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HomeMy Public PortalAbout10036 LYNROSE ST_Plumbing__ 76A667 DBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF. BUILDING AND SAFETY COUNTY OF LOS ANGELES JD WILLIAM J. FOX, CHIEF ENGINEER DISTRICT N.G. GROUP ZO . FOR APPLICANT TO FILL IN PLUMBER VALLEY BOULEVARD PLUMBING CO. RECgggIVED BY READY FOR DATE ISSUED - t� FIRST INSPECTION y '8300 EAST VALLEY BLVD, �"7 ADDRESS RD OSEMEA� T S0(3Z'BUILDING A 7/ . CITY - TEL. Na. �t. 2'2719 ADDRESS Cl Vb COUNTY WM '6.30- .s/ LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER Ila MAIL � WATER CLOSET(TOILET) !� 0.50 III Q ADDRES qr BATH TUB. @ 0.50 CITY L. No. ��— SHOWER @ 0.50 d 1 HEREBY ACK WLEDGE THAT 1 HAVE READ THIS LAVATORY'(WASH BASIN) @ O.SO APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK Q 0.50 AND.STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB Ole TRAY @ 0.50 v ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTI P OPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS 0.50 /j SIGNATURE OF WATER HEA R @ 0.50 PERMITTE SLOP SINK @ O.So INSPECTION RECORD FLOGR SINK @ D.50 ' FLOOR DRAIN @ 0.50 DISHWASHER .@ 0.50 DRINKING FOUNTAIN 0.50 ' URINAL - 0.50 J Q HOUSE SEWER @ 0.SO _Z MISCELLANEOUS - 5 O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING / OAS PIPING � GAS VENT CESSPOOL @ 1:00 CESSPOOL SEPTIC TANK: -SEPTIC TANK. DRAIN C ) PIT S ) C@ 1.01) - SEWER PERMIT I 1.00 GAS TEST , UTILITY CO.NOTIFIel" 7 TOTAL FEE $ � FINAL 7BA667-CE817 3-59 APPLICATION FOR PLUMBING PERMIT �. "COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENG;t477 BUILDING AND SAFETY DIVIS /�7�IOHN A. LAMBIE, County Enggint/CASSATT D. GRIFFIN, Sup t:of.Suil FOR APPLICANT,TO FILL NUMBER FIXTURE OR' ' OWNER l WATER.CLOSET MAIL BATH TUB­ ADDRESS .0 �' C I SHOWER CITY -= / TEL. NO. k- LAVATORY CONTRACTORR-P� .L i 7 6 ' SINS ADDRESSry'ti- DISHWASHER CITY' TEL NO j9 /6!' ) ''' V CONTRACTOR'S /� L� STATE - LAUNDRY TUB REGISTRATION NO. 7( C7 ��� COUNTY Q CLOTHES WASHER yDISTRIC�T•,NO. . GRQIJP ZONE CESSED B WATER HEATER GAS-SYSTEM - 'INDUSTRIAL WASTE APPROVAL -INSPECTION RECORD C� $1.00 PER ITEM OR FIXTURE $ ' - � �� � � � APPROVALS DATE INSPECTOR'S SIGNATURE •PERMIT $ -2100 UNDER SLAB WORK TOTAL FEE71 ROUGH-PLUME31NG s� O '+ 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. - I.-HERES'Y 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 I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDTtN•TIA O�ERTY. UTILITY CO.NOTIFIED SIGNATUREOF PERMITTEE (((���"' ✓t/ /l FINAL. ®P )VAIJDATI0N ROBERT A.WOOD, . c M.O. CASH SUPERVISING MECHANICAL-•ENG'R . 1 0' 26 5 k 5,00 s WORKERS-COMPENSATIONDECLARATION ., APIP CATI® F®R PLUMBING PERMIT- I hereby.affirm that i.:have a�certificate of consent to self 76A667A I ) or certified the of Sec. 0 a C CE 817'(REV. 10/81) L� insure',,. Ccertificate of rk om ensa;ion Insurance, COUNTY OF LOS ANGELES BUILDING AND SAFETY a Fb y Company • nec-0 Certified copy is hereby furnishedFOR APPLICANT TO FILL IN(PRINT OR T.Y,PE)• BUILDING Certified'copy is filedwith the county building in ADDRESS NUMBER- FIXTURE OR ITEM' tion epar e ' LOCALITY '' WATER.CLOSET = ,. @ FEE `- I Dai Applicant. NEAREST , BATH TUB CERTIFICATE'OF EXEMPTION F M WORKERS' CROSS ST. COMPENSATION.INSU ANCE OWNER