HomeMy Public PortalAbout5736 ROWLAND AVE_Plumbing__ 7w-.,
4 VEM, PL E CRTY
APPLICATION FOR PLUMBINGPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISIONPADDRE
UILDING
JOHN A. LAMBIE. COUNTY ENGINEER ' SS O 19Aa
WILLIAM A.JENSEN, SUPT OF BUILDING OCALITY TTFOR APPLICANT TO FILL IN EARS ST. L1J?j AI
NUMBER FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET �$I.25 �7 /BATH TUB 25 ADDRESS 67�fa O L
SHOWER 1.25 CITY AG C/ TEL. NO.A7- -7,q7y
LAVATORY 1.25 O CONTRACTOR
SINS 1.25 ADDRESS
DISHWASHER 1.25 CITY EL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE jo REGISTRATION NO. COUNTY
CLOTHES WASHER 1.25 DIST CT Q. G O ONE ESSED BY
WATER HEATER 1.50 i
GAS SYSTEMZOUTLETS 1.50 �'� INDUSTRIAL
WASTE APPROVAL
OUTLETS OVER 5 PER SYSTEM .30 I1j6PECTION RECORD y'
u
a
s A e `ri
S f� APPROVALS DATE INSPE' S;S
CTOR' lGNATURE
PERMIT $ 2 00 UNDER SLAB WORK . �
ROUGH PLUMBING
TOTAL FEE I O GAS PIPING
I 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
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF /
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE DES BED RESIDENTIAL PE Y UTILITY CO.NOfIFIED
SIGNATURE /� { / -:� �'1�, 1 PV
OF PERMITTEE FINAL I. U;
VALIDATION ROBERT A.W, 661)I
cK. M.O. CASH SUPERVISINGW, 661)"
ENG'R
Lr1L0 9 8 9 1 .o AN 71 5 D 8,5 0 v
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1005100003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
(LEGAL ID: ' 1 FEES PAID I BUILDING ADDRESS: [
TR: 6561 LT: 397 1 1 15736 ROWLAND AV 1
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917802616 [
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS 1
8587-034-017 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I 1
TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 105/10/10 SR I
I I TOTAL FEES 92.55 1 1
(OWNER: TEL. NO: FlAAL DATE FIN, BY: CODE: [
ICURRAN, STEPHEN (626) 287-0354-
15736 ROWLAND AV [ 1 1
ITEMP 917802616 [ ID CS�RIPTI(5N OF WORK 1
I I IPLUMBING FOR BATHROOM REMODEL [
(
1APPLICANT: TEL. NO: I I I
TORRES, JESSE (626) 827-3532- I 1
425 E. ARROW HWY [SPECIAL CONDITIONS:
IGLENDORA, CA 91740 [
[CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE [
ITORRES, JESSE (626) 827-3532- 1 1 [
1425 E. ARROW HWY. #126 LIC. NO 1 (UNDER SLAB WORK 1 1 1
IGLENDORA, CA 91740 NONE [
[ IWATER SERVICE I 1 I
[ IPLASTIC Y/N METAL Y/N I 1 [
ARCHITECT OR ENGINEER: TEL. N0:
I - I IROUGH PLUMBING TI [
[ LIC. NO: [ I I u
IGAS PIPING
I I IGAS vim' I I I
I [ IHOT WATER HEATER [ [ [
I [ IPLUMBING FIXTURES [ I [
[ ILAWN SPRINKLERS I I
IGAS TEST
JUT LITY COMPANY NOTIFIED(
CWV
[ I IGRAY WATER SYSTEM I I 1
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IREPORT ID: DPR263 ROUTE TO: BS0508 I I I 1
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