HomeMy Public PortalAbout10134 LYNROSE ST_Plumbing__ 715 A 6N7.CEIo,817 6-65®
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APPLICATION FOR PLUMBN i ERM rn'
COUNTY OF LOS,ANGELES IIIfII
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING T
JOHN A LAMBIE, COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUPT OF BUILDING LOCALITY
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FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
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WATER CLOSET $1.25 OWNERMAIL
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BATH TUB 1.25 ADDRESS C
CITY F�Lj�7�� (�J.- TEL. NO.
SHOWER 1.25
LAVATORY 1.25 CONTRACTOR / !'' ���( /'Z+{W / L+•--
SINK DDRESS&I Gv,
DISHWASHER $` CITY �eedSATE LIC
LAUNDRY TUB 1.25 LICENSE NO ! ( 7 CLASSC'3C'&
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY
WATER HEATER 1.50 /
GAS SYSTEM OUTLETS '1'M INDUSTRIAL WASTE
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD U
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
� ROUGH PLUMBING
TOTAL FEE SD , GAS PIPING
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BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION ^ GAS VENT
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
G
EBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
NIA 'THAT I AM THE LE OWNER OF,AND INTEND TO
N, T ABOVE DEB IBE. ENTIRE PROPERTY UTILITY CO NOTIFIED
URERMIT
FINAL
/VALIDATION
CK M 'O CASH
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76A667 OBS 17 11-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
/JO COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
FOR APPLICANT TO FILL IN DISTRICT S . GROUP I ZONE PERMIT NU.
PLUMBERkLCY BOULEVARD hUM6ING, CO, RECEIVED BY FIRREADY FOR YPECTION DATE/ISSUED
ADDREss�300 EAST VALLEY BLVD: y`/,> ,r
BUILDING /Qf
CITY ROSErAEA6 TEL. NO.AT. 2-2719 ADDRESS
COUNTY 33�p
LICENSE NO. EXPIRES�.�Qi s LOCALITY
NEAREST
PERMIT FEES CROSS sT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
if MAIL 1/-37/^
WATER CLOSET(TOILET) � 0.50 111,,"100 ADDRESS ��YY/-3 v/
BATHTUB Cf)t 0.50 CI -.IC�yTEL N .�8�`7 g
SHOWER !tib O.5D c./ I HEREBY AC OWLEDGE THAT I HAVE READ THIS
11010, LAVATORY (WASH BASIN) @ 0.50APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 (� AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB W TRAY Q 0.50 Q ANGELES COUNTY LI ENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTI ROPEFrry DESCRIBED ABOVE:
.0'
SYSTEM OUTLETS 0 0.50
/ SIGNATURE Of'
WATER HEATER 0.50 PERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN 0.50
DISHWASHER ® 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 Q
HOUSE SEWER 0.50 _Z
MISCELLANEOUS O
it
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
GAS VENT
CESSPOOL 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) (L 1.00 SEWER
PERMIT .
I 1.00 GAS TEST / ,Q ,___�f; - _,.•
UTILITY CO.NOTIFI(=D�
TOTAL FEE
FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0911160018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS 1
ITR 16957 LT 140 1 10134 LYNROSE ST 1
I - IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917802716
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
I
18586-019-023 101 PERMIT ISSUANCE FEE 27 75 I THOMAS PAGE- 597 GRID. B3 LOCALITY TEMPLE CITY, Cl
1 _147 WATER HEATER(S) 1 00 WTH 16 20 I I
ITENANT 163 WATER PIPING BR/FIX 9 00 FIX 60.75 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
1 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 111/16/09 SR 11/16/10 1
1 1 - TOTAL FEES 120 90 1 1
OWNER TEL NO I (FINAL DATE FINAL BY CODE
IPLANK J SCOTT - I I1
110134 LYNROSE ST I I lWq)-m in-L"��
ITEMP 917802716 1 IDTION OF WOK 1
I 19 FIX COPPER REPIPE, MAIN WATER SERVICE AND CHANGE OUT WATERI
IHEATER 1
1APPLICANT TEL NO
IKEVIN TRUTT (818) 505-8032- 1
1 I ISPECIAL CONDITIONS 11
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ICONTRACTOR- TEL NO- I (APPROVALS DATE INSPECTOR SIGNATURE 1
1ULTIMATE PLUMBING, INC (818) 505-8032- 1 1
15938 LAUREL CANYON BL LIC NO (UNDER SLAB WORK I I I
IN HOLLYWOOD CA 91607 734569036 I I I 1
I IWATER SERVICE I
I (PLASTIC YIN METAL YIN 1 I
1ARCHITECT OR ENGINEER TEL NO - 1 I
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1 1REPORT ID DPR263 ROUTE TO BS0508
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