HomeMy Public PortalAbout10769 LYNROSE ST_Plumbing__ 76MV-CE8177-11-57
APPLICATION FOR PLUMBING- PERMIT '
COUNTY OF LOS ANGELES Job 1= C 4 1'
DEPARTMENT OF COUNTY ENGINEERN .
SURDING AND SAFETY DIVISION' B.UMDMO.
JOHN A.LAMBIE. Couat�Eng�a®er ADDRESS 10 L n r o s e
CASSATT D. GRIFFIN.gpt t of Sufld6 LOCALITY
Tem le_ CI.t
FOR APPLICANT TO`FILL'IN' NEAREST' � -
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNES ` •
• nn
WATER CLOSET -
BATH TIM AA DDDRESIC 10229.. Lo w e r u.s
SHOWER CrrY _E 1 ; t E3 TEL.IQO. '
LAVATORY CONTSACTOR.R•1.Ch a n d Cavanaugh P 1 b.
/ SDYS ADDRESS 13354 S. Centra 1
DISHWASHER CITY Chino TEL..NO.
LAUNDRY TUB• CONTRACTOR'S STATE'❑
/ REGISTRATION NO. COUNTY. ❑
/ CLOTHES WASHER
DISTRI NO. GROUP a Z .NE *R INSPECTION
WATER HEATER
td GAS SYSTEM ` INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD—
i.: APPROVALS
$1.00 PER ITEM!
OR Fnnum $ ��OR
IN CTOR'S SIGNATURE.
' UNDER SLAB WORK r /�
PERMIT $ 00 u :ROUGH PLUMBING �
TOTAL FEE DO GAS P,IPINN+
f I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT +f
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. '
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 OWNER OF THE ABOVE .,UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA ROPERTY.
1
SIGNATURE
FINAL
ROBERTA.WOOD.
OF VALIDATION S0PERifi5INdMECHANICAL,ENWR
. � Id:O. CASH
_ M-5.070L •APR14 5 -A 1. 2.:00 M >,
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS I PL 0508 0311040007
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEG D• FEES PAID BUILDING ADDRESS:
TR: 24579 LT: 6 BL: .001 10769 LYNROSE ST
FEE DESCRIPTION: QUANTITY: UON: AMOUNT: TEMP CA 917802925
ASSESSOR INFORMATION NUM85R: NEAREST CROSS STREET: MCCULLOCH
8573-011-025 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: C3 LOCALITY: TEMPLE CITY, C
47 WATER HEATERS) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: EXPIRES ON:
f 11/04/03 VG 05/02/04
OWNER: TEL. 0: FIN LT FIN Y. CODE:
FOGGIA SALVATORE J;MELVA M (818) 446-8007-
10769 LYNROSE ST
TEMP 917802925 DESPRIPT/ION OF WORK
WA,7ER HEATER CHANGE OUT
APPLICANT: EL. 0:
ACTION CONTRACTORS (310) 515-1311-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: APPROVALS DATE INSPECTOR SIGNATURE
ACTION CONTRACTORS (310) 515-1311-
17111 SOUTH BROADWAY LIC. NO UNDER SLAB WORK
GARDENA CA 90248 B/L 27953
WATERtSERVICE
PLASTIC Y/N METAL Y/N
ARCHITECTOR ENGINEER: 0:
RO G PLUMB G
LIC. NO: I
GAS P IPING
i
GAS V
HOT WATER ER
PLUMB I G FIXTURES
LAWN SPRI LERS
S TEST
TILIT CO PANY OT FlED
C V
GRAY WATER SYSTEM
t
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508