HomeMy Public PortalAbout10137 LYNROSE ST_Plumbing__ (2) 7GA667 ri a-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETYp�
COUNTY OF LOS ANGELES L I N G 1
I WILLIAM J. FOX, CHIEF ENGINEER
1 FOR APPLICANT TOFILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
jampin
PLUMBER RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESSee ••^ AT 2.2719_ 7 `
J BUILDING
CITY TEL. NOADDRESS
COUNTY •S LOCALITY
LICENSE NO. EXPIRES
NEAREST
'PERMIT FEES CRo$S ST
NUMBS TYPE OF FIXTURE OR ITEM FEE OWNER
- MAIL
WATER CLOSET (TOILET) @ 0.50 $ /I d ADDRESS I
BATH TUB Q O 50 I O CITY TEL. NO. �
SHOWER Q O 50 O I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) Q O 50
APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
D AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ O 50 Q STATE LAWS REGULATING PLUMBING.
/ I LAUNDRY TUBO TRAY @ 0.5o D AN1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
0 OF THE RESIDENTIA OPERT/TY�� DESCRIBED ABOVE.
GAS SYSTEM OUTLETS _@__o_" SIGNATURE OF
WATER HEAT R @ 0 50 I PERMITTE 1
SLOPSINK @ O 5o I INSPECTION RECORD
FLOOR SINK @_o 50
FLOOR DRAIN Q O 50
DISHWASHER Q o 50I
DRINKING FOUNTAIN Q O 501
URINAL @ O So
HOUSE SEWER Q O 50 I Z
MISCELLANEOUS
I� O
I-1
I
I
APPROVALS
IDATE � IN9PECTOR'3 NAME
ROUGH PLUMBING / 1/1
GAS PIPING
I I--�- GAS VENT
CESSPOOL @ 1 00 CESSPOOL
SEPTIC TANK I SEPTIC TANK
I DRAIN ( ) PIT ( ) @ 1 00 SEWER
PERMIT . I 1 00 GAS TEST +�3 s''
{ UTILITY CO NOTIFIED _
TOTAL FEE ` $ 601
FINAL
7GA887 (CE-817( - 1/75 1 �/ r 1 TE V
APPLICATION FOR -PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND=SAFETY DIVISION
MAKE CHECKS PAYABLE TO. BUILDING
ADDRESS /0/3 " L &/
/CC�oJ
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY -� — 1
�.� I TU
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. /AIN�(��
NUMBER FIXTURE OR ITEM 2 0 FEE OWNER lr //�"� �J )
WATER CLOSET v 'O�`�
Ald
MAIL
BATH TUB 2 00 ADDRESS
SHOWER 200 CITY TEL. NO.' �)
LAVATORY 200 CONPACQWIC INSTALLERS .
SINK 2.00 ADDRIEO-020 E. GRAND AVE.
DISHWASHER 200 CITYTEMPLE CITY. E 0.L /076
C LO HES WASHER 200 STATE ^^ LIC
91
SWIMMING POOL RECEPTOR 2 00 LICENSE NO pC CLASS
DISTRICT NO GROUP ZONE I P ESSED BY
LAWN SPRINKLER SYSTEM 200
0 -i
/ WATER HEATER 2-Oe' 'Z INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 200
INSPECTION RECORD
OUTLETS OVER �7
5 PER SYSTEM 30
O
F--
U
W
a
N
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $
TOTAL FEE
APPROVALS DATE INSPECTOR 8 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING A t ft!U
City Tel. No. GAS VENT
17
�� C 1
I HEREBY ACKNOWLEDGE THAT I HAVE READ •THIS APPLICATION HOT WATER HEATER Al
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING_FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING , / ��; ���
PLUMBING. GAS TEST' V
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF //9!
CALIFORNIA OR THAT I AM THE LEGAL 0 NER OF, AND INTEND TO
RESIDE IN THE ABOVE DE/S/pRIBE `ftES1 IAL PROPERTY: FINAL / X/
SIGNATURE / V
OF PERMITTEE l
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK M 0 CASH ID,
���qq 0 1 4 r-ulAy �1 � D 7.5 0 A4%
REM®Y XII RNAL INSPE���®