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Home My Public Portal About10158 LYNROSE ST_Plumbing__ 76A667 DBB 17 11-SO APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 167 COUNTY OF LOS ANGELES L B g N G 1 WILLIAM J. FOX. CHIEF ENGINEER GROUP- DISTRICT NO. . FOR APPLICANT TO FILL IN .I-- _ — /'> .2, PLUMBE14VALLEY BOULEVARDPLUMBING CO. RECEIVED BY READY FOR DATE ISSUED ADDREB V LLEY'BLVD. FIRST INSPECTION / TT BUILDING CITY ROSEMEAD TEL Na..A . 2-2719 ADDRESSCOUNTY LICENSE No. :93M EXPIRES-10"� LOCALITY NEAREST PERMIT FEES CROSS ST. NUMBE TYPE OF FIXTURE OR ITEMFEE OWNER �y.y MAIL / WATER CLOSET(TOILET) a 0.50 !s (J ADDRESS 4�//''VV J/ ,e► BATH TUB @ 0.50 0 SHOWER 0 0.50 1 HEREBY ACK OWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 -.AAPPLICATION AND STATE THAT THE ABOVE IS CORRECT lo ^ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 SCJ AND STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESB THE ABOVE VALID LOS LAUNDRY TUB O TRAY Cad 0.50 / Q ANGELEB COUNTY LICENSE, OR 1 AM THE LEGAL OWNER OAS SYSTEM OUTLETS 0.50 ® OF THE RESIDENTI AOPERTY CRIBED ASOVE. SIGNATURE OF WATER HEAT, R @ 0.50 A PERMITTE SLOP SINK @ D.So INSPECTION RECORD FLOOR SINK @ O.So FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 J Q HOUSE SEWER @ 0.50 Z_ MISCELLANEOUS 0 a O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING OAS PIPING /�,� n GAS VENT CESSPOOL @ 1;130 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . . I 1.0o GAS TEST UTILITY CO.NOTIF D r TOTAL FEE Is C3 b rte FINAL 78A867A (CIE -4/ 77 APPL�H C� ® L B O mC R v OTfl yl'JI1 READY FOR FINAL INSPECTWH BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN(PRINT OR TYPEI BUILDING/ � NUMBER FIXTURE OR ITEM ® FEE ADDRESS WATER CLOSET LOCA IL TAY NEAREST 4 BATH TUB CROSS 5 - SHOWER OWNER J LAVATORY MAIL ADDRESS SINK CITY TEL N — DISHWASHER CONTV48GIFIC INSTALLERS CLOTHES WASHER ADDR10920-E. GRANDAVE. SWIMMING POOL RECEPTOR CITY TEMPLE CITY, CALTI EN 0 0 7 - LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER Q LICENSE NO CLASS GAS SYSTEM OUTLETS IIJJ DISTRICT N G UP I Z NE FROCESSED BY OUTLETS OVER , CD 5 PER SYSTEM INDUSTRIAL V WASTE APPROVAL INSPECTION RECORD OF f[ U W d N Z Plan check fee PLUMBING PERMIT ISSUING FEE$ (� TOTAL FEE /00c) Plan check appllcont APPROVALS DATE INSPECTOR'S SIGNATURE Name UNDER SLAB WORK Address ROUGH PLUMBING i City Tel No GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REOU IR ED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY UTIUTYCO NOTIFIED z SIGNATURE OF PERMI aE ' FINAL g�y y, ® rn lER,3� " H Rb11 T+UAL ATION CK M O CAS 37 �M - 5 J.G � POLICY HOLDERy"" �''� POLICY NUMBER: 1�3��— 76A667-CE#'917 5-61 / LY PLICATDOl tl FOR PLUMBING 11 ERM9 LL � H COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER - BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS 101 8 L WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple Cit s: FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM OWNER Edward F D raw WATER CLOSET MALL L nose S SHOWER Scrry Tem le citzc, TEL NO•HI 7-4556, LAVATORY cONTRAcTORARC 0 PLUM-BING CQ- sErlll; AD"ES"'527 We DISHWASHER c?TYMonter �` NO-CU - 0' RACT - STATE LAUNDRY TUB REGISTRATIONNO.1 20 _ COUNTY'❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE PR ED BY 1 WATER HEATER INDUSTRIAL O GAS SYSTEM WASTE APPROVAL INSPECTION RECORD W O ///_ /i l�Cmc✓�/�✓ W N APPROVALS DATE INSPECTOR'S /81GNATUR6 PERMIT $ 2 r 00 UNDER SLAB WORK TOTAL FEEOROUGH PLUMBING O GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 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 1 AM PROPERLY REGISTERED AND/OR PLUu MBING FIXTURES e LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST O - CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. . a UTILITY CO NOTIFIED SIGNATURE OFPERMITTEE FINAL � pYg ALIDATION ROBERT A.WOOD V CK. M.O.\\' CASH SUPERVISING MECHANICAL ENG'R �� ?3 5 D 3.0.0 .