SHOWER (This section need not be completed if the"work-involved'by MAIL , the permit is for one hundred:dollars($100)or.less ) • LAVATORY ADDRESS �Q I certify that in the performance of the work for which this �. permit is issueds,I shall not employ any person in any.manner SINK CITY TEL NO.' so as to,become subject-to.the Workers'CompensatiornLaws: DISHWASHER CONTRACTOR l C RACTOR Date Applicant -' CLOTHES WASHER NOTICE-TO APPLICANT: If, after making this Certificate of ADDRESS emption, you should.'become subject to the Workers' SWIMMING POOLRECEPTOR•' CITY n TEL. NO ' Compensation provisions of',the' Loboc.Code, you must forth- LAWN SPRINKLER SYSTEM r ' with comply'with such provisions or this permit shall. be STATE '. LIC: deemed revoked._ WATER HEATER' LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICTy 0.,.�/' ESSED BY I'herebyaffirm-that I am licensed under provisions of Chapter 9 GAS SYSTEM. OUTLETS, . (commen6rig with Section 7000) of Division•3 of the Business' OUTLETS OVER Professions and my license is in full forcwand effect.. 5.PER SYSTEM - FINAL Licens"e NZ and Profe © � DATE VALIDA ON a umber Lir. ClCla ' } -FINAL O. Contractor BY U ❑. 1 arri .under Sec. BAP.C. for this reason 9.R d Plan'che:k fee b Date: 7 9; PLUMBING PERMIT ISSUING FEE.$ - �� ,� - # o 0 0 0,0 5' N - Sigriafure TOTAL FEE o 1l' 650 Plain check'applicant SINGLE FAMILY o,o o.1 55.0:5, HOME OWNER-BUILDER DECLARATION Name .. I hereby affirm that I am exempt frorti the Contractot'slicense„ Address' a 3,t 8 Law for the following reason (Section 7031.5„Business and - Professions Code):. City Tel. No.. ❑ I, as owner of ihe,.property, will do the work and the ' structure,is not intended or offered`for sale (Section- 7044–Bu s i n ess Section7044, Business and Professions Code): CONSTRUCT,,ION`LENDING,AGENCY 1 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 - Icertify that`I have read this application and state that the ” above iriformatien is correct. l agree to comply with all County .ordinances andStatelawss'regulotingPlumbing, ond'hereby _authorize'.representatives f this County to :enter' upon,the ove-mentioned'pioperty for inspection purposes..: " �f) . 6 SEE REVERSE FOR EXPLANATORY.LANGUAGE ign r of Permute Date.. ` WORKERS'COMPENSATION,'DECLARATION APPLICATION FOR.PLUMBING PERMIT 1 hereby affi'rr9 that'l have al-iertificate,'of consent to self 76A667A insurer, or a certificate of Workers' Compensation Insurance, CE 817(REV. 10/81), a certified y thereof (S 3800,.Lob.'C.) 'COUNTY OF LOS ANGELES BUILDING AND SAFETY °�acvcz (Sec. ,AJLt t ?L,V�D�p Policy No. 7mpan Co ❑ Certified copy is hereby furnishe .d : FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING -Certified copy is'•filed with•the county building inspec ADDRESS C/ tion department. ITEM @ FEE LOCALITY NUMBER FIXTURE OR ,-�mpl�e WATER CLOSET Date Applicant 4 /,B �� ��Y NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER i�d0 SHOWER (This section need not be completed if the work involved by the permit is for one hundred dollars ($100)or less.) LAVATORY MAID ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ,;any,person in any manner: SINK CITY /! TEL. NO. so as to become subject to the Workers"Compensation Laws. DISHWASHER CONTRACTOR ' Date Applicant