HomeMy Public PortalAbout5831 ROWLAND AVE_Plumbing__ 76A567 DOS 17 11_50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FELL INJDIBTRI . G O ZRMITPLUMBER 1WI .� R 1 Y READYFO DATE IBB ED
FIRST INSPECTION
ADDRESS p�� �/ �a.� 3UILDINGCITY � TEL.No. �c/ DDRESS
COUNTY o� /' LOCALITY Cis
LICENSE NO. .7 Y c 9 EXPIRES
NEAREST C ll--
PERMIT FEES GROSS Br. rqy »
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0 0.50 !$ Q ADDRESS
BATH TUB 49 0.50 -SOS ' CITY TEL. No.
SHOWER 0.50 -46 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0.50 SO. AA13 CORRECT
LICATION AND STATE THAT HABOVE
ND AGREE TO COMPLY W TH ALLCOUNTYORDINANCES
KITCHEN SINK 0.51) So AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY Q 0.50 ANGELES COUNTY LICENBE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIALROPERTY DESCRIBED ABOVE.
GAS BYSTEM UTLETS 0.50 .+�0 SIGNATURE.OV
WATER HEATER 0.50 .Bra PERMITTEE
BLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK 0 0.50 $L a %,
FLOOR DRAIN 0.50
DISHWASHER 0:50 cfo- O .4* -~jo
DRINKING FOUNTAIN 0.50 / rl/$tAB 4J Ir bovAow
URINAL 0.50 / 4I it b AoO&OW ad dl0a'
Q
HOUSE SEWER 0.50 / ¢�-;-eamg e,-
MISCELLANEOUS MISCELLANEOUS G c2n,G O
O
r
APPROVALS
DA E INSPEOTORIS NAME
ROUGH PLUMBING .1
e r
BA13 PIPING 0Al bO1 1 f
s
GAS VENT i2�
CESSPOOL 1.00 CESBPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 SEWER -
PERMIT I 1.00 GAB TEST
UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
COUNTY OFIL0S'AN&LES , TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 9901260023
BUILDING AND SAFETY / LAW DEVELOPMENT � TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ON FILE 5831 ROWLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802239
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LAS TUNAS
8587-030-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A3 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
25 LAVATORIES/SINKS 1.00 FIX 16.20 01/26/99 UT 01/26/00
45 WATER CLOSET/URINAL 1.00 FIX 16.20
OWNER: TEL. NO: 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 FINAL DATE FINAL BY: CODE:
MARTINEZ REFUGIO F;PEARL S (626) 286-6745- 63 WATER PIPING BR/FIX 1.00 FIX 6.75
5835 ROWLAND AV TOTAL FEES 115.50
TEMP 917802239 DESCRIPTION OF-WORK
PLUMBING FOR NE ATHROOM
APPLICANT: TEL. NO:
TAMERICAN BUILDERS (626) 287-9744-
2631 LEE AVE. SPECIAL CONDITIONS:
: SO. EL MONTE, CA
CONTRACTOR: TEL. N0: ®�
� ®� APPROVALS DATE INSPECTO SIGNATURE
AMERICAN BUILDERS (818) 287-9744-
2631 LEE AVENUE LIC. NO UNDER SLAB WORK
SO. EL MONTE, CA 91731 104325 B '5
WATER
�'�•Y�
WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0:
FERGUSON, KERMIT (626) 445-2350c ROUGH PLUMBING 3
333 N. SANTA ANITA AVE LIC. N
STE. 5 NONE 1111111 GAS PIPING
ARCADIA, CA
r -� [, �7 'GAS VENT
=SLI LI � ��II WORK
n�O �:j"�� � HOT WATER HEATER
�`J �J J uu CCYY Lui�U�J PLUMBING FIXTURES
' O
law
LAWN SPRINKLERS
42
x [J
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
e GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508