HomeMy Public PortalAbout10517 LYNROSE ST_Plumbing__ 76A667 ('CE-81.7)-4/7'2
APPLICATI - R PLUMB.IN PERMIT
COUNTY OF-LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO. FADRE
G. ��
S'
HARVEY T. BRANDT, COUNTY ENGINEER' FY`'
FOR APPLICANT TO FILL IN (PRINVOR TYPE! T'T. vt.. •.0
NUMBER 'FIXTURE OR ITEM @ FEE• 4 .-
WATER CLOSET 1,75 OWNER rte_
MAIL
BATH TUB 9.75 ADDRESS; ) t5 S-1 A,
SHOWER 1.75 C r-y . v�l vi 1 TEL. NO:
LAVATORY 1,75 . CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY• . C,i.� TEL. NO.
CLOTHES WASHER 1.75 STATE J LIC"
"LICENSE NO. (. CLASS
SWIMMING POOL RECEPTOR 1..75
DISTRICT NO. GROUP Z NE R ESSED BY
LAWN SPRINKLER SYSTEM 1.75 : Q T'
CJ Jr
WATER HEATER 1:75 INDUSTRIAL o�
- WASTE APPROVAL
GAS SYSTEM OUTLETS 9.75 t_1
INSPECTION RECORD + "
OUTLETS OVER .30
5 PER SYSTEM -
W
Plan check'fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
did TOTAL FEE
APPROVALS DATE INSPEt TOR'S SIGNATURE
-Plan check.applicant UNDER SLAB WORK
Name '' ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
NOT WATER HEATER'
I HEREBY ACKNOWLEDGE THAT I 'HAVE READ THIS APPLICATION .
AND STATE THAT THE ABOVE IS CORRECT AND 'AGREE TO COMPLY •PLUMBING FIXTURES '
,r. WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED '
LICENSED AS REOUIRED BY LOS ANGELES COUNTY 'AND STATE OF
CALI FORNIA OR THAT 1. AM THE LEGAL OWNER OF, AND INTEND TO_. •� .�
RESIDE IN THE•ABOVE DES�C^RI RED-RESIDENTIAL PROPERTY. FINAL
SIGNATURE � J C]
OF PERMITTEE fJL I
PERMIT VALIDATIONCK. M.O. CASH
PLAN CHECIiVALIDATION CK.- M.O. CASH
. . _ a 273-' iL4.7 5
Q� vl�'
76A667-CE#817 5-61• -
APPLICATION FOR, PLUMBING PERMIT. .,.
COUNTY OF�LOS' ANdE.ES
DEPARTMENT OF COUNTY :ENGINEER .
BUILDII�TGAND SAFETY DEi/I.SEON : SOILDana
JOHN A.
E. COUNTY ENGINEER ADDimss 10517'Lose
WILLIAM A. JENBEN, SUPT OF BUILDING. LOCALI Temple .City. y
FOR APPLICANT TO Fl<.L IN �T Pal:.-Mal
NIU 9E'lER FIXTURE OR ITEM OwNn
Meeker Land Dem.
2 WATmi
CLO
ADDBHSS...-
]. BATH TUR .
CITY Tml NO.
1 SHOWRR
CONTRACTOR Owen'3ros a Plumbin
2 LAVATORY. •�
ADDRESS' '.525-g-'. -Baldwin.Ave'
-
DISHWASHEH crrx El yionte.- Tm:No..GI 6
LAUNDRY TOR� �oN NO. 197184 CO TUM,
CLOTHES{M11ASHRE DISTRICT No. GROUP ZONE, PR SED•BY
1 WATER HEATEBpo
' INDUSTRIAL
1 GAS SYSTEA3 WASTR.APPROVAL'
r JISPRCnON RRCORD �vA d
7, A dArf.r res ✓T .4 — -Af
�i.00 PEB rrEaa• • ].0,00 - .
O8 1, URE' N I APPROVALS.' ATS �INSPE oR S SIONATUR6
PERMIT :• $ 2 '00- • UNDER SLAB WORK
TOTAL FEE '. 12. 00 ROUGH PLUMBING .�CVii/'/IA
-PIPINGS
GAS
I. HEREBY'AcxmQ ILEDGz THAT'i HAVE READ TH19 APPLICATION
AND STATE.THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH -ALL,BOUNTY ORDINANCES 'AND"STATE LAWS REGULATING L
R HEATER
PLUMBING.
1-HEREBY CERTIFY THAT- 1 'AM PROPERLY -REGISTERED AND/OFIXTURES e-7' A. _
LICENSED A8 REQUIRED BY LOS,ANGELES COUNTY AND STATE OF
/1
CALIFORNIA OR THAT 1 AN-THE LEGAL OWNER OF THE'ABOV
DESCRIBED RESIDENTIAL PROPBSTY. - i .-NQTI'FIEDSIGNATUREi:aOF PERMITTE
`TAL3DATIONROBERT A.'WOOD Y
CK. .-.
M.0. CASH -SUPERVISING MECHANICAL ENG'R
• ' .- 1, .. - - - - .