HomeMy Public PortalAbout5703 NOEL DR_Plumbing__ DEPARTMENT OF COIINTY ENGINEER
PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNW OF LOS ANGELES BUILDING
WILLIAM 1. FOX. COUNTY ENGINEER ADDRESS, D 3 46- Q
APPLIC�4N TO FILL IN NEARSLOCALTY T C
ADDRESS / NEAREST
v N
LOCALITY 0 DISTRICT NO GROUP ZONE PERMIT No
NEAREST • I ~� � v
CROSS ST RECCEEIIJVED BY Ready far Ia�oeeNon )AATEEISSUED
OWNER
N INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY A AREL NO INSPECTION RECORD
PLUMBER
ADDRESS
CITY EL.NO •
CISTA
LICENSE NO 7 []COUNTY
J
PERMIT FEES z
TIE
VUM9CR TYPE OP FIXTURE OR ITEM FCB
WATER CLOSET(TOILET) GZ 080 $ D!
BATH TUB Q 0 BO
O
SHOWER 41 080
LAVATORY(WASH BASIN) ! 080
KITCHEN SINK @ 080
LAUNDRY TUB OR TRAY 00 080 Ica
SLOP SINK ! 080
FLOOR SINK ! 080
FLOOR DRAIN ! 080
DISHWASHER a 080
DRINKING-FOUNTAIN a 080
URINAL ! 080
OAS SYSTEM _OUTLETS ! 100
WATER HEATER G 100
MISCELLANEOUS
APPROVALS
DATE INSPECTOR 8 SIGNATURE
UNDER SLAB WORK
PERMIT ¢ I 00 ROUGH PLUMBING 7e
TOTAL FEE a0 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI GAB 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
AND
OR l CENSED IAS REQUt 1 D BYPLOS ANGELES COUNTY GAB TEST 5� —
AND STATE OF CALIFORNIA THAT 1 AM THE LEGAL
ER OF THE ABOZ-4
RI ESIDENTI L PROP III
UTILITY 00 NOTIFIED
SIGNATURErL
OF PERMITTEE •
FINAL
70A887 DBS 17 0 b 12 56
78A887 (CE 817) 4/72 1 a
tt.. �
V APPLICATION OR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION fADD]RESS
MAKE CHECKS PAYABLE TO ADDRESS,,;,? 3 O V
HARVEY T BRANDT COUNTY ENGINEER
FOR APPLICANT TO FILL IN IPRINT OR TYPE)
NUMBER FIXTURE OR ITEM 0 FEE
WATER CLOSET 1 75
BATH TUB 1 75 SHOWER 1 75 ogla TEL NO
LAVATORY 1 75 CONTRACTOR
SINK 1 75 ADDRESS / r
DISHWASHER 1 75 CITYTEL NO !`
CLOTHES WASHER 1 75 STATE LIC
LICENSE NO CLASS 45-,-46
SWIMMING POOL RECEPTOR 1 75
DISTRICT NO GROUP J.ZONE PR ESSED BY
LAWN SPRINKLER SYSTEM 1 75t U
f� Z
uugg pp
WATER HEATER 1 75 WASTETAtpPROVAL op
GAS SYSTEM OUTLETS 1 75 INSPECTION RECORD t�
OUTLETS OVER
5 PER SYSTEM 30 p
LLA
a.
