HomeMy Public PortalAbout5657-5659-5661 NOEL DR_Plumbing__ (2) 7GA667C (#E-e+7B) -9/75
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DI ON
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING 51061
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ADDRESS J ) `L
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET
LOCALITY
BATH TUB NEAREST O 11D W
CROSS ST 413.4?
SHOWER OWNER54661
ev`V P n y��'/ S
LAVATORY MAIL
ADDRESS �7 4661 � �Q�L y,-;-
SINK CITY 7 2FiyP,9' CITY TEL NOZ
DISHWASHER
CONTRACTOR
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY TEL NO
STATE LIC
WATER HEATER LICENSE NO CLASS 0
GAS SYSTEM l OUTLETS DISTRICT NO GROUP�
PCESS
OUTLETS OVER o0 1 � v 5 PER SYSTEM INDUSTRIAL W�
WASTE APPROVAL H
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE 5O
Plan check applicant To-4 CJO# K0r1Z*A4(J
Name APPROVALS DATE INSPECTOR 9 SIGNATURE
UNDER SLAB WORK
Address j6/ .Pf" ROUGH PLUMBING
CItv7&MpcZ: e ry Tel NOzg Ey GAS PIPING
2-4-
1
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED ASREQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST Z.7 77
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESC BED RESIDENTIAL PRO ERTY UTILITY CO NOTIFIED
w
LSIGNATU RE
OF PERMITTEE FINAL
PLAN CHECK VALI ATION CK M O CASH PERMIT VALIDATION < CK M O CASH
5 ? SaN'R 8 5 ® 7.5Od90
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APPLICATION FOR PLUMBING PERMIT
I I
COUNTY OF LOS ANGELES BUILDING AND SAFETY i
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 5661 No. Noel Ave
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE LOCALITY Temple Clty
WATER CLOSET .110_0
�1 n�
NEAREST
BATH TUB CRO55 ST
SHOWER OWNER.Joseph Ratillv6s
LAVATORY MAIL 5661 No.Noel Ave
ADDRESS
SINK CITYTemple CitY TEL N0287-6489
DISHWASHER CONTRACTORRmbenn F. Robles
CLOTHES WASHER ADDRESS 15722 E. Gale Ave
SWIMMING POOL RECEPTOR
cITVacienda beijxhts TEL NOgA -3378
LAWN SPRINKLER SYSTEM
WATER HEATER LICENSE NO 287541 CLASS B-1
GAS SYSTEM OUTLETS DATE INSPECT N s s TURE
OUTLETS OVER UNDER ORK
5 PER SYSTEM , ROUGH ALUMBING
GAS PIPING ' Q
GAS VENT V
HOT WATER HEATER Q
PLUMBING FIXTURES
{ � GAS TEST N
Plan check fee UTILITY CO NOTIFIED z
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL / 7
Plan check applicant PLAN CHECK VALIDATION
Name
Address '44) P °y� 53 aS V
[STE
ity Tel No
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
HAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 41 &5 A
ND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS # 6 • • • 05
EQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE
EGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL q , 6 n Q O O
ROPERTY L 2 ap
IGNATURE 6 e e 2 0 0 0 U
ze-
OFPERMITTE;
DISTRJCT jJ(�j ESSED BY 0604-79
USTRIAL (J1J APPROVAL '
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