Loading...
HomeMy Public PortalAbout10049 LYNROSE ST_Plumbing__ 7BA667 17 B-Bo KD APPLICATION FOR PERMIT- DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES B. WILLIAM J. FOX, CHIEF,ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO. S _ I>Ap_ 7 PLUMBER VAS LEY BOULEVARD PLUMBING CO. RECEIVED,BY READY FOR DATE ISSUED_ FIRST INSPECTION —J-/ �/ ADDRESS X300 EAST VALLEY BLVD. pq n ��7j BUILDING CITY ROSEMEAD TEL. NO. AT. 2.271 ADDRESS C/ COUNTY nn - / LICENSE NO. 93M EXPIRES 6-30L LOCALITY - [ CROSS ST. PERMIT FEES NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) @ 0.50 S ✓ ADDRESS Y- ) BATH TUB @ 0.501 Iry ' �^ CITY /-Za TEL. NO. J / I SHOWER @ 0.50 I J ci I HEREBYCKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASHBASIN) @ 0.50 f-Q APPLICATION AZ STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHEN SINK @ 0.50 �y— STATE LAWS REGULATING PLUMBING. _ 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 �D ANGELES COUNTY Li CENSE, OR I AM THE LEGAL OWNER OF THE RES I DENTIA146PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.501 O SIGNATURE OF_/ WATER HEATER @ 0.50 I PERMITTEE SLOP SINK @ 0.5011 INSPECTION RECORD C/ FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.501 DRINKING FOUNTAIN @ 0.50 1 1 URINAL @ O.so I HOUSESEWER @ 0.501 1 Q MISCELLANEOUS 0 17 ( I APPROVALS DATE INSPECTOR'S NAME ' ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00I ` CESSPOOL _ SEPTIC TANK: II SEPTIC TANK I DRAIN ( ) PIT ( ) @ 1.00I� SEWER F PERMIT I 1.00 GAS TEST / /''��{ A UTILITY CO. NOTIFIEK/ TOTAL FEE $� (J + FINAL 76A667 (CE-817) - 1/75 APPLICATION OR PLUMBING PERMIT COUNTY OF LOS ANGELES . DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO: ADDRESS / 00 /y /029-3 Q HARVEY T. BRANDT, COUNTY ENGINEER LOCALITP� c FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST CROSS ST. I(' NUMBER ..FIXTURE.OR ITEM @ FEE I WATER CLOSET 2.00 MAILER I? BATH TUB 2.00 ADDRESS t 0. SHOWER 2.00 CITY TEL. I LAVATORY 2.00 CONTRACTOR SINK 2.00 ADDRESS DISHWASHER 2.00 CITY. TEL. NO. CLOTHES WASHER 2.00 STATE LIC LICENSE NO. Q CLASS SWIMMING POOL RECEPTOR .2.00 ,4 DIST RICT•NO.GROUP /^ ONE R ESS, BY LAWN SPRINKLER SYSTEM 2.00 !j -�O / k( r WATER HEATER 2.00 3 Q lJ INDUSTRIAL V ` y WASTE APPROVAL o GAS SYSTEM OUTLETS 2.00 G V INSPECTION RECORD V OUTLETS OVER .30 O 5 PER SYSTEM H cJ Cl)LLJ ' Z Plan check fee See Reve se PLUMBING PERMITISSUINGFEES - TOTAL FEE ' APPROVALS DATE INS PEcroR s SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Ad&eSS _ T 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 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 LL R THAT IAMTHE LEGAL OWNEROF, ANO INTEND TO ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL TTEE - - PERMIT VALIDATION cam; M.O: CASH PLAN CHECK VALIDATION CK. M.0. CASH `.• 76A667-CE*&17 4-64' � � ( - APPLICATION F R PLUM NGPERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING l vU y9 �, JOHN A. LAMBIE, COUNTY ENGINEER L`>'w/r'a /,�N e7l WILLIAM A. JENSEN. SUPT OF BUILDING LITYFOR APPLICANT TO FILL1N EST �1S ST. . -,4",7 4114' NUMBER FIXTURE OR ITEM EACH FEE�1 OWNER /f ��I`J�� ©ji,/poI/ WATER CLOSET $1.25 / MAIL BATH TUB 1.25 ADDRESS DD Y-1 C, L_y mpl#S1� 67_1 SHOWER 1.25 / CITY �� !