HomeMy Public PortalAbout10527 LYNROSE ST_Plumbing__ 76A667-CEit817 2-,66 A
APPLICA lON � . UMBING ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FA
ILDING
JOHN A. LAMBIE. COUNTY ENGINEER DRESS
COLEMAN W. JENKINS. SUP'T. OF BUILDINGCALITYFOR APPLICANT TO FILL IN AREST
OSS ST.
NUMBER FILATURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS
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DISHWASHER 1.25 CITY
LAUNDRY TUB 1.25 STATE LIC
LICENSE NO. / CLASS
CLOTHES WASHER 1.25 DISTRIO OUP Z R E
WATER HEATER 1.50 �7 r
I.50 �J'-T� INDUSTRIAL
GAS SYSTEM OUTLETS WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 V
INSPECTION RECORD
O
v
� W
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APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEEGAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
wii
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE !!��✓✓
FINAL
�LIDATION JACK R.ALLEN
cK. M.O. CASH SUPERVISING MECHANICAL ENG'R.
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LA1 o 1 4 6 61 OCT 31 5 0 6.5 p N
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CE817(REV.6/78) l _ __ _`r•�._'✓'� C�TL.p '_'� _ -_. -- —=•=T"- __. _.,•--�_ .r-
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APPLICATION FO.R PLUMBING PERMIT
.COUNTY OF LOS ANGELES - BUIL®NG AND SAFETY '
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
S j27 Lynroc e
NUMBER FIXTURE OR ITEM @ FEE, —ADDRES.. LOCALITY Temple City ~
WATER CLOSET
BATH TUB
NEAREST
BATH . Live Oak Ave
SHOWER OWNER Ping Chieu
LAVATORY MAIL
ADDRESS {Same
:SINK CITY PACIFIC 'ST
NO. �+-7o64
DISHWASHER CONTRACTO
09206i GRANA am
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR 'TERAPLC- C-1 TU)i it 1,r�-7o,�
CITY v 4
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO: 2�-�8R8 CLASS S
GAS SYSTEM OUTLETS LGAN
DATE INSPECTOR'S.SIGNATURE
OUTLETS OVER
5 PER SYSTEM.
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST �
Plan Check fee UTILITYCO.'NOTIFIED
PLUMBING PERMIT ISSUING FEE$ �} o
TOTAL FEEFINAL
no
Plan check applicant PLAN CHECK VAL I. N!
Name
Address
City Tel.No.
1 HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION'AND STATE ;12 2 Q 4 A
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION # O O o O o 5
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES C CALIFORNIA OR THAT I AM THE /�
LEGAL OWNER OF,AND IN D TO RESIDE IN THE A VE DESCRIBED RESID_ TIAL O o 1000 1 0O O
PROPERTY.
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LO
NATU
FPERMITT 0 1. 12"79
DISTRI T NO. ® P :CSED&BYat
INDUSTRIAL.
WASTE APPROVAL ,'�1^rL�1 R {+r(4Agq'
um I BROOM u OM
IBA887-CE#917 5.61• � -
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY E ULN&ER
BUILDINC 'I ND SAFETY DIMION BUILD=
JOHN A. MBIE, COUNTY ENGINEER ADDBRSS 10527 Lyrose
WILLIAM A. JENSEN,SUPT OF BUILDING
LocALJrT Temple City
FOR APPLICANT TO FII,L IIT CNEASM
ROSS ST. Pal Mal
NUMBER FIXTURE OR:ITEM OWNER
Meeker Land Deva
2 WAMM CLOSET PUM
1AnDBffis .
BATS TUB
clTr rBL.No.
1 WAOVUM
2 LAVAToax CONTSAMR Owen Bros. Plumbing
1 SUM ADDRESS 25 No Baldwin Ave.
I)MMASMM crnr R'1 Monte TSL.No. GI-37644
LAUNDRY nM sGIS�muoN%NO. 197184 coATZ
vrirr,
1 CLOnm WAR= DISTRICT NO. I GROUP ZONE /P SED BY
]. WATEB SRATSS /d Ts
IIIfDUSTIIIAL GAS WASTE APPROVAL
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MM=ON R8'CORD /� w►�Oe
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Iiav �-g idl Aaea,rs shlg- /alae .
ITEM
1 OR °FmTmm I 10.00
APPROVALS D�qAppTE INSPBCJOR'8 SIONATURB
PERMIT $ 2 00 UNDER SLAB WORK �sf�/YJ/1[oZ- J- �Z"J'aF
TOTAL FEE .00 ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I 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 f
low
PLUMBING.
1 HEREBY CERTIFY THAT V AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES yt� sll
LICENSED AS REQUIRED BY LOS,ANGELES COUNTY AND STATE OR GAS TEST
CALIFORNIA OR THAT 1 AM. THE LEGAL OWNER OR THE ABOVE _
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.,NOTIFIED
SIGNATURE ! v A
OF PERMITTERFINAL
ALIDATION ROBERT A.WOOD
CASH SUPERVISING MECHANICAL ENG'R a
LACO;8 5 7 0". . FM 1 6 5 0 12-.00 M