HomeMy Public PortalAbout10787 LYNROSE ST_Plumbing__ 76A667-CE817-11-57 y
APPLICATION FOR PLUMBING PE_ R_MIT__ 1
COUNTY OF LOS ANGELES Job 1504
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
_JOHN A.LAMIE.county Eaq�aees ADDRESS 1 -L rose S t.
CASSATT D. GRIFFIN,.Supt of Building
:...�, LOCALITY
FOR APPLICANT TO FILL IIsi NEAREST
T. .G
NUMBER FIXTURE OR ITEM
WATER CLOSET owmm La r k wo o d Co n s t r u ct i o n
' BATHTUB AADDDLRESS 10229, Lower Azusa Rd.
SHOWER CITY El Monte, TEL No.
LAVATORY coNTEAcToR R- chard Cavanaugh P1 b.
SINS ADDRESS i3351+ S. Central
DISHWASHER CITY Chino TEL.NO.
TUR CONTRACTOR'S STATELAUNDRY ❑
REGISTRATION NO. COUNTY
CLOTHES WASHER
DIST
RISiT NO. :GR.
OP O
UNE FOR INSPECTtON
WATER HEATER aCJ
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD..
APPROVALS
8 ATE INSPECj0R'S_R1 TURE
O1.
$ I 0 l9
UNDER SLAB WORK �
PERMIT $ 00 ROUGH PLUMBING 4J"J �q
T07AL FEE Q(7 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
LDESCRIBED
COUNTY ORDINANCES AND STATE LAWS REGULATING .
PLUMBING FIXTURES
CERTIFY THAT 1 ADI PROPERLY REGISTERED AND/OR GAS TEST
S REQUIRED BY LOS ANGELES COUNTY AND STATE OF
OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED // S�� �� i 7' •-,���
RESIDENTIA RQPERTY.
IGNATURE
171E FINAL 7cJ 7-a
ROBERTA.WOOD.
OF VALIDATION SUPERVISING MECHANICALENG'R
On.
M.0. CASH .
LCo5075 APR 14 5 n 12.00 m
76A687-CE0817 4-64
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DBnSION BUMMING 10787 E. os St.
JOHN A. LAMBIE. COUNTY ENGINEER Y=
WILLIAM A.JENSEN,SUPT OF BUILDING. LOCALI,1� +
FOR APPLICANT TO FILL IN NEA S. Las S
NUMBER FIXTURE OR ITEM EACH FEE
WATER CLOSET $1.25 OWNER Ralph E. Coulson
BATH TUB I•25 ADD=SS - 10787 E. L=ose 3t•
SHOWER 1.25 CITY Tompla City TEL. NO. W-7316
LAVATORY f.25 CONTRACTOR Anthony Poo1S, Inc.
SINS 1.25 ADDRESS 5871 E. Firestone HLvd.
DISHWASHER 1.25 CITY So, Gate CTOR'S �+TEL.No.3P -2210
ATE
LAUNDRY TUB 1.25 REGISTRATION NO. 190179—c53 COUNTY ❑
CLOTHES WASHER 1• DISTRICT NO. OUP NE) P CE SED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL D_
WASTE APPROVAL O
OUTLETS OVER-5 PER SYSTEM .90 INSPECTION RECORD
Water PWing 150 O
U
W
a
y
Z
s
'-Ji�yfa/
APPROVALS DATE INSP GTOR'SplGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
3• 0 ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION ,GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR' PLUMBING FIXTURES
LICENSED A8 REQUIRED SY LOS ANGE ES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEG O NER OF AND INTEND TO
RESIDE IN,THE ABOV S RIBED EN IA PROPERT UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTE FINAL
Anthony Pools, Inc. w� VALIDATION ROBERT AWOOD
3880 E. Colorado Blvd. PaSadesiclK. M.O. CASH SUPERVISING MECHANICAL ENG'R
Lail o 5 6 3. 4 SSP 1 5 D 3.50- Ck
78A887-CF.,,*8:1,7 12-'64 ,
APPLICATI FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FEAtE
JOHN A. LAMBIE, COUNTY ENGINEER rJ
COLEMAN W. JENKINS,SUPT OF BUILDING f�1
FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM EACH FEE
OWNER COU . r
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS in782 Lynrosp,
SHOWER 1.25 Lra
CITY Te1e C t . N044
-
LAVATORY 1.25 CONTRACTOR
SINK 1.25 ADDRESS E.Fdna Pl.
DISHWASHER 1.25 CITY Covina. TEL. NO3 3 2=
CONTRACTOR'S STATE ❑
LAUNDRY TUB 1.25 REGISTRATION NO. 20 28 COUNTY ❑
CLOTHES WASHER 1.25 DISygICT O. GROUP I Zrj P 7
WATER HEATER 1.50 //C/.
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD C
Ca
1. P—TRAP m
t
OW.
zje, �P� z
V 11 r
t A.
APPROVALS DATE IN'p, OR'S SIGNATURE
PERMIT S 2 00 UNDER SLAB WORK ,,
ROUGH PLUMBING
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER V°
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN E ABOVE DESCRIBED )ENTALROpswry UTILITY CO.NOTIFIED
SIG T /
FINAL
1(ALIDATION ROBERT A WOOD
OKM.O. CASH SUPERVISING MECHANICAL ENG•R
L Ij,0 5 6 3 5 SEP 6 5 D 3.50- 11