HomeMy Public PortalAbout10521 LYNROSE ST_Plumbing__ 7E+A667_(CwE-817)-8-71
APPLICATION FOR ALIUMBINGPERMIT"
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS ��
LOCALITY
FBATHTUB
PPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST. G G
FIXTURE OR ITEM @ FEE
OWNER
ER CLOSET 1.75
MAIL
1,75 ADDRESS
WER 1.75 CITY fi TEL. NO. L �3
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS �®
DISHWASHER 1.75 CITY/X/
X TEL. NO.
�- �r
CLOTHES WASHER 1.15 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT GxP
Z E D B'
' LAWN SPRINKLER SYSTEM 1.75 t -�' OO[[//
WATER HEATER 1.75INDUSE APPROVALTRIAL
ST
GAS SYSTEM OUTLETS 1.75 WAINSPECTION RECORD u
OUTLETS OVER
5 PER SYSTEM .30
P
U
681
96
Vi
z
P!an check fee See reverse. Ki
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
' APPROVALS DATE INS PE CTOR'3.SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO .COMPLY PLUMBING FIXTURES '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, D INTEND TO
RESIDE IN THE ABOVE DES CRI D RESID IAL P ERTY. FINAL
SIGNATURE
OF PERMITTEE �
PERMIT VALIDATION CK. M.O. CAS. -
PLAN'CHECK VALIDATION CK. M.O. CASH 'TM
1
76A667-CE#817 2-66
'APPLICATION FOR PLUMBI G PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUP'T. OF BUILDING
LOCALITY r ��
2 4
FOR APPLICANT TO FILL IN NEAREST IJ L
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER G / e
WATER CLOSET $1.25 _
MAIL
BATH TUB 1.25 ADDRESS C.
SHOWER 1.25 CITY TEL. NO. 9���.
_ LAVATORY 1,25 CONTRACTOR
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 STATE LIC
LICENSE NO. CLASS
CLOTHES WASHER 1.25 DISTRICT GR O _
RO BY
WATER HEATER 1.50
>-
GAS SYSTEM OUTLETS 1.S0 INDUSTRIALWASTE APPROVAL CDa
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD v
" o
' v
Lu
gl-
en
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK y
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AQREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES ��, "'y
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENT/ PROPERTY UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
VALIDATICK R.ALLEN
CK. M.0. 1 CASH SUPERV SING MECHANICAL ENG'R.
L o9'3 01� JUM27 5 D 325 Q
7,BA667-CE•#917"9-91
-
APPLICATION ,FOR .PLUMBING PERMIT
cOUNTY OF LOS ANGEL
DEPARTMENT OF COUNTY ENGMEER
BUILDII�iG 'AND SAFETY DIMION sunDnaca
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS -10521 L 'ose .
WILLIAM A. JENSEN, SUPT OF.BUILDING t
Loc11 m Temple City
FOR APPLICANT.TO FILL IN NZARE T "Pal .9.al
CROSSNUMBER FIXTURE OR ITEM OWNER, Meeker- Land Devs-
:, 2 WATER CLOSET: ABAlI.
1 ADDRESS
BATH TM
CITT TSL.NO.
1' SHOWER
2 ri�vArosY' coNrRAcroR Owen Bros P
nODasss
. 525 6N. Baldwin Ave,
.
El .Vonte TSL.No.
DISHWASHER �I-37644
um"%= RE ISM ONlffmamSNO. 197181.x. co
Lunt
CLOTSES WASHER DI No. : - GROUP ZONE SED BY y
WATER HEATER
1. Gm SYS=,• MUM= ' ' u~
WASTE APPROVAL
IN
niSPECTION RECORDOKW
I
Au
'51.00 PER ITEM_
,10 OR
� "runm E $ I 1000
00 pppR01/ALS D T INaPEcriQR's 81 NAfuRli '
PERMIT - $ 2 00, UNDER'SLAB WORK A f2- .rp/
ROUGH PLUMBING
r
TOTAL FEE 12.0 GAS PIPING
1 HEREBY ACKNOWLEDGE THAT'1 HAVE READ THIS APPLICATION " �}��'
.F AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY GAS VENT 1I:h '.;A /I
WITH ALL'COUNTY ORDINANCES AND STATE LAWS REGULATING - n
y.PLUMBING. HOT WATER HEATER /. I) .
I HEREBY. CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR '._ ,PLUMBING'FIXTURES. '
r LICENSED A9 REQUIRED BY LOS,ANGELES COUNTY AND STATE OF GAS TEST 00L'Y. I
CALIFORNIA OR THAT 1 AM THE, LEGAL OWNER-OF THE ABOVE • _
DESCRIBED RESIDENTIAL:PlkOPERT:Y. r,•UTILITY SCO-NOTIFIED
SIGNATURE
OF PERMITTE
FINAL
J.
XAMATION ROBERT AAWOrOD' `
M.o. CASH -SUPERVISING MECHANICAL ENG'R` ` 't
1 � 5.71 FEB 16 1.,2:.0.0