HomeMy Public PortalAbout10031 LYNROSE ST_Plumbing__ 76A667 - CE817 5/70 CITY OF TEMPLE CITY,
.,APPLICATION FOR PLUMBING -PERMIT
COUNTY OF LOS ANGELES
31 77
DEPARTMENT.OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER annaEss 10031 L 11Y'Crs .
COLEMAN W.JENKINS. SUP'T.,OF BUILDING
LOCALITY" -
FOR.APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST
NUMBER FIXTURE-OR ITEM EACH- FEE -
OWNER
WATER CLOSET 1.50 oughland
MAIL
BATH TUB 1_50' ADDRESS S ame
SHOWER 1.50 CITY. TEL. NO.
LAVATORY 1.50 coNTRACTOR GENERAL INSTALLATION CO.
SINK 1.50 ADDRESS 6558 WEST BLVD.
DISHWASHER 1.50 CITY Los Angeles TEL. NO. PL 3-2541
CLOTHES WASHER - 1.50 STATE LIC
LICENSE NO. C 36151839- CLASS -
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO: ' GROUP NE PROC SSED BY
_ LAWN SPRINKLER SYSTEM 2.00
1 WATER HEATER 1.50 1 75 INDUSTRIAL O
-WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD
OUTLETS OVER .
5'PER SYSTEM •30 Reply fpr,InSPeCf10I1 OW Q
WATER SOFTENER G
" - a
rn
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE .$
TOTAL FEE 4 75
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT -
City. Tel• No. HOT WATER HEATER -
1 HEREBY ACKNOWLEDGETHAT 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 GAS TEST -
PLUMBING. -
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,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED REST ?PROP r+rY. FINAL '. _ .71-SIGNATURE7- JACK R.`,ALLENj SUP RVISCNE),ANICA'L ENG'.R.
OF PERMITTEE
PERMIT VALIDATIO .O. CASH
PLAN CFHECK VALIDATION- CK. M.0. CASH
( A v 4 7.7 R? S D 4 .75v
TeAee7 n S-so 10 APPLICATION FOR PERMIT
s DEPARTMENT OF BUILDING AND SAFETY
� ? COUNTY OF LOSANGELES 1
WILLIAM J. FOX, CHIEF ENGINEER
1 FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER VALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD. BUIL4r
i2OSEMEAD TEL. NO. AT. 2-27.19 ADD EBS
CITY 9 /D V /
n
COUNTY 3M 6-30- / LOCALITY\.
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES cRoss ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL s / � 6
WATER CLOSET (TOILET) Q 0.50 $ ' ADDR;E6S(SQl/
• - / I BATH TUB @ .0.50 I OITY!- iv/TTEL.
-f'-� SHOWER @ 0.50 Q 1 HEREBY A NOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501Q/D APPLICATION AND STATE THAT THE ABOVE.IS CORRECT AND
- AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
Il STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.50 6J 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUBO TRAY @ 0.50 ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
�1 GAS SYSTEM OUTLETS Q 0.501 y OF THE RESIDENTIAL ROPERRTT,Y/y,D}ESCRIBED ABOVE.
WATER HEA R @ 0.501 /� SIGNATURE
RMT EF l ,/`?%�� Lv
1 SLOP SINK @ o.sD ICS INSPECTION RECORD G
FLOOR SINK @ 0.50 1 -
FLOOR DRAIN @ 0.50 1 -
DISHWASHER @ 0.501
1 DRINKING FOUNTAIN @ 0.50
1 URINAL @ 0.501 1 „J
HOUSE SEWER @ O.50 1 QZ
MISCELLANEOUS
O
1
1 APPROVALS
1
1 DATE INSPECTOR'S NAME
.1 I ROUGH PLUMBING 9 J
1 _GAS PIPING
GAS VENT
CESSPOOL @ 1.001_1_ CESSPOOL
1 SEPTIC TANK: 1 SEPTIC TANK ,! f
I DRAIN ( ) PIT ( @ 1.001H SEWER I r
PERMIT . I 1.00 GAS TEST
UTILITY CO. NOTIFIED 1
TOTAL FEE �at)
FINAL
f
76A667-CE#817 2-66 �/fG eITlv
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FNEAREST
JOHN A. LAMBIE, COUNTY ENGINEER LVnroSq
COLEMAN W. JENKINS. SUPT. OF BUILDING
e m le City
FOR APPLICANT TO FILL IN .