� C IT-1 TEL. NO.CU 3 9e/l III LAVATORY 1.25 J CONTRACTOR SINS 1.25 ADDRESS l r//3 S DISHWASHER 1.25 CITY��� AYW,105 TEL. NO. CONTRACTOR's rr�� �.r STATE NY COUT LAUNDRY TUB 1.25 REGISTRATION NO. �/7 J/�T- CLOTHES WASHER 1.25 DISTRICT NO.. GROUP ZONE PR ESSE BY WATER HEATER I.SO GAS SYSTEM—OUTLET 1'swo INDUSTRIAL WASTE WASTE APPROVAL O OUTLETS OVER S PER SYSTEM 30 INSPECTION RECORD V ey / V w a try Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING �riS�Gj �C TOTAL FEE ---- - , GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION - _--- _" ------"- - _ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT �. - --- '- WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER L.ESE CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES S REQUIRED BY LOS 'ANGELES COUNTY AND STATE OF GASTEST OR THAT I AM-THE LEGAL OWNER OF,AND IN END TO HE ABOVE D CRIBED RE§DE TI/ALL PROPS RTY. UTIL�Y CO. NOTIFIEDE .��f/�y�/�/�'tseoITT CLL'G�4' L i •ll..-LL FINAL �+•�f � ; VALIDATION ROBERT A. WOOD CK. M.O. CASH SUPERVISING MECHANICAL ENG-R' . .,2 o o.- titi 12:5 5 .a 5..75 �' �-�-J DBS.177 10.55 APPL.ICATI®N " I'OR PLUMBING PERMIT. DIVISION .1 DBS-I DIVISION OF BUILDING AND "SAFETY Deportment of County Engineer County of Los Angeles SU1L.DING zicy JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS CASSATT D.GRIFFIN,SUPT OF BUILDING ' LOCALITY FOR APPLICANT TO FILL INJ. NEAREST CROSS ST. OWNER DISTRICT NO.. GROUP ZONE I READY FOR INSPECTION MAIL ADDRESS Same NOW INDUSTRIAL - CITY - .TEL. NO. WASTE APPROVAL PLUMBER' GENERAL INSTALLATION CO. INSPECTION RECORD ADDRESS 6558 West -Blvd. CITY L.A. 43 TEL. NO. PLeaStlnt 3-2541 LICENSE NO. 787 C-36 151839 NUMBER TYPE OF FIXTURE OR ITEM' - FEE - WATER CLOSET (TOILET). . @ $1.00 $ BATH TUB 7 @ $1.00 - SHOWER @ $1.00 ' LAVATORY (WASH BASIN) @ $1.00 - KITCHEN SINK @ 51.00 _ DISHWASHER - @• $1.00 LAUNDRY TUB OR TRAY' @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER - @ $1.00 GAS SYSTEM @ $1-00. - 1 WATER SOFTENER 1 00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK p ( ��// PERMIT, $ 1 00 ROUGH PLUMBING U,01 _y , yv►Q.,-L +,4 2 `TOTAL FEEv _ 2 =00. GAS..PIPING. .. GAS VENT I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES. AND. STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES - 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM HE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL P R _ SIGNATURE OF PERMITTEE S� FINAL JOHN A. LAMBIE, COUNTY ENGINEER VALIDATION ROBERT A. WOOD, CHIEF PLBG. INSPECTOR _ CK. N.0. CASH , '5 .1 1 3' DEC 1 6.• 3 2.C)C3 ^.WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby-affirm triiat I have a certificate of consent to self 76A667A insure, or a certificate of Workers' Compensation Insurance, CE 817(REV. 8/86) or a certified co thereof (Sec. 3800, Lab. C.) �'�a�3so � cOr��al� COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No.