HomeMy Public PortalAbout10638 LYNROSE ST_Plumbing__ 76ABs7 17 11-49 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
.WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DI TR NO. GROUP ZONE P .
cy
PLUMBER s : r—k Fl REGI &� BY FIRST READY INSPECTION FOR DATE/I'SSUED
ADDRESS // .o+ ! if r?. o~Y"I. _44
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�.a BUILDING o / //JJ y !�
CITY TEL.N. y Qi }rf J J ADDRESS
COUNTY �f [� ���
LICENSE NO.e4 dF / EXPIRES I. LOCALITY �C0e"
PERMIT FEES CROSSST UdEA
NUMBER TYPE OF FIXTURE OR ITEM FEE
13WNER
MAIL ��JJyy gg
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
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BATH TUB @ 0.50 CITY .J / �/ TEL. 'Nc.
SHOWER 0.50 I HEREBY(//4�CKNOWLEDGE THAT 1'HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 APPLICATIONVAND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.501 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I P05SESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PR PERTY DESCRIBED ABOVE.
13AS SYSTEM-:3--OUTLETS— 0.50 J/ �"�
SIGNATURE OF J�I� ij ��`.s,,i?y� •�
WATER HEATER @ D.SO PERMITTE��
c.
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN
DISHWASHER
DRINKING FOUNTAIN @ 0.5131.
URINAL @ 0.50 •® - '�
a
HOUSE SEWER @ 0.501 - �- � g_
MISCELLANEOUS
a.
O
1
r P
APPROVALS
DATENI4J1PEOT/OJR'9 NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) ll9 1.001 SEWER
PERMIT I 1.00 GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE �
v
FINAL 11AVf
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0804070002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
ON FILE 1 1 10638 LYNROSE ST I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:1 TEMP CA 917802841 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: EL MONTE 1
18586-009-025 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
1 125 LAVATORIES/SINKS 1.00 FIX 16.20 1 I
ITENANT: I TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 1 104/07/08 SR 10/04/08
IOWNER: TEL. [FIN - V FINAL B CODE:
18RANOVOLD, AL/BARBARA (626) 446-6-5762- 1 ]
12411 THIRD AVE. I 1 1
IARCADIA, CA 91006 1 1DESTTION OF WORK
I I (KITCHEN REMODEL 1 SINK
[APPLICANT: TEL. NO: I 1 1
[SAME AS OWNER
SPECIAL CONDITIONS: 1
I � I
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ISAME AS OWNER - I I 1
I LIC. NO I (UNDER SLAB WORK
I I
1 1 IWATER SERVICE I [
1 1 ]PLASTIC YIN METAL YIN I I I
[ARCHITECT OR ENGINEER: TEL. NO: 1 I 1 1 I
[ - i T ROUGH PLUMBING
1 1
I LIC. NO:
1 I IGAS PIPING
1 1 IGAS VENT I 1
I [HOT WATER HEATER I ] I
� � I
I PLUMBING FIXTURES I I 1
I I I
[ 1 ILAWN SPRINKLERS 1 1 1
I I I
[ 1 IGAS TEST 1 I I
I I I
IUTILITY ] I
LITY COMPANY NOTIFIED( ]
I I IcWV I I
1 1 IGRAY WATER SYSTEM 1 1 1
I
I I I 1 I I
I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 1 I
I I I I I I