HomeMy Public PortalAbout10152 LYNROSE ST_Plumbing__ 76A667A ICE 8178)-11/76
APPLICATION FOR PLUMBING PERMIT
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AB ILDING AND SAFETY I I ION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILD( G 10152 LYNRDSE ST.
NUMBER FIXTURE OR ITEM @ FEE ADDRESS 1 Tip
WATER CLOSET LOCALITY i,;.
NEAREST
,ems' f� O E A--�`CITAY/�
BATHTUB CROSSST C5 -IV
SHOWER" OWNER IRELTON, DAVIDMAIL
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LAVATORY ADDRESS SASE',
SINK CITY TFMPT.F CITY TEL NO 799-7101
DISHWASHER CONTRACTOR_ ` RANO+ HCC
CLOTHES WASHER
ADDRESS 2034 N. PECK M.
SWIMMING POOL RECEPTOR
CITY ET mi= TEL NO _
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO CLASSgin
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1 GAS SYSTEM 1 OUTLETS 3 OO DISTRICT NO ,.CLAP ZONE 5 DB
OUTLETS OVER - q '�� � >-
S PER SYSTEM INDUSTRIAL
WASTE APPROVAL O
INSPECTION RECORD V
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Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE 50
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
i _
City Tel No GAS PIPINGp "
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT v
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING ' HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN TH VE DESCRIBED RESIDENTIAL
PROPERTY ` � o� UTILITY CO NOTIFIED
SIGNATURE
OF PERMITTEE FINAL 9L o-
PLA OMPcck=� PERNUT,VALIL�ATICZN cK MO CASH
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POLICY NUMBER: z9[ (8 Gil&-," �,�
78A867-CE0817 5/63
APPLICATION FOR .,PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION AUILDING
DDRESS p oS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN EARESSCROSS T. BD -
NUMBER FIXTURE OR ITEM EACH FEE
OWNER ae
WATER CLOSET $1.25 MAILoe, y
BATH TUB 1.25 ADDRESS Z
CITY TEL. NO.
SHOWER 1,25
LAVATORY 1.25 CONTRACTOR ph.
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY / iC�.,t TEL.
`CONTRACTOR'S `j STATE
3o
LAUNDRY TUB 1.25 REGISTRATION NO. G COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZO E PR CESSED BY
WATER HEATER 1.50 r tJ < L
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1.50 INDUSTRIAL
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GAS SYSTEM OUTLETS 01 WASTE A O
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD
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' S APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE1 6� GAS PIPING
1 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
PLUMBING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY D STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, D INTEND TO _
RESIDE IN,THE ABOVE DESCRIBED R SID TIAL PR TY 'UTILITY CO NOTIFIED
SIGNATURE
OF PERMITT
q FINAL �V
ALIDATION ROBERT A WOOD °
CK M O CASH SUPERVISING MECHANICAL ENG'R
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76A667 OBB 17 11-SO APPLICATION FOR PERMIT
/ODEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
GROUPDISTRICT NO. .
FOR APPLICANT TO FILL IN /���
PLUMBERVALLEY BOULEVARD PLUMBING CO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS 8300 EAST VALLEY BLVD. t:�- o-I-/
BUILDING
CITY ROSEM EAD TEL. N,AT. 2-2719 ADDRESS
COUNTY 93M 6-30- LOCALITY
LICENSE NO. EXPIRES �/
NEAREST
PERMIT FEES CROBB ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 18 '� ADDRESS
BATH TUB @ 0.50 `SQ CITY EL Nn �rT�
SHOWER @ 0.50 O 1 HEREBY ACK OWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 Q APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB
KITCHEN SINK @ 0.50AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB R TRAY @ 0.50 ,�4J ANGELES COUNTY LICE E. OR I AM THE LEGAL OWNER
GAB 9YSTfiM
OF THE REBIDENTIAh OPERTY DESCRIBED ABOVE.
OUTLETB @ 0.50 Q
SIGNATURE
WATER HEATER @ 0.50 PERMITI
BLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER Ctlf 0.50 Z
MISCELLANEOUS O
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING I / '
GAB PIPING
i
OAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER /l
PERMIT . . I 1.00 GAS TEST "��3 ^014
TOTAL FEE $
UTILITY CO.NOTIFIED —7
Q� c -
FINAL
?BS.17 3•SS APPLICATION FOR `PLUMBING ERIVIIT
D®5.17 ,
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles
WM.J:FOX, COUNTY ENGINEER BUILDING L -
ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN. NEAREST
dq CROSS ST '
OWNER + DISTRICT NO GROU ?ONE READY FOR INSPECTION
MAIL Same _S _T NOW
ADDRESS .J��
INDUSTRIAL _
CITY TEL NO WASTE APPROVAL
PLUMBER GENERAL INSTALLATION CO. INSPECTION RECORD
ADDRESS 6558 West Blvd.
CITY -L.A. 43 TEL NO Pleasant 3-2541
LICENSE NO. 787 C-36 151839
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $ ,
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY -
CLOTHES WASHER -
I WATER SOFTENER 1 00
TOTAL NO -o ao APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1 00 '
WATER HEATER @ 1 00 UNDER SLAB WORK _
ROUGH PLUMBING
PERMIT S 1 00
GAS PIPING. `
TOTAL FEE 2 00 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 FIXTURES
PLUMBING
IHEREBY 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 THE LEGA}}}... OWNER OF THE ABOVE UTILITY CO NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL �
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR
0 4 9 1 9 FEB 7 3 .0 0
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