HomeMy Public PortalAbout5719-5721-5723-5723 1/2 NOEL DR_Plumbing__ 78AAPPLICATION FOR PLUMBING PERMIT 1
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DIVISION OF BUILD= AND SAFETY
D"al;ts"Ist Of Couatp Engtaeer
Comity of LOs zgeles BUILDING
JOHN A LAMBIE COUNTY ENGINEER ADDRESS5719 Noel
CASSATT D GRIFFIN SUP T OF BUILDING
LOCALITY Temple CitjR Califorgla
FADDRESS
OR APPLICANT TO FILL IN NEAREST
CR 88 8T
EzerS DISTRICT NQS GROUP I ZO E I RRADY FOR INSPRCTION
Al
24 No Valencia S
STRIAL
mbra TEL NO — 8 WASTE APPROVAL I
an Marino PlumbingService 1 II�TSPECTION RECORD
65 San Marino Ave.arino TEL NO 67117 li-6��
LICENSE NO 78681
NUMBER TYPE OF FIXTURE OR ITEM FRB
WATER CLOSET (TOILET) Q $100 $
BATH TUB $1 00
SHOWER $100
LAVATORY (WASH BASIN) @ $1 00
KITCHEN SINK III $1 00
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $1 00
CLOTHES WASHER $1 00
WATER HEATER @ $100
GAS SYSTEM $1 00 1 OO
APPROVALS
DATE INSPECTOR S SIGNATURE
UNDER SLAB WORK
PERMIT $ I 1 00 ROUGH PLUMBING
GAS PIPING<I �I
TOTAL FEE S21nn GAS VENT
1 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 PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST �.
LICENSED AS REQUIRED BY LOS ANGELES C UNTY AND STATE OF
CALIFORNIA OR THAT I THE 0 ER 0 THE BOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL 0
SIGNATURE
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEER AIMATION ROBERT A WOOD CHIEF PLBG INSPECTOR
K M O CASH
L&4362r, AUG 29 5 A 200
DEPARTMENT OF COUNW ENGINEER PLUMBING I
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNW OF IAS ANGELES 'BUILDING n
WILLIAM a FOX. COUNTY ENGINEER ADDRESS --r7/ 3 .,93 j�.
FOR APPLICANT TO FILL IN LOCALITY C�
BUILDING NEAREST
ADDRESS 5119-21-23-231 NoelCROSS ST
DISTRICT NO GRO P NE PERMIT NO
LOCALITY Temple City
NEAREST �
CROSS ST RECE VED Y R=dy for IReOeettoo DATE ISSUE
OWNER Roland Sholty 1_1-4r
MAIL INDUSTRIAL
ADDRESS 1295 Dominion WASTE APPROVAL
CITY Pasadena TEL NO INSPECTION RECORD
PLUMBER Belvedere Plumbing Co.
ADDRESS 11900 E. Garvey d L
CITY E1 Monte TEL NO FO 89836
❑STATE
LICENSE NO 54932 ❑COUNTY
PERMIT FEES e a
,a Z
�IJMHER TYPE OF FIXTURE OR ITEM FEE I+ 0
WATER CLOSET(TOILET) ! 080 i 2 ��V EO
�. BATH TUB @ 080 3 20
SHOWER a 080
4 LAVATORY(WASH BASIN) G 0 80 2
4 KITCHEN SINK ! 0 80 2 r
2 ` LAUNDRY TUB OR TRAY a 080 1 0
SLOP SINK ! 080
FLOOR SINK 0 080
FLOOR DRAIN a 080
DISHWASHER a 080
DRINKING FOUNTAIN a 080
URINAL ! 080
4 GAS SYSTEM 9 OUTLETS ! 100 4
WATER HEATER Q 1 00 j-luu
MISCELLANEOUS
4 disposals 3 .20 APPROVALS
GATE INSf ECTOR 8 SIGNATURE
UNDER SLAB WORK II S4
PERMIT $ 1 00 ROUGH PLUMBING {
TOTAL FEE 24 40 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI GAS V--- 1ENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS I
REGULATING PLUMBING PLUMBING FIXTURES ++
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST 4
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN
ER OF THE ABOVE DESCRIBED REBID NTIAL PRRTY UTILITY CO NOTIFIED N K
SIGNATURE
OF PERMITTEE
FINAL v
78A007 DBS 17 rd 4