HomeMy Public PortalAbout10043 LYNROSE ST_Plumbing__ 76AG67 17 S-So ® a- APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND'SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX;-,CHIEF ENGINEER
-.FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
{ 16
PLUMER VALLEY BOULEVARD' PLUMBING�V�i RECEIVED BY READY FORT DATE,ISSUED -
FIRST INSPECTION u
ADDRESS 8300 EAST VALLEY BLVD.
- ROSEMEAD' ,AT. 2-2719 AUDDRESR a .
CITY TEL. NO. -
COUNTY 93M � t .6-30-�./ � LOCALITY -
LICENSENO. � -. EXPIRES -
- 'NEAREST -
PERMIT FEES : CROSS ST. �e
v
NUMBER' - TYPE OF FIXTURE OR ITEM FEE OWNER
' MAIL ma�y/-
WATER CLOSET (TOILET) @ 0.-50 s '1570 ADDRES A0
BATH TUB @ 0.50 C-IT NO. r
p
' I SHOWER @ 0.50.I 5-4 - o
1 HEREBY ACK OW LEDGE THAT 1 HAVE READ THIS
LAVATORY„ (WASH BASIN) @ 0.50 It APPLICATION AND S ATE THATTHE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL. COUNTY ORDINANCES AND
STATE LAWS REGULATING.PLUMBING. -
KITCHEN SINK - @ 0:50 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
/ I LAUNDRY TUB OR IRAY @ 0.501 ANGELES COUNTY LICENSE. OR I A. THE LEGAL OWNER-
OF THE RESIDENTIA P OPERTY ..DESCRIBED ABOVE:'
GAS SYSTEM OUTLETS @ 0.501 Z7 •--yT�j,/�
�J SIGNATURE
Js4'//f �
I WATER HEATER @ 0.501 .69 (/
PERMIT.
SLOP,SINK' n o.-- ( INSPECTION RECORD
1 FLOOR SINK @ 0.50 1
FLOOR DRAIN @ 0.5011
JDISHWASHER @ 0.501 "•
1 DRINKING FOUNTAIN @ 0.501
URINAL - @ 0.50`1` , .. - ..I
HOUSE SEWER a 0.50 1 - I. - Q
Z
MISCELLANEOUS
1 APPROVALS
DATE INSPECTOR'S NAME
77
ROUGH PLUMBING'
GAS PIPING - ••
GAS VENT Z�
CESSPOOL @ 1.60 1 .CESSPOOL Y
1 SEPTIC TANK: 1 SEPTIC TANK
I DRAIN ( ^ ) PIT ( ) @ 1.00 SEWER
_ ,,� ,fes _i+�
PERMIT 1.00 GAS TEST vjut.�I c "'�-3 a
. - UTILITY CO. NOTIFIED
TOTAL FEE $ -
�o I?FINAL
COUNTY OF LOS ANGELES 'TEMPLE CITY # 0508 PLUMBING -PERIL=
DEPARTMENT OF PiUBLIC WORKS 9701 LAS TUNAS PL 0508
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-04&C. EXT-
LEGAL
T:LEGAL 1D: -' -- —3E S —ra.T.D �� BUILDING ADDRESS: ---!
TR: 16457 LT: 57 ?0043 LYNROSE ST
FEC DESCRIPTION: QUANTITY-. UOM: AMOUNT: I T-FMP CA 917802715
ASSESSr° RNFO`MATION NUMBER: NEAREST CROSS STREET: R,094i?•; HOOD
8586-021-013 01 FEBPii. ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRIL': L3 LOCALITY: TEMPLE CITY, Cl
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: —` 25 LAVATORIES/SINKS 2.00'FiX 32..40 ISSUED ON: PROCESSED BY: ?EAN B7: EXPIRES ON:
45 .:A.;'ER CLOSET/URINAL ?.i 0 Fl;( 16.20 0';'/20104 JK 03/19/05 i
51 LOW P4S GAS 5 OUTLET °.!?'J s%ls 16.20 �
OWNER: TEL. NO: TOTAL FEES 108.75 FINAL DATE FINAL L.Y:N— CODE -
LU, TUNG-MING (626) 462-9986- / ��
30 W. I.IINNIE '�AY3C�`
ARCADIr° 91007 DESCRIPTION OF WOR
PLUMBING FOR BATHROOM AND LAIUNDR
APPLICANT: TEL. N0:
SAME AS OWNER -
�SPF AL CONDITIONS:
CONTOR: TEL. NO: I Ri>R0VALj �7'i�- INSPECTOR SIGNATU!"P, '
SAME AS OUNER - (r, _
LIC. _—
NOU:`•iDi_k SLA[i
I'4ATER SERVICE -- — _-i
PLASTIC Y/N METAL Y/N _I
,AREHIIECT OR EIGINEER. TEL. NO:
iROUGH PLUMBING —/�J—
L I C. NO: i �-L�`
!GAS F IPING. I
AS TENT
i
IHOT WATER HEATER
JMBifG FIXTURES
�F;b1Ai SPRINKLERS
'GAS TEST
IUTILITY COMPANY NOTIFIED-
lCWV
GRAY 14ATER SYSTEM -- ' -I
REPORT ID: DPR263 ROUT= TO: BS0508 !I