HomeMy Public PortalAbout5813 ROWLAND AVE_Plumbing__ ►76A667 1,7 2SM SETS 7-48 ' APPLICATION rj OR 41L1n7f11 r
DEPARTMENT OF BUILDING AND SAFETY FOR �iLAl9iii
COUNTY OF LOS ANGELES p`������
'!4 ' WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRIX . GROUP
ZONE PERMIT NO.
ROUGH-' FIXTURESCOMPLETE
HEATER CESSPOOL HSEPTIC TANK R SIV ,BY READY FOR FIRST INSPDATE ISSUED
ECTION
GAB- MI CELLAN U
APPLICANT FILL JN HEAVILY UTLINED PORTION ONLY
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NEAREST
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CITY
COUNTY
LICENSE ND. / EXPIREB�e! `►� � f, I �� ��
NAME ,�'. .r• ,�:. / _
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAILn/�)
3 ADDRESS
NORTH O �1 `
CITY l0�/�.J t / n TEL.No.
1 AM THE LvAAL_POSSESS ft OF THE .ABOVE Los
ANGELES COUNTY.CE IFICATE FtgUALIR�ICATI�O
" PLUMBaf!
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
OWNER
CORRECTIONS
SOUTH J
DESCRIPTION OF WORK
Z.
ATH TUB FURNACE
tIOWSR DISHWASHER O
-LAVATORY REFRIGERATOR
' 1
-KITCHEN SINK WATER SOFTENER
-FLOOR SINK SAND TRAP
LOP OINK FLOOR DRAIN
t
WASH TRAY URINAL APPROVALS
r WATER CLOSET DRINKING FOUNTAIN pTE .�/ 1NBPECTOR'S wAMa
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING 7/�/ 51
ETER GAB SODA FOUNTAIN GAS PIPING I I
OUTL
CTAS VENT I
CESSPOOL I .
TOTAL NUMBER OF FIXTURES �5� S6PT.IC TANK I
CESSPOOI SEPTIC TANK SEWER .
S
TOTAL FEE UTILITY CO...NOTIFIED
FINAL / T ��/(J
76A667A ! .
CE B1 7'(REV.114 78)
APPLICAT N3`RPLUM#-(NG PERMIT .
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
ADDRESS
NUMBER FIXTURE OR ITEM ® FEE r
LOCALITY
WATER CLOSET
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER o
LAVATORY MAIL
ADDRESS
SINK CITY TEL.N04PS..
DISHWASHER CONTRACTORo
CLOTHES WASHER ADDRESS/
SWIMMING POOL RECEPTOR
CITY r r L.NO
LAWN SPRINKLER SYSTEM STATE �y LIC.
WATER HEATER LICENSE NO. / CLASS ,
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK o
5 PER SYSTEM ROUGH PLUMBING !,�„
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address
City Tel.No. 2 9 5 1.0 A
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE '
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES # O O O O O 5
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS •2
a O 1 9i 0 0
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT i AM THE
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL �O O O 1 9.00 X-
PROPERTY.
SIGNATURE 0 -3,25-80
OF PERMITTEE
DIS�NO. _� � CESSIP BY
INDUSTRIAL
WASTE APPROVAL
7GA667A ar"Llt \
CE 817 IREV.6/781 '
®s ` LLLbbb
APPLICATION FOR PLUMBING, PERMIT
COUNTY OF LOS ANGELES•' BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
LOCALITY
WATER CLOSET
NEAREST
BATH TUB CROSS ST, "o.012166,41d
SHOWER OWNER
/ LAVATORY ? MAIL
�J ADDRESS
SINKCI _ TEL.NO-2 �7
DISHWASHER CONTRACTO
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY01 O.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. CLASS-
GAS SYSTEM OUTLETS APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS.PIPING
GAS VENT
@S
HOT WATER HEATER
PLUMBING FIXTURES
GAS TEST ft,
Plan Check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ `J e
TOTAL FEE _� FINAL
Plan check applicant PLAN.CHECK.VALIDATION
Name:
Address, y
City 1 Tel.No.
I HEREBY#tKNOWLEDG9 THAJA HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE.15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES 66 3 a
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS �y
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE # O o o o o5
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. 2 a D 1 3 0 0
SIGNATURE O C o 13005
OF PERMITTEE
DISTRICT Nb. PR SED BY 09. 12-79
INDUSTRIAL
WASTE APPROVAL
` COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0701170010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS:
ITR: 6561 LT: 408 I 5813 ROWLAND AV
(FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:I TEMP CA 917802239 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: I
18587-030-026 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I 1
1TENANT: 111 CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
1 125 LAVATORIES/SINKS 1.00 FIX 16.20 01/17/07 JK 07/16/07 1
1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 1
(OWNER: TEL. NO: 147 WATER HEATER(S) 1.00 WTH 16.20 1F NAL DATE FINn BY: CODE: 1
INGO, ROGER (213) 910-0442- 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
(5813 ROWLAND AV I TOTAL FEES 124.95 1 1
TEMP 917802239 1 IDDSSCRIPTION OF WORK 1
I I IPLUMBING FOR GUEST HOUSE 1
1APPLICANT: TEL. NO: 1 1 1
ISHEENA (213) 910-0442- 1 1 1
15813 ROWLAND AVE I ISPECIAL CONDITIONS: 1
ITEMPLE CITY CA 91780
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
INGO, ROGER (213) 910-0443- 1 1 I
I5813 ROWLAND AVENUE LIC. NO I 1UNDER SLAB WORK I I I
ITEMPLE CITY, CA 91780 NONE I I 1 I I
1 I IWATER SERVICE 1 I I
IPLASTIC YIN METAL YIN
ARCHITECT OR ENGINEER: TEL. N0: - i IROUGH PLUMBINGjl^i I �• I
LIC. NO: i GAS PIPING I I I
I IGAS VENT I I I
yowv-� i [HOT WATER HEATERI I I I I
1 1 IPLUMBING FIXTURES 1 I 1
I [ ILAWN SPRINKLERS 1 I 1
A�e*4 I I GAS TEST I I I
p 1UTILITY COMPANY NOTIFIEDI r
u 1 ICW 1 I I
1 1 (GRAY WATER SYSTEM 1 1 1
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 1 I 1 1
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