HomeMy Public PortalAbout10767 LYNROSE ST_Plumbing__ 7OM67-CE817-11-57
APPLICATION FOR PLUMBING PERMIT
' COUNTY OF LOS ANGELES
.1 -
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND:SAFETY DIVISION nrOse
rrOHN A.LAM M. Count measCASSATT D.GRIFFIN.Supt of BuildiagYm e • t my
FOR APPLICANT TO FILL IN' T.
NUMBER FIXTURE OR ITEM
WATER CLOSET La r kwo o d Co n s t r u c t i o n
9 BATS'TUB
MAIL Lower Azusa d:
sxowEA m' El. Monte- TEL.No.
LAVATORY CONTBACTOR Ri chard Cavanaugh.
Sm ADDRESS 13354- S- Central
DISRWASBMB CITY Chino TEL.NO.
LAUNDRY TUB CONT8ACT08'S STATE ❑
REGISTRATION NO. COUNTY
r. ! CLOTHES WASHER DISTRI NO. GROUP NE OR INSPRCTION '
J WATER HEATER
GAS sYSTEM BNDUSTBIAL
WASTE APPROVAL-
INSPECTION RECORD /
APPROVALS
$1.00 PEE ITEM
OR FMTUSE O a O DATE. 1N CTOR'S SIGNATURE
$ I 1 /
UNDER SLAB WORK
PERMIT $ O '` ROUGH PLUMBING
,. TOTAL FEE Qp GAS PIPING
( ~J r
I HEREBY GAS.VENT . .ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION• y � •
AND'STATE THAT THE ABOVE'1S CORRECT AND AGREE TO COMPLY HOT WATER HEATER / p �,�- Iii •!
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES.) ~
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF• THE ABOVE + UTILITY CO.NOTIFIED //--j-
DESCRIBED RESIDENTIA OPERTY.
!. SIGNATLMI .FINAL II.1�.rr/ c, r
OF PERAgITTB
ROBERT A.WOOD.
®s VALIDATION 'SUPERVISING MECHANICALENG'R
OASti
l.&o 5 0 ,6 9 APR 14 5 A'
12.0 Q
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 r-PL-UMB r G PERMI
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS lP_L 05089010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: EES 7IBDR SS:
TR: 24579 LT: 1 10767 CY-N-R-0-M ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: RCA 91780.2925`
ASSESSOR INFOR14ATION NUMBER-- NEAREST CROSS-STREET_:,MCCLULLOCH
8573-011-026 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY
49 WATER TREATING EQUIP 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
04/28/99 UT 10/25/99
OWNER: TEL. N0: FINAL DATE FINAL BY: CODE:
CHAYKA FRANK T;CZAJKA MARGIT -
10767 LYNROSE ST
TEMP 917802925 C•CHANGEPrllUN-OF IRK
OUT=OF-WATER HEATED
TEE.-NU.--
MARSH
. 0:MARSH PLUMBING (818) 407-1247-
7229 VARNA ST. SPECIAL CONDITIONS:
N. HOLLYWOOD, CA
jjj
���ELES CO
CONTRACTOR: TEL. NO: SOS APPROVALS DATE INSPECTOR SIGNATURE
MARSH PLUMBING (818) 407-1247-
7229 VARNA AVE. LIC. NO UNDER SLAB WORK
NORTH HOLLYWOOD, CA 91605 16425B/L
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TE O: - I
ROUGH PLUMBING
LIC. NO// 1111111 GA$ PIPING
i
U
GAS VENT
Cp LOCA �n�OKS HOT ATER EA IPLVMB G FIXTURES
I �ILAWN SPRINKLERS
rlt
O ❑ GAS TEST
A ❑ ®' ®Ci I ITY COMPANY NOTIFIED
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8@PVYCe��a�vv � GW.V WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508
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