HomeMy Public PortalAbout10501 LYNROSE ST_Plumbing__ 7CA667-CE0817 9/63 1'
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONwZLDIISB 1060
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP7
T OF BUILDING LOCALITY E��/ L iy 2 , `
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. /
NUMBER FIXTURE OR ITEM EACH FEE OWNER
WATER CLOSET $1.2S MAIL
BATH TUB 1.25 ADDRESS
SHOWER ' 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR J/ /Z) lCd
Q�
SINN1.25 ADDRESS
DISHWASHER 1.25 CITY C/v /✓jg TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY
r
CLOTHES WASHER 1.25 DISTRICT NO GROUP ZONE /PR CESSED BY
WATER HEATER 1.50 ) U
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GAS SYSTEM OUTLETS 1.50 INDUSTRIAL - o_
WASTE APPROVAL O
OUTLETS O ER 5 PER SYSTEM .30 INSPECTION RECORD U
DOLOL St A- - O�
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK —2.--�
ROUGH PLUMBING
TOTAL FEE GAS PIPING
F,,,HEREBY BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYLL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
GEBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
NIA OR THAT 1 AM THE LEGAL OWNER F,AND INTENDN,THE AS DESCRIBED ESI IAL OPERTV UTILITY CO NOTIFIED
URERMITTEE FINAL, 9
ALIDATION ROBERT A WOOD
l/ c�1K J M o CASH SUPERVISING MECHANICAL ENG'R
X0 '4 8 4,0 JUN 25 5 D 3.25~ 4
76A667-CE#817 5-61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVLSION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
I
FOR APPLICANT TO FILL IN NEST - ,
CROSS ST. - -�
NUMBER FIXTURE OR ITEM OWNER ",± 1'� T1'^T
WATER CLOSET bum
BATH TUB ADDRESS
- CITY TEL NO.
SHOWER
CONTRACTOR
LAVATORY
SINN
ADDRESS r: -
i
DISHWASHER CITY r i '- TEL. NO.
CONTRACTOR73- STATE
LAUNDRY TUB REGISTRATION NO. y ,� �' COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE PR SEED BY
WATER HEATER O
GAS SYSTEM INDUSTRIAL u
� WASTE APPROVAL �
INSPECTION RECORD O0
U
W
CL
Z
a $1.00 PER ITEM I . ,. .>
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
-H PERMIT S 2100 UNDER SLAB WORK -
TOTAL FEE ^ ROUGH PLUMBING
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.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
L'CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROTER UTILITY CO. NOTIFIED
SIGNATURE �,OF PERMITTEE
FINAL
VALIDATION ROBERT A. WOOD
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
7 �1" 3 16 .0 0 ,.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1009090009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
(LEGAL ID - I FEES PAID BUILDING ADDRESS ,
ITR 26554 LT 11 '1 I 10501 LYNROSE ST 1
I IFEE DESCRIPTION QUANTITY UOM AMOUNT TEMP CA 917802839 1
(ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET
18586-012-011 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID C3 LOCALITY TEMPLE CITY, Cl
1 1147 WATER HEATER(S) 1 00 WTH 16 30
ITENANT I TOTAL FEES 44 10 11SSUED ON PROCESSED BY PLAN BY 1
1 109/09/10 SR _
10WNER TEL NO 1F L TE FIN CODE
IPACKEY, JOHN (626) 446-5382- i J
110501 LYNROSE ST
(TEMP 917802639 IDE RIPTION OF WORK
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