HomeMy Public PortalAbout10511 LYNROSE ST_Plumbing__ I 76A66I
CE '817 5-61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVLSION BUILDING T
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
i WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN cNEAR ST
NUMBER FIXTURE OR ITEM r _ _
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL. NO.
SHOWER
LAVATORY
CONTRACTOR
? - - ---,
ADDRESS r J SINK
DISHWASHER
•
DISHWASHER CITY ;I 1' TEL. NO.CONTRACTOR'S
LAUNDRY TUB REGISTRATION NO. !� STATE
• ; 4 COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE PROqESSED BY
WATER HEATER f
INDUSTRIAL O
GAS SYSTEM WASTE APPROVAL V
INSPECTION RECORD
O
Lu
W
in,
N
Z
0 $1.00 PER ITEM
OR FIXTURE $ •-.
APPROVALS DATE INSPECTOR'S SIGNATURE
—F-1PERMIT $ 2 00 UNDER SLAB WORK
I _
TOTAL FEE IVROUGH PLUMBING
GAS PIPING
I 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 I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST V
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE �^' r
DESCRIBED RESIDENTIAL PROPERTY.�jq UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE
FINAL
VALIDATION ROBERT A. WOOD
CK M.0. CASH SUPERVISING MECHANICAL ENG'R
r J 7
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0709180006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE- (626) 285-0488 EXT
ILEGAL ID FEES PAID BUILDING ADDRESS 1
ITR 26554 LT 9 10511 LYNROSE ST 1
I IFEE DESCRIPTION QUANTITY UOM. AMOUNT TEMP CA 917802839 I
(ASSESSOR INFORMATION NUMBER- I NEAREST CROSS STREET PAL MAL 1
18586-012-009 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID C3 LOCALITY TEMPLE CITY, Cl
1 121 HOSE BIBB(S) 2 00 FIX 32 40
ITENANT 147 WATER HEATER(S) 1 00 WTH 16.20 (ISSUED ON PROCESSED BY PLAN BY EXPIRES ON 1
163 WATER PIPING BR/FIX 8 00 FIX 54 00 109/18/07 SR 03/16/08
1 164 WATER PIPNG <= 1 1/2 1 00 LIN 16.20 1 I
(OWNER TEL NO. 1 TOTAL FEES 146 55 1�/FJ,J�;7'AL T F'T'C/,' +�\�Y CODE I
HELLER, CHRISTINA/RAND (626) 446-0567- 1�7�, II 1
10511 LYNROSE ST
ITEMPLE CITY CA 91780 ID SCR PTION OF WORK
I 1 IRE-PIPE 8 PLUMBING FIXTURES, WATER MAIN, 2 HOSE BIBBS AND 1
IWATER HEATER I
IAPPLICANT TEL. NO- I
ISAME AS OWNER - I
I ISPECIAL CONDITIONS I
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CONTRACTOR TEL NO: - (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I
I LIC NO I 1UNDER SLAB WORK
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IWATER SERVICE 1
IPLASTIC YIN METAL YIN I 1
(ARCHITECT OR ENGINEER TEL NO: I I I
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_ IREPORT ID DPR263 ROUTE TO BSO508
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