HomeMy Public PortalAbout10752 LYNROSE ST_Plumbing__ r ,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1307150001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS: 1
ITR: 24579 IT: 11 I I 10752 LYNROSE ST I
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917802924 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LIVE OAK
18573-011-019 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 [
1TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 11SSUED ON: PROCESSED BY: PLAN BY: I
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 107/15/13 SR 1
I I TOTAL FEES 76.40 1 1
[OWNER: TEL. NO: [ 1FINAJ�DATE FINAL BY: CODE:
(FIELD, MR & MRS. DON (626) 448-5779-
10752 LYNROSE ST I
ITEMP 917802924 1 DRSCTZIPTION OF WORK
I
I I ISHOWER, LAVATORIE AND WATER CLOSET 1
(APPLICANT: TEL. NO:
I I I
[0'LEARY, TOM (626) 287-0927- [ I
15833 AGNES AVENUE [ ISPECIAL CONDITIONS:
(TEMPLE CITY CA 91780 I I 1
[CONTRACTOR: TEL. NO: [ (APPROVALS DATE INSPECTOR SIGNATURE 1
[TOM O'LEARY CONSTRUCTION (626) 287-0927- [ 1 1
15823 AGNES AVENUE LIC. NO [ [UNDER SLAB WORK I I I
TEMPLE CITY CA 91780 489354 * [ 1 1 1
[ IWATER SERVICE
IPLASTIC YIN METAL YIN I 1 I
[ARCHITECT OR ENGINEER: TEL. NO: I I
I - i TROUGH PLUMBING
LIC. NO:
[GAS PIPING
1 I GASVENT I i I
1 I IHOT WATER HEATER I I I
I I I
1 I (PLUMBING FIXTURES 1 I 1
I I ILAWN SPRINKLERS I I [
1 1 IGAS TEST 1 1 1
I I
UTILITY COMPANY NOTIFIED( [ 1
I I 1CWV 1 I I
(GRAY WATER SYSTEM [ I
I I I I I I
I I I I I
i* ADDITIONAL DATA ON FILE I I [ 1
IREPORT ID: DPR263 ROUTE TO: BS0508 I I I I
I I I I I I
AA607-CE817-11-57
APPLICATION FOR .PLUMBING PERMIT 1 "
COUNTY OF LOS ANGELES Job 16-04
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING 1072 L y n r o s e
_JOHN A.LAMRIL Co=ty Enabw s ADDRESS
TT D. GRIFFIN.Supt of Building LOCALITY '�'a RI 1 e City
FOR APPLICANT TO FILL IN NEAREST 0 '
CROSS'ST.
NUMBER FIXTURE OR ITEM
2 , WATER CLOSET OWNER Lark o o d Construction
MAM
1 RATH TUBDADDRESS 10229 Lower A7usa Rd.
SHOWER CITY E 1 Monte TEL.NO.
2 LAVATORY CONTRACTOR Richard Cavanaugh P l b
1 SINS ADDRESS 133L4 S, Central
DISHWASHER Crff Ch i no TEL.NO.
LAUNDRY TUB CONTRACTOR'SSTATE ❑
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER ... h....;
1 DISTRICT ONO. GROUP Z B OR INSPECTION
1 WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL /
INSPECTION RECORD
r
r -
APPROVALS
_('��� @ $1.00 PER ITEM DATE IN$PECTOR_`WNATURE
T 0 OR FECTURE $ �2 00 UNDER SLAB WORK
21 n
PERMIT $ 00 ROUGH.PLUMBING
TOTAL FEE 1 00 GAS PIPING /
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT �! -`
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR f GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA 'OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED -
DESCRIBED RESIDENTIA,PROPERTY.
SIGNATURE
OF PERMITTE
ROBERTA.WOOD.
®M ®VALIDATION SUPERVISING MECHANICAL ENG'R
N.0. CASH
LAC05 0 6 4cu :,PP, 14. 5 A 12.00'