HomeMy Public PortalAbout10115 LYNROSE ST_Plumbing__ 76A667-CE#817 6-65
APPLICATION FOR PLUMBINC PEF M17
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONBUILDING f r
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS ole
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN -NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
p OWNER
WATER CLOSET $1.25 r+G S MAIL y
BATH TUB 1.25 ADDRESS •� E
SHOWER 1,25 �f CITY TEL. NO.
LAVATORY 1.25 oC CONTRACTOR
SINK 1.25 ADDRESS Lj
DISHWASHER 1.25 CITY ° TEL. N6.
STATE LIC
LAUNDRY TUB 1.25 LICENSE NO ` CLASS
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO PROCESSED BY
WATER HEATER 1.50
c }
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL O
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .00 INSPECTION RECORD V
0
H
V
W
a-
z Z
APPROVALS DATE INSPECT R S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING .� v
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
'
WITH ALL
NG COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER n
I 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 THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE EGCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED
SIGNATURE
n i
OF PERMITTEE
FINAL lT ✓�
LIDATIOIV
CK M O CASH
LA-& JUN 16 5 D 5.75-
z 76A667 v B-so KB APPLICATION FOR PERMIT
q DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES `mum MB ING 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
VALLEY-BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
PLUMBER FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD.
-2719 G
OSEMEAD AT. ^ BUILDING D®
CITY TEL NO / y ADDRESS
COUNTY M 6-30- j LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
/ MAIL
WATER CLOSET (TOILET) @ O 50 $ aj�'��/ ADDRESS _/
BATH TUB Q 0.50 I ��.7 � CITY NO.
SHOWER @ O.50 �7>i+ 1 HEREBY ACK WLEDGE THAT t HAVE READ THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND S ATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 I STATE LAWS REGULATING PLUMBING.
o. I0
THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q O 50 gANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
a OF THE RESIDENTIALE� DESCRIBED ABOVE.
GAS SYSTEM OUTLETS CilL O 50 ,�� SIGNATURE OF' &
WATER HEATER @ O 50 Q PERWIITTE
SLOP SINK @ 0 50 I INSPECTION RECORD
FLOOR SINK @ O 501
FLOOR DRAIN @ O 501
DISHWASHER @ O 50I
DRINKING FOUNTAIN @ O 501
URINAL @ O SOI
HOUSESEWER @ O SOI Z
MISCELLANEOUS I U
I� 0
I
I
I
APPROVALS
n I DATE INSPECTOR'S NAME
ROUGH PLUMBING I/`
GAS PIPING
GAS VENT
CESSPOOL @ 1 00 I CESSPOOL
SEPTIC TANK- I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 00 SEWER /
GAS TEST
PERMIT I too GSb. v
UTILITY CO NOTIFIES(/`
TOTAL FEE $ Q
FINAL / f