NUMBER FIXTURE OR ITEM EACH FEE. ..
OWNER Elmer Hou land
WATER CLOSET $1.2S
MAIL BATH TUB 1.25 ADDRESS 10031 E• LyTlr OS e
SHOWER 1.25. CITY t TEL. NO. —0262
LAVATORY, 1,2S CONTRACTOR Aridrew D. Cool er .COs
SINK 1.25 ADDRESS 3510 So• -Hill St.
DISHWASHER A.2 CITY -LOS Ari e le S TEL. NO.231_5111
STATE- LIC j'
LAUNDRY.TUB 1.25 LICENSE NO. 220551 CLASS ��
CLOTHES WASHER 1.25 DISTRICT NO G!r RNE P O Y
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL CL.
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD 'cZ.
CD
F-
U
W
a
rn
_ Z
APPROVALS - DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT I ,HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER -
PLUMBING. '
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM T E L AL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESC ED SIDENTIAL PIERTv: UTILITY CO. NOTIFIED
SIGNATURE ..
OF PERM ITTMS
FINAL C/
VALIDATION JACK RALLEN
cK. M.o.; cnsH SUPERVISING MECHANICAL ENG'R.
3.5 N �
'_ 9 4 4.9� JUL 6 5 --, ,
COUNTY OFr LOSANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL- 0508 0907200013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
- PHONE: (626) 285-0488 ,EXT:
ILEGAL ID: I FEES PAID 1 BUILDING ADDRESS:
.. ITR: 16957 LT,: 59 - 1 - .I 10031 LYNROSEST- -
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: I TEMP CA 917802715 1
(ASSESSOR INFORMATION NUMBER: II NEAREST CROSS STREET:"GLICKMAN
18586-021-020 - 101 PERMIT ISSUANCE FEE - 27.75 1 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 2.00 FIX 32.40 1 _ 1
(TENANT: 121 HOSE BIBB(S) 1.00 FIX 16.20 11SSUED ON: PROCESSED BY .PLAN BY: EXPIRES ON: I.
1 125 LAVATORIES/SINKS 2.00 FIX 32.40 107/20/09 - SR 07/20/10 1
1 145 WATER CLOSET/URINAL 2.00 FIX 32.40 1 I
10WNER: TEL. NO: 147 WATER HEATER(S) - 1.00 WTH 16.20 IFINAL,DATE FI Y: CODE: 1
IHONG W. CHAI (626) 445-2069- 151 LOW PRS GAS OUTLET 1.00 SYS 16.20.
110031 LYNROSE-.ST. I TOTAL FEES 173.55
ITEMPLE CITY CA 91780 1 - 1DESCRIPTION OF WORK 1
I IPLUMBING FOR 2 NEW BATHOOMS AND REPLACE WATER HEATER
I
1APPLICANT: TEL. NO: 1 I I
ICHEE (626)705-7998- 11
19080 TELSTAR AVE. (SPECIAL CONDITIONS: I
IEL MONTE, CA
ICONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE I
IC CMANSFIELD INC. (626) 705-7998- 1 - I 1 4I
19080 TELSTAR-AVE #307 LIC. NO I (UNDER SLAB WORK 1 I
1EL MONTE, CA 91731 647064 B I I `I
1 (WATER SERVICE
I I (PLASTIC Y/N METAL Y/N -I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I
ROUGH PLUMBING 1 .
1 LIC. NO:
i IGAS PIPING
IGAS VENT I 1 1
I I I
IHOT WATER HEATER
I I IPLUMBING FIXTURES I I I
I I I "
1 I ILAWN SPRINKLERS I
I .. I 1-
IGA'S TEST I
UTILITY. COMPANY NOTIFIEDI I I
jCWV
I I
1 I (GRAY WATER SYSTEM i I
I
I I I I I I
i (REPORT ID: DPR263 ROUTE TO: BS0508
1 1 I I i I