CLOTHES WASHER ADDRESS S� NOTICE TO APPLICANT:- If, after making this Certificate of Exemption, you should-'become subject to the Workers' SWIMMING POOL RECEPTOR CITY . TEL. NO. Compensation.provisions of the Labor Code,r you must forth- LAWN SPRINKLER SYSTEM ' - .with comply with such'provisions or this ermit shall be STATE '' 11 LIC. deemed reked. • p WATER HEATER LICENSE NO. LI �1�- CLASS �^ LICENSED CONTRACTORS DECLARATION DISTRICT NO. ESSED BY I hereby affirm that I am'licensed..underprovisions of Chapter 9 GAS SYSTEM OUTLETS (/ (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER - B 'and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL VAII TION DATE a, License Number`� Lic. Class ✓� " / r /� / �, ( FINAL U. &-162MIO l�R.l E�Date 3 ����7 BY �. Contractor ' ❑ I am exempt under Sec. 0 U B.&P.C. for this reason 2� W Plan check fee ® n' 1- a i I N • Date: Y .` �a PLUMBING PERMIT ISSUING FEE$ Z TOTAL FEE 6 8 Q 5 A Plan"check applicant # o•o o o,0 5, SINGLE FAMILY HOMEOWNER-BUILDER DECLARATION Name f A o lo,l 65.0 I hereby affirm that I am exempt from the Contractor's License. , Low for the following reason (Section,7031.5, Business and• Address o 0 o l Q 5 0 5 Professions Code): City Tel. No. ❑ I,as owner of the property, will do the work and the Q 31--8 7 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 3 ,I certify that I have read this application and state that the above information is correct. I agree to comply with all County- ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County•to enter upon.the above-mentioned r0 . ty for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Sig ature of Permittee Date , COUNTY OF LOS ANGELES TEMPLE CITY - - # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0703160008 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 , PHONE: (626) 285-0488 EXT: i ILEGAL ID: 1 - - FEES PAID I BUILDING ADDRESS 1 ITR: 16957 LT: 150 I 1 10036 LYNROSE ST 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917802714 1 (ASSESSOR INFORMATION'NUMBER: I I I NEAREST CROSS STREET: I 18586-019-033 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl I 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 I 1 (TENANT: I TOTAL FEES 43.95 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I I 1 103/16/07 JK 09/12/07 I (OWNER: TEL. NO: 1 _ IFINAL DAT F Y: CODE:- - I 1500 HOO RAYMOND;KAYE K TRS (626) 446-4146- I - 1 - 2� 1 110036 LYNROSE ST - I '" - ` - 1 I ITEMP 917802714 I IDESCRIPTIO OF WORK 1 I I IGAS LINE FOR NEW HVAC SYSTEM 1 (APPLICANT: TEL. NO: 1 1 IWUKMIR (626) ,442-2148- I I I 111500 RAMONA BLVD. I [SPECIAL CONDITIONS: I IEL MONTE, CA 91731 I 1 I ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE I IJAMES WUKMIR CO. INC. (626) 442-2148- 1 1 I 111500 RAMONA BLVD. - LIC. NO I (UNDER SLAB WORK I I I IEL MONTE, CA 91780 285626C20 1 I I 1 I 1 I IWATER SERVICE I I I (PLASTIC YIN -METAL YIN I I I (ARCHITECT OR ENGINEER: TEL. NO: I - 1 IROUGH PLUMBING I I 1 I LIC. NO: I I I 1 I I IGAS PIPING I 1 I I IGAS VENT I I I I IHOT WATER HEATER I 1 I I I I I I IPLUMBING FIXTURES I I 1 ILAWN SPRINKLERS I I I IGAS TEST - I I I 1 11 I 1UTILITY COMPANY NOTIFIED(• I I I I ICWV I I I I IGRAY WATER SYSTEM I I 1 I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I 1 I I I I I I