HomeMy Public PortalAbout10621 LYNROSE ST_Plumbing__ ]PEPATiMVfl 1vV'1' OF COUMN ENGINEER '
]XVISION OF BUILDING AND SAFETY PERMIT APPLICATION
{ COUNT'S OF LOS ANGELES ,BUILDING
• WILLIAM J.. FOX, COUNTY ENGINEER ;;ADDRESSLOCALQ
y FOR APPLICANT,TO .FILL IN ��c NEAREST TY
li NEAREST
ADDRESS {� t'3 _ +,� /}I}1^�� ww��j"� CROSS ST. -
DISTRISYAO. GROJI P NE PERMIT N�
LOCALITY 6 ��
NEAREST
CROSS ST. EDBY Render for —peetlon DATEISSUED
OWNER \,NI,K
MAIL ,yam f p�p�' ,+INDUSTRIAL
ADDRESS` i..I O'40,. d�' V WASTE APPROVAL
CITY TEttr.NO. INSPECTION RECORD
PLUMBER` aitp `�
ADDRESS - f��•: e ( s '
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TEL p�1 7� p�r
CITY L.NO: j5 k
STATE
LICENSE N0. eCOUNTY J
PERMIT FEES z
VUMBER TYPE OF FIXTURE OR ITEM FEE ('
WATER CLOSET(TOILET) ! 0.80 i - O
O
' BATH TUB t5 0.80
SHOWER 0.80
LAVATORY(WASH.BASIN) a 0.80 Q
KITCHEN SINK df 0.80 - -
,;>� LAUNDRY TUB OR TRAY a 0.80
SLOPSINK a 0.80
FLOOR SINK df 0.80
FLOOR DRAIN df 0.80
K DISHWASHER d1! -0.60
DRINKING FOUNTAIN @ 0.80
URINAL 0.80
GAS SYSTEM ..._OUTLETS 1.00
I WATER HEATER df 1.00
MISCELLANEOUS
APPROVALS
• DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK �� a�Si✓
PERMIT $ 1 00 ROUGH PLUMBING
1 TOTAL FEE ®0 GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES'
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/O.R LICENSED AS REQUIRED BY LOS.ANGELES COUNTY GAS TEST
:.
AN STATE OR CALIFORNIA OR THATC•I• AM THE LEGAL OWN-
ER OF THE ABOVE SCRIBED ESI f1T1 E PROPERTY. UTILITY CO.NOTIFIED
i.
SIGNATURE {, �_-
OFPERMITTE ....._.._.._.... _......_.._.._.� .:�.....�. __._.._...
FINAL
7OA667 DBS 11 rJb 12-53
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0202050006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEG D: FEES PAID BUILDING
ADDRESS:
ON FILE 10621 LYNROSE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802841
ASSESSOR 0 0 B R: NEAREST CROSS STREET: EL MONTE
8586-009-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
25 LAVATORIES/SINKS 1.00 FIX 16.20
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 ISSUED ON: PROCESSED A EXPIRES ON:
TOTAL FEES 60.15 02/05/02 JK 08/04/02
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
BRANDVOLD;AL (626) 447-3603-
P.O.BOX 660892
ARCADIA 91006 -DESCRIPTION 0
KITCHEN REMODEL
APPLICANT: EL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: E 0:
ROUGHPLUMBING
LIC. NO:
GAS PIPING
S VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CwV
GRAY WATE"YSTEM
REPORT ID: DPR263 ROUTE*TO: BS0508