HomeMy Public PortalAbout5732 NOEL DR_Plumbing__ 7GAGG7 ICE 8171 1/75
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO BUILDING
ADDRESS 573 Noel Drive
HARVEY T BRANDT COUNTY ENGINEER LOCALITY Temp e C ty
FOR APPLICANT TO FILL IN IPRINT OR TYPE) CNEAREST
ROSS ST Broadway
NUMBER FIXTURE OR ITEM 2 O FEE OWNER parker A & Ruth F Worthy
WATER CLOSET MAIL100 111 est N Innie Nay
BATH TUB 2 0 ADDRESS
SHOWER 2 tO CITY Arcadia TEL NO
LAVATORY 2 4o ,44 AV CONTRACTOR
SINK 2 40 ADDRESS
DISHWASHER 2 40 CITY TEL NO
CLOTHES WASHER 2 STATE LIC
SWIMMING POOL RECEPTOR 2 O LICENSE NO CLASS
DISTRICT NO GROUP ZONE PROCESSED BY
LAWN SPRINKLER SYSTEM 2 0 UUgg pO �� C
WATER HEATER 2 0 INASTETA�PROVAL
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GAS SYSTEM OUTLETS 2 0 INSPECTION RECORD v
7 OUTLETS
5 PERS STTVEROF M 30 np
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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
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS AS TEST s.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT i AM THE LEGAL OWNER OF ANTI fHTFNDTO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SI0FATU RE
PERMIi'-�`
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION CK M o c N ,,._ •"�D
12 7462AUG 20 5 0 2 2.5 5
7
76A667 (CE 817) 4/72
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APPLICATIO FOR Pw BING PERMIT
COUNTY OF LOS ANGELES I "fl
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO F
7Temple
5732 Noel Drive
HARVEY T BRANDY COUNTY ENGINEER City
FOR APPLICANT TO FILL IN (PRINT OR TYPEI RESTSS ST BTOadwa
7NUMBER FIXTURE OR ITEM @ F E
OWNER Parker Or Ruth Worthy
2 WATER CLOSET 5 OO AIL
]. BATH TUB 1 5 OO
ADDRESS 100 We Winnie Way
1 SHOWER 5 OO C ITY Arcadia TEL N044 8666
2 LAVATORY 5 OO CONTRACTOR Johnny's numbing Service
1 SINK Kitchen tl I S . OO ADDRESS 9932 E. Dalnes Drive
DISHWASHER 1 5 CITY Temple City TEL NO 285-3224
1 CLOTHES WASHER 1 5 OO STATE LIC
LICENSE NO 279687 -- CLASS C-36
SWIMMING POOL RECEPTOR 1 5
DISTRICT NO rROUP NE C ESSED BY
LAWN SPRINKLER SYSTEM 1 5
1 WATER HEATER 1 5 00 INDUST�iIAL C,
O
1 GAS SYSTEM OUTLETS 1 T5 WASTE 'PPROVAL INSPECTION RECORDOUTLETS
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5 PER S STOEMR 30
LLI
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVAL DATE INSPECTOR 4 SIGNATURE
Plan check applicant UNDER fl® ORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel NO GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING GAS TEST
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 I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY FINAL
SIGNATURE ►
OF PERMITTEE
PERMIT V LID IONcK 0 CASH
PLAN CHECK VALIDATION CK M 0 CASH
8621,41SEP 5I 5 0 3 4.500
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