—Company • Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 21 Certified copy is filed with the county building inspec- ADDRESS tion department. NUMBER FIXTURE OR ITEM FEE 197"7 4 `� plicant WATER CLOSET NEAREST LOCALITY �E9✓7��� C,17 Date Ap { CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS 5T. COMPENSATION INSURANCE SHOWER 1� et4�T OWNER (This section need not be completed if the work Involved by (& V MAIL the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESSc'JCd/77e 4 _6 I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY � 01 r TEL. NO. 22s'�54/J so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of � Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR CITY , /i� TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE /, LIC. deemed revoked. WATER HEATER LICENSE NO. �S��.`� CLAS LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS �/ /)/ c�S (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER C/ CJ :1112. and Professions Code,and my license is in.full force and effect. 5 PER SYSTEM FINAL/,;" 0/ VALIDATION Lcense Number � Lic. Class DATE 0 -� �,/ _ _ ��1 FI O Contractor 7 G Q7 �� Date_!r o I am exempt under Sec. � B.&P.C. for this reason Plan check fee Date: PLUMBING PERMIT ISSUING FEE$ :2746;1 A Signature TOTAL FEE # 0. 0 0 0,0 5 Plan check applicant ! 0 -16,50 SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name o 0 0 1 G 5 0 U I hereby affirm that I am exempt from the Contractor's License Low for.the following reason (Section 7031.5, Business and Address 0 7 1 4 1- 8 7 Professions Code): City Tel. No. I, as owner of the property,. will do the work and the 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 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 property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE I ` Sigrfature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY 0508 PLUi;c=i•i;= ER IT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL G" r0?200006 BUILDING AND SAFETY i LAIND DEVELOPMENT TEMPLE CITY CA PHONE: (626) 235-0488 LX."i: LEGAL ID: �- FEES PAID - -�-- BUILDING ADDRESS: TR: 159,7 LT: 56 10049 LYNROSE ST :FEE DESCRIPTION: :iv'NT.iT": UOM: A>OUN'T_, TEMP CA 91 780 271 5 I ASSESSUn ,INFORMATION NUMBER: ---� I i NEAREST CROSS.ST,"EET. ?RLDWIN � 8586-021-'1017 101 PERMIT ISSUANCE FEE 27.71 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMaLE CITY, CI 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 ii I TE,'AN-i 12S HOSE BIBB(S) 1._00 FIX- 16.20 ISLUED ON: PROCESSED ?' PLAN BY: EXPIRES ON: (25 LAVATORIES/SINKS" 1.00 FIX 16.2" IQc=;'20/0-%. JK 03/19/05 45 WATER. CLOSET/URINAL 1.00 FIX 16.20 TEL. NO: I TOTAL FEES 92.55 iFLNr!. DATE. FINAL P CODE: -'-- YANG YOW-NINGW-CHO HUI-YU (625) 821-1901- 10049 LYNROSE ST TEMP 91•'802715 IDESCRiPTION OF WORD _ +PLU.MBING FOR BATHROOM APPLICRPjT: TEL. NO: HENRY YING KUN HUNG ;625) 285-5669- 6123 REO AVE � SPECIAL CONDITIONS: TEMP!..E CITY 1 1 1 - ICCi1'T—AC TOR -TEL.i:0: i �AF? OVALS DATE INSPECTOR $iiGNA'I'URE i HENRY YING Y.Uii HUNG (626) 705-1638- Ct10 i -- -- 6123 nAVE LIC. NO i :wc-ER SLAB WORK �TEt•+IDLE CITY CA 91780 808139 B I I I JuA-TER SERVICE I - 1PLASTIC Y/N METAL Y/N< I I IARC7R_im'G HITECl tN EER: i'EL. NO: t i.. DAN (909) 598-8858- If2iiUGH PL -I 20548 VEJAR LIC. NO: 1 _ WALNUT, CA 917819 047140 I GAS P? ING GAS VEh i i I _ - iHOT 4!aiEk HEATER I i -- - -I iPLi1MBING F:kTURES -�i_ --- �---� I L� -� I !LAWN SPR 11NK1_ERS —I i IGs TIa? UTILITY COMPANY NOTIFIED -- C''W v I _ (GRAY WATER SYSTEM 1 I REPORT ID: DPR263 ROUTE TO: BS0508 — _