HomeMy Public PortalAbout5725-5727 NOEL DR_Plumbing__ OF ' 1
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cs a»a a° APPLICATION FOR PLUMBING PERMIT 1
BUMI)ING AND SAFETY DIVISION
Department of Conntq Engmew
County of Loa Angele8 BUILDING �/ f7
JOHN A LAMBIE COUNTY ENGINEER ADpRESS
CASSATT O GRIFFIN SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FII.i. IN NEAREST
�/ CROSS ST
OWNER B DISTRIC NO G I E I READY FOR IRBPBCTIOB
MAIL ,
ADDRESS
CITY TEL NO INDUSTRIAL
�F WASTE APPROVAL
PLUMBER 0411 O/PIff' � 4C INSPPWTION�BWORD
ADDRESS `�� D
d" � los rp
a'JL ♦ -�' L
CITY L,gV`TE,LLNN `
NO i .7 �� �
LICENSE NO �7�✓ /!/ 6'
NUMBER TYPE OF FIXTURE OR ITEM FEB c.
y WATER CLOSET (TOILET) @ $1 00 SZ 00
BATH TUB @ $100 0O
SHOWER @ $100 n ^ r
LAVATORY (WASH BASIN) @ $100 -Z OD V Lv
2 KITCHEN SINK @ ;100 ®A. A.o
DISHWASHER @ $100
LAUNDRY TUB OR TRAY @ $100
CLOTHES WASHER @ $1 00 O
WATER HEATER @ ;1 00 O
GAS SYSTEM @ $100
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APPROVALS
DATE INS-Oft-f0 SI TORE
UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
aQ GAS PIPING
TOTAL FEE GAS VENT 10,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WETTER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REG TERED AND/OR GAS TEST
CE
LINSED AS REQUIRED BYA43 ANGELES COON AND STATE OF
CALIFORNIA OR THA" 1 THE LEGAL 0 E,4:11OVE UTILITY CO NOTIFIED
DESCRIBED RESIDEN AL PERTY
SIGNATURE
OF PERMITTEE FINAL
ROBERT A WOOD
JOHN A LAMBI COUNTY ENGINEER U ALIDATION SUPERVISING MECHANICAL ENG R
,� f,,, x• ,, `BM 5 5`"51 9 4R OCT 6 5 A
1400
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES R
�
DEPARTMENT OF COUNTY ENGINEER
I NA 1)F
BUILDING AND SAFETY DIVISION BUILDING21
MAKE CHECKS PAYABLE TO ADDRESS
HARVEY T BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM ® FEE CROSS ST
WATER CLOSET
200 OWNER
MAIL
BATH TUB 200 ADDRESS
SHOWER 200 CITY TEL NO
LAVATORY 200 CONTRACTOR
SINK 200 ADDRESS
DISHWASHER 200 CITY TEL N04L
CLOTHES WASHER 200 STATE LIC
C
SWIMMING POOL RECEPTOR 200 LICENSE NO LASS
DISTRICT GROUP ONE P ESS D B
LAWN SPRINKLER SYSTEM 200 pp�� `O �1
WATER HEATER 200 UNADWITAPPROVAL
GAS SYSTEM OUTLETS 200 INSPECTION RECORD C
OUTLETS OVER
5 PER SYSTEM 30 v
0
[ m ONF w
Cn
C9
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 31 00
TOTAL FEE
APPROVALS DATE INSPECTOR 8 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
I IFEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE 18 CORRECT AN�AOREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE AWS REGULATING
PLUMBING GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1119
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF ANT) INTEND TO
RESIDE IN THE ABOVE DESCRIBED
�RESIDENTIAL
ePROPERTY FINAL
IV
SIGNATURE
OF PERMI�E� l/l! LJ cM..LLL000������/
PERMIT VALIDATION OCK0 CASH
PLAN CHECK VALIDATION CK M 0 CASH
2 4 3 9,NL 3 1 4.,7 5A,%
vaA88 43=7-IW .
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPABMEW OF COUM ENGII1=
BU�U�=G AND SAFETY DIMON4LU
bDII�G
CJLSSJLTT D LrUL 9aP't o18�d�qCAIJI YFOR APPLICANT TO ML IN �
NUMBER FIXTURE OR ITEM
OWNER ly, 1 \
WATER GLOM
DD
BATE TUB ADDIM v -1-10 -'
SE{Own T=NO -- 4 1"T
LAVATORY CONTBACl08 �*r..� �J'1
g ADDRBSS
D= WA3lIAS CIiT�- /,y y,TBL.NoiJf G Q
LAUNDRY TUB WOUl nON N K /��� 1 a Coum
an
CLOTIM WASIM DISrZ!,% D
_LONE aelluY FOR 1Nspecrloe
WATER MIRM
GAS SYSTEM INDUSTRI"
WASTE APPROVAL
UflHZ TION RRC RD
APPROVALS
f o ;1 00 PER r=OR FFIXTURE / 6$ DATE INSPECTOR S SIGNATURE
i UNDER SLAB WORK
PERMIT 3 ROUGH PLUMBING
TOTALFEE 1 ,3 o a GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 1S CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REWIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR T 1 AM THE LEGAL OWNER OF E ABOVE UTILITY CO NOTIFIED
DESCRIBED RESID AL P RTY
SIGNATU E i
OF PER E FINAL
ROBERTA VQ06D
OF ATIzv
UPERVISING MECHANICAL ENG R
CR Y 0
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