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR 9 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST Q. O►
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITYVO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THA LEGAL OWNER OF AND INTEND TO
RESIDE IN THE A DESCRIBE RESIDENTIAL PROPERTY FINAL Q - O Tf hii/f�0•�
SIGNATURE
OF PERMI
PERMIT VALIDATION CK M O CASH
PLAN CHECK VALIDATION CK M 0 CASH
2 9 6;!OGT 10 5 0 4.7 5 ww
78A887 CP-U817 10 87
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN PR NT Olt CROSSSS"T Si
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET 150 MEa
BATH TUB 150
SHOWER 150 CnT �y TEL 110
LAVATORY 150 CONTRALTOS /�
SINK 150 ADDRESS � y` e ,��y---
DISHWASHER 150 CITY �+ C TEL NO
STATE LIC
CLOTHES WASHER 1 50 LICENSE NO p?��F Jam( CLASS 3(0.6SWIMMING POOL RECEPTOR 1 50 DISTRt�� GRO ZONE P=EQ BY
LAWN SPRINKLER SYSTEM 200 C
WATER HEATER 1 50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM j OUTLETS 150
a a1aPECTIo BEcoRD �,
OUTLETS OVER LY
5 PER SYSTEM 30 H
Z
Plan check fee 257 of above See reverse
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE I f IO -
APPROVALS AT 1 CTOR B 1 ATURE
Plan check applicant UNDER SLAB WORK 61
Name ROUGH PLUMBING
Address GAS PIPING
Glty Tel NO GAS VENT
HOT WATER HEATER
1 H!RlBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ 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 1 AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE GAL OWNER OF AND 1 TO
RESIDE IN THE ABOV SCRIB[ SID[NTIAL PROPERTY FINAL
SIGNATURE JACK R ALLEN SUPERVISINDCK
HANICAL ENG R
OF PERMITTEE
PERMIT VALIDATION MO CASH
PLAN CH ALIDATION CK M o CASH
LL4 7 1 VS M16 5 0 8.0 0-
� -
K %XORKERS COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
•4' 1 hemby affirm that I,have a certificate of consent to self 7SM87A
insure or a certificate of Workers Compensation Insurance CE 817(REV 8/88)
ora certified copy thereof(Sec 380D Lab C)
COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS
Policy No Company L
Certified copy is hereby furnished i FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
Certified copy is filed with the county building inspec AD
hon epartZS?Appli;ani
nt NUMBER FIXTURE OR ITEM ® FEE LOCALITY
Date /y WATER CLOSET NEAREST
CERTIFICATE OF EXEMPTIO FROM XORKERS BATH TUB CROSS ST
COMPENSATION INSURANCE SHOWER OWNER
(This section need not be completed H the work involved by
the permit is for one hundred dollars(=100)or less) LAVATORY ADDRESS
I certify that in the performance of the work for which this SINK CITY TEL NO
permit is issued I shall not employ any person in any manner
so as to become subject to the Workers Compensation Laws DISHWASHER b O
CONTRACT
Date Applicant CLOTHES WASHER ADDR O �t
NOTICE TO APPLICANT If after making this Certificate of SWIMMING POOL RECEPTOR
Exemption you should become subject to the Workers CITY TELZ—r1.&
Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC
deemed revoked WATER HEATER LICENSE NO CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO BY
I hereby affirm that 1 am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 5
(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL ' VAL ATION O
q_b — -71 `r 20—C DATE V
License Nu er YQ Lic Class FIN cc
O
i—
Contract ate y B W
❑ 1 am exempt under Sec d
B 8P C for this reason ► Z
Plan check fee
Date PLUMBING PERMIT ISSUING FEE$ �7 6 5 6 A
Signature
TOTAL FEE # • • • • •5
SINGLE FAMILY Plan check applicant 1992250
HOME OWNER BUILDER DECLARATION Name :• • * 22505
1 hereby affirm that 1 am exempt from the Contractor s License Address
Low for the following reason (Section 7031 5 Business and 0 8,1 2 A 87
Professions Code) City Tel No
❑ I as owner of the property will do the work and the
structure is not intended or offered for sale (Section
7044 Business and Professions Code) ,
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued
(Sec 3097 Civ C)
Lender s Name
Lender s Address
I certify that I have read this application and state that the ►
above informafi n correct I agree to comply with all County
ordinances an t e laws regulating Plumbing andhereby
authorize re s to Ives of this C upon the
ob a me pection purp ses
a/ SEE REVERSE FOR EXPLANATORY LANGUAGE
&l
Signature Permittee
IAl '�IItit W. C�ENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
ty affir that I have a certificate of consent to self 78A887A
insure or a certificate of Workers Compensation Insurance CE 817(REV 8/88) (�
vor a certified copy thereof(Sec 3800 Lab C)
COUNTY OF LOS ANGELES DEPT OF PUBLIC WORKS
Policy No Company ti ,
Poled '
Certified copy is hereby furnishBUILDING _ 1
FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS
Certified copy is filed with the county building inspec NUMBER FIXTURE ITEM E }
.4nk����►►►► tion department FIFE LOCALITY `
Date Appli4an WATER CLOSET d NEAREST
CERT KATE OF EXEMPTIO FRO WORKERS BATH TUB CROSS STs
COMPENSATION INSURANCE SHOWEROWNER
(This section need not be completed if the work involved by MAIL / s
the permit is for one hundred dollars(=188)or less) LAVATORY ADDRESS
I certify that in the performance of the work for which this SINK CITY ` TEl
permit is issued I shall not employ any person in any manner .�� •+
so as tok become subject to the Workers Compensation Laws DISHWASHER
CONTRACT
Date AT licant CLOTHES WASHER y r, ,
NOTICE TO APPLICANT If after making this Certificate of ADDRESS 7110.
Exemption you should become subject to the Workers SWIMMING POOL RECEPTOR
Compensation provisions of the Labor Code you must forth LAWN SPRINKLER SYSTEM CITY d� TEL &Z
with comply with such provisions or this permit shall be STA ..r� LIC
deemed revoked WATER HEATER LICENSE NO `s C -C
LICENSED CONTRACTORS DECLARATION DI�RtCL O SSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS
(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER r
and Professions Code and my license is in full force and effect 5 PER SYSTEM FINAL VALI TION O
License NumrLac Cla 2d C "R DATE V 11C
F O
Contract Date Y t
[:] I am exempt under Sec I
724.9 A 40
B 8P C for this reason Z
Date
Plan check fee ►
PLUMBING PERMIT ISSUING FEE$Signature 1 . *2a5 Q
TOTAL FEE
Plan check applicant e • * 2a505'
SINGLE FAMILY () 5 $7
HOME OWNER BUILDER DECLARATION Nome
1 hereby affirm that 1 am exempt from the Contractor s License Address
Law for the following reason (Section 7031 S Business and
Professions Code) 1 city Tel No _
❑ 1 as owner of the property will do the work and the ►
structure is not intended or offered for sale (Section
7044 Business and Professions Code)
CONSTRUCTION LENDING AGENCY - -
I hereby affirm that there is a construction lending agency for
the performance of the work for which this permit is issued
(Sec 3097 Civ C)
Lender s Name i
Lender s Address
I certify that I e read this application and state that the ► ,
obove inform i is correct I agree ro comply with all County
ordinances tate laws regulating Plumbing and hereby
authorize r entotives of this County to enter upon the
above roper y or urposes
r " $EE REVERSE FOR EXPLANATORY LANGUAGE
�Lea J
Signa ureof Permittee If Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUBAS PL 0508 0512010021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91760
PHONE (626) 285 0488 EXT
LEGAL ID FEES PAID BUILDING ADDRESS
TR 6561 IT 729 5703 OAK AV
FEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802431
ASSESSOR INFORMATION NUMBER NEAREST CROSS STREET LIVE OAK
8587 005-002 01 PERMIT ISSUANCE PER 27 75 THOMAS PAGE 596 GRID J3 LOCALITY TEMPLE CITY C
07 BATHTUBS/S8ONSRS 2 00 FIX 32 40
TENANT 11 CLOTHESWASHER(S) 1 00 FIX 16 20 ISSUED ON PROCESSED BY PLAN BY EXPIRES ON
13 DISBNASHBR(S) 1 00 FIX 16 20 12/01/05 JK 05/30/06
21 HOSE BIBB(S) 2 00 FIX 32 40
OWNER TEL NO 25 LAVATORIES/SINKS 3 00 FIX 48 60 FINAL DATE FINAL BY CODE
FULCO NORMAN J DOROTHY J 45 NATER CLOSET/URINAL 2 00 FIX 32 40 �I
5703 OAK AV 47 NATER 88AT8R(S) 1 00 NTS 16 20 �J` c•
TEMP 917802431 51 LOW PES GAS 5 OUTLET 1 00 SYS 16 20 DESCRIPTION OF WORK
TOTAL FEES 238 35 PLUMBING FOR ADDITION AND REMODEL
APPLICANT TEL NO
FRANK MARRONE 4 SONS INC (626) 444 2548
9860 LOWER AZUSA RD SPECIAL CONDITIONS
EL MONTE CA 91731
CONTRACTOR TEL NO APPROVALS DATE INSPECTOR SIGNATURE
FRANK MARRONE AND SONS (626) 444 2548
9860 LONER AZUSA RD LIC NO UNDER SLAB WORK
RL MONTH CA 91731 397884036
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER TEL NO
JIM 8 KUHN (818) 446 7000 RCUGH PLUMBING p p^
125 NHESLSR AVE SUITE F LIC NO 6 O
ARCADIA CA 91006 NONE GAS PIPING
GAS VENT
NOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CMV
GRAY WATER SYSTEM
REPORT ID DPR263 ROUTS TO BSO508