HomeMy Public PortalAbout10751 LYNROSE ST_Plumbing__ :78A8,87;CE#817 4-87 ZG
APPLICATION .FOR :--PLUMB] PER IT
COUNTY OF LOS .ANGELES
DEPARTMENT OF COUNTY ENGINEER . . _
-BUILDING AND SAFETY DIVISION. UMDIN�10�7� �r
JOHN A. LAMBIE. COUNTY ENGINEER 1 1 Tjj Z • Ose
COLEMAN W. JENKINS. S.UP'T. OF BUILDING LOCALITY Temple City-
FOR
+]t _
FOR APPLICANT TO F M IN NEAREST -McCullauch
CROSS ST. s �_Y
NUMBER. PIXTURE;OR ITEM EACH FEE CWNEB Phillip Co La i
'WATER CLOSET' $1.25
BATH TOS 1.25.
'NAM
ESS 30751 E. Ioirose z.7-
SHOWER 1.25 .'
•CITY TeM.le �].t TEL. NO.444 1038
LAVATORY 1,25 CONTRACTOR, Pacific Installers..
sin 1.25 ADDRESS 70920 E. Grand Ave,- -
DISHWASHER 1.25 CITY ` eMpxe City TSL. NO. 442m7Q70
LAUNDRY TUB 1.25, _H._SLICENSE NO.211898 C ASS C�20
CLOTHES.WASHER 1.25 DISTRI T NO.- GRO ZONE R E ED:B.
1: WATER'HEATER' - 1:50 : -Q !?
1.50 INDUSTRIAL
GAS•SYSTEM OUTLETS VlIASTE APPROVAL C .
OUTLETS OVER S PER'SYSTEM All a INSPEC ON RECO
RIt/ 111.7
CD
dt
J .�. z
r.
APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
P:ERMIT.-
.5 2 00
rAAROUGH PLUMBING
TOTAL FEE 3 5� GAS PIPING
ESY.ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS.VENT ANDTE THAT THE A60VE IB CORRECT AND AGREE TO COMPLY _
LL_COMRTY ORDINANCES ANG STATE LAWS REGULATING HOT WATER HEATER
G.EBY CERTIFY+THAT I• AM PROPERLY REGISTERED: ANDI�OR. PLUMB ING'FIXTURES
D AS REQUIRED BY':LOS ANGELES COUNTY AND'STATE OFGAS TEST
NIA OR THAT I AM'THE LEGAL OWNER OF AND INTEND TO'IN,•THF ABOVE DESCRIBED 1DENTI ROPERTY. UTILITY-CO.NOTIFIED
URE7/VAJ/nRMITTEE
FINAL
LIDATION JACK:R.ALLEN
CK. M.O. CASH SUPERVISING MECHANICAL.ENG'R. -
MM67-0;817-11-57
APPLICATION FOR PLU ' B PERMIT.. _
COUNTY OF LOS ANGELES �+�'�'
DEPARTMENT OF COUNTY'ENGINEER K.
BUILDING AND SAFETY DIVISION •13UILDDIG
iiOHN A.LAN=,-County.Eaq1new ADDRESS 10701 L Pl r O s e
Cl{SSATT D. GRIFFIN,Sug t of Building
... r K,,. ,-. LOCALITY_ Temple -Cit•FOR APPLICANT TO FILL IN NEAREST
:CROSS.ST.
FNUMBEI FIXTURE OR ITEM
WATER CLOSET O� La r k wo o.d C o n s t r.u.c t-'i o n
MAIL .
BATH TUB ADDRESS -
SHOWER CITY, Monti" TEL NO.
. LAVATORY coNiiIACTA-i'ch a r.d Cavanaugh P 1 b... . ..
SINS ADDRESS 1-33,51+ S. Central
DISHWASHER CITYChino _ TEL.NO.
LAUNDRY TUR CONTRACTOR'S STATE ❑ Y
REGISTRATION NO. COUNTY ❑ •:
' CLOTHES WASHER _; DISTR NO. .GR UP' ZONE O . READY FOR INSPECTION
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
Q @ 08$1.0OFDLTIIRE $ I 0 00PER n7m AT@ INSPECTOR-S-816P1rATURE
UNDER SLAB WORK
si PERMIT P400 ROUGH PLUMBING-1--d , -
TOTAL FEEGAS PIPING''
I HEREBY ACKNOWLEDGE THAT .L HAVE READ THIS APPLICATION GAS VENTAND STATE THAT THE ABOVE 1S CORRECT AND.AGREE TO COMPLY HOT WATER HEATER f V f /�..,,--✓"
.WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES 1'-
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR .GAS TEST
LICENSED AS REQUIRED BY_LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM. THE LEGAL ,OW.NER,OF THE ABOVE PUTILITY CO.NOTIFIED )b
DESCRIBED'RESIDENTIA PROPERTY. P
SIGNATURE
OF PERM1TiE I FINAL
ROBERTA.WOOD.
l R'.
®F VALIDATION SUPERVISING MECHANICAL ENG'>}
CF.
M.O. CASH
�....
.5jC0 5 '0 63Ln APR 1y.. 5 A 2.00