HomeMy Public PortalAbout5921 ROWLAND AVE_Plumbing__ +. COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1111210009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 6561 LT: 37 I 1 5921 ROWLAND AV 1
]FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802241 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 1
18587-031-008 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.50 I I
TENANT: 113 DISHWASHER(S) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY:
125 LAVATORIES/SINKS 3.00 FIX 48.80 111/21/11 SR
I 145 WATER CLOSET/URINAL 1.00 FIX 16.30 1 I
OWNER: TEL. NO: i TOTAL FEES 141.70 (FINAL DTE FINAL BY: CODE:
DLCC CORP. (626) 575-8880- 1 ��
19531 GIDLEY AVE.
ITEMP 917802241 I IDE CRIPTION OF WORK ]
PLUMBING FOR KITCHEN AND TWO BATHROOMS REMODEL
APPLICANT: TEL. NO:
FUNG, ALISON (626) 320-2815-
1207 N. STONEMAN AVE i (SPECIAL CONDITIONS:
IALHAMBRA, CA 91801
1I I
]CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
IT C PAINTING, INC. (626) 282-5095- I
1514 S HIDALGO AVENUE LIC. NO JUNDER SLAB WORK
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IALHAMBRA CA 91801 803169 B 1
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IWATER SERVICE I I I
ARCHITECT OR ENGINEER: TEL. NO: ]PLASTIC YIN