HomeMy Public PortalAbout10761 LYNROSE ST_Plumbing__ 7SA667-CE617-1147
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES' O b -1-50)+
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DEPARTMENT OF COUNTY ENGINEER
BURDING AND SAFETY DMSION RUILDDIQ
JOHN A..LAMIR..County Engineer ADDRESS 10761'• L n r o t e
TT D. GRIFFIN.Sup t of uilding
.74_ LOCALITY
FOR APPLICANT TO FILL IN NEAREST
'
NUMBER FIXTURE OR ITEM CROSS ST.
�.. WATER CLOSET OWNER La r k w o o d. C on- -- —e,E 1 on
MAIL
ADDRESS 10229 . Lower Azusa Rd.
BATH TUB
SHOWER cAY E I. MOn.'IE TEL.NO.
LAVATORY CONTRACTOR Richard Cavanaugh P l b.
snug ADDRESS 1' 4 S.- Centrai..
DISHWASM CITY Chino TEL.NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB COUNTY REGISTRATION NO.
r _.
J CLOTHES WASHER ' DISTRICT NO. GROU ZNE RE INSPECTION
WATER HEATERApt
F
' GAS SYSTEM INDUSTRIAL,
WASTE APPROVAL
INSPECTION RECORD------j 1
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APPROVALS
6
$1.00
S 8I8 Q 8 �® 0� n DATE ,IN CTOR'S S16NATURE
/ V I UNDER SLAB WORK
PERMIT $ 00 ROUGH PLUMBING
TOTAL FEE 60m GAS PIPING'mm m
�1 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 ANWOR ,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 N -.f
DESCRIBED RESIDENTIA PERTY.iv y
SOTURE
F FERMITTE1
FINAL j�` v
ROBERTA.WOOD.
®� VALIDATION SUPERVISING MECHANI'CAL'ENG'R
. CK..
U.0. CASH
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Lgo 5 .0 6 / fA A-PR 14 5 A 1 2.0 0 !�I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0505130020
BUILDING AND SAFETY / LAND DEVELOPMENT ( TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
TR: 24579 LT: 8 BL: .001 10761 LYNROSE ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802925
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET., _ se ac_
8573-011-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
05/13/05 ^VG ��� 11/09/05
OWNER: TEL. NO: FIN Te��f�{�{��� ,� TAL BY: CODE:
LIDESMA JOSEPH JR;BARBARA A (626) 442-6441-
10761 LYNROSE ST
TEMP 917802925 DESCRIPTION OF WORK
WATER HEATER CHANGE OUT
APPLICANT: TEL. NO:
VALIANT CONSULTING (818) 402-6688-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
H. B. COVEY, INC. (909) 623-2502-
309 E COMMERCIAL ST LIC. NO UNDER SLAB WORK
POMONA CA 91767 269354 C36
WATER SERVICE
PLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
i
REPORT ID: DPR263 ROUTE TO: BS0508