAbout5644-5646-5648 NOEL DR_Plumbing__ T6A667 Des 17 11.50 APPLICATION FOR PERMIT
$EPA4TOFATG AND SAFETY
COUNTY
L U G I G
• :,_ .COIINTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC7. GR0U7NE I PERMIT NO.
O (o
PLUMBS V I O REC IVED BY READY FOR DATE ISSUED
0. f 8/me
FIRST INSPECTION
ADDREBB Y
1 19
BUILDING - /o Ar�V
CITY O TEL No I U O I ADDRESS ®V
COUNTY LOCALITY -7
I NIt NO EXPIRES
NEAREST
PERMIT FEES CROW BT
NUMBER TYPE OF FIXTURC OR ITCH REB OWNER C464CJMAIL
WATER CLOSET(TOILET) a ago B Aro ADDRESS
BATH TUB ago CITY Arcizdll 40— — TEL No
SHOWER O SO I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) O 50 (� APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN BINK 0512 VlDANDSTATE LAWS REGULATIN LUMBING
CERTIFY THAT 1 P THE ABOVE VALID LOB
LAUNDRY TUB TRAY ® O50 ANGELES COUNTY LIC , THE LEGAL OWNER
GAS SYB7EM ^UTLETB OSp ` OF THE REBIDENTI OP DESCRIBED ABOVL
SIGNATURE OF
WATER HEATER ! ago D C PERMITTB
' SLOP BINK ! ago INSPECTION RECORD
FLOOR SINK ! ago
FLOOR DRAIN a 050
DISHWASHER 050Cr
DRINKING FOUNTAIN DSO
URINAL ago C�VCiVigi4 rt
HOUSE SEWER ago
MISCELLANEOUS
O
APPROVALS
/ DATE INOPEOTOR•R NAME
ROUGH PLUMBING
BAB PIPING
GAS VENT
CESSPOOL 40 100 CESSPOOL
SEPTIC TANK ff:EIME
TANK
DRAIN ( ) PIT ( ) � 1 00
PERMIT 1 p ST
UTILITY CO NOTIFIED
TOTAL FEE
_{/, FINAL �
lV
7SASS7
OBS17 to aB ` APPLICATION FOR PLUMBING PERMIT 1
OBS171055
DIMON OF BUnDMG AND SAFL'PY
Department of Colmty Engineer
s County of Los Angeles BUILDING �'!4/8 14 of
JOHN A LAMBIE COUNTY ENGINEER ADDRESS `T �+
CASS,ATT D GRIFFIN,SUP T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
SMG
OWNER DISTRICT NO GROUP I ZONE I READY FOR INSPECTION
MAIL
ADDRESS v
INDUSTRIAL I
CITY TEL NO WASTE APPROVAL
PLUMBERII�iSPECTION RECORD
ADDRESSS� ���y I—
CITY A� +�'� fi TEL NO
LICENSE NO / / v?5-6—
NUMBER
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET,(TOILET) Q $I 00 $
BATH TUB @ $1 00
SHOWER Q $100
LAVATORY (WASH BASIN) Q $1 00
KITCHEN SINK Q $100
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER @ $100
WATER HEATER @ $100
GA&8TEM @ $100
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES t
PLUMBING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIA PROPERTY
SIGNATURE
OF PERMITTEE FINAL tl
JOHN A LAMBIE COUNTY ENGINEER VALIDATI ROBERT A WOOD CHIEF PLBG INSPECTOR
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0 7 3 5 G.N 27 3 3.00 +�
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