HomeMy Public PortalAbout10125 LYNROSE ST_Plumbing__ 75A657 n 5-50 0 APPLICATION FOR PERMIT
1t)b DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING 1
WILLIAM J. FOX, CHIEF ENGINEER
Y FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
'VALLEY RECEIVED BY READY FOR DATE ISSUED
PLUMBER ��^^
8300 EAST VALLEYFIRST INSPECTION ,rd/`/) ` /
AT. 2-2719 ADDRESS ("
BUILDING
CITY TEL NO ADDRESS /J
COUNTY LOCALITY
LICENSE NO EXPIRES
NEAREST 1/0
PERM FEES CROSS ST
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET (TOILET) @ O 50 $ D D ADDRESS
/ BATH TUB @ O
50100 CITY L. NO. V r7T�
SHOWER @ 0.50 " I HEREBY A KNOWLEDGE THAT 1 HAVE READ, THIS
LAVATORY (WASH BASIN) @ O 50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK O 50 STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OfZ TRAY @ O 50 I ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
// OF THE RESIDENTIAL PEERRRQTY DESCRIBED
ABOVE
v
GAS SYSTEM—'/—OUTLETS @ O 50 I' �K. I/`�y����bG✓,t=✓ �
SIGNATURE OF
� WATER HEATER @ O 50 PERMITTEE
SLOP SINK @ o so I INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ O Sol
DISHWASHER @ O Sol
F= DRINKING FOUNTAIN n O 50
i URINAL @ O SO
HOUSESEWER @ O sol I Q
Z
MISCELLANEOUS I I 0
it
I� O
I
APPROVALS
/DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING `I �,f/`r.S�•✓fes i8
GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK I SEPTIC TANK
I DRAIN ( ) PIT ( @ 1.001 I SEWER
PERMIT t oo GAS TEST ,r
UTILITY CO NOTIFIED
TOTAL FEEI $ L oo
(/ FINAL
d,
76A667 (CE-617)-4/72 ,
APPLICA ION FOR PLUMBING PE MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS [ J� Z
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST D
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE OWNER
WATER CLOSET 1.75 �v
MAIL
BATH TUB 1.75 ADDRESS 01
SHOWER 1.75 CITY TEL. NO.
LAVATORY 1.75 CONTRACTOR
SINK 1.75 7S ADDRESS /; ZQ
DISHWASHER 1.75 ��. CITY TEL. NO.
Z970
CLOTHES WASHER 1.75 STATELIC
LICENSE NO. CLASS
CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP �ZC R`CESS EY.
LAWN SPRINKLER SYSTEM 1.75 Q
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL a
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD C�
OUTLETS OVER
5 PER SYSTEM .30 O
C)
W
6L.
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address 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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR UTILITY CO. NOTIFIED
.LICENSED AS REOU I RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 1 1571
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PR- ERTY. FINAL
SIGNATURE
OF PERMITTEE rcF�
z PERMIT VALIDAT ,_a OCK.'
M,O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
'.tf' 0 5 4 7 73 iF 5 D 8.G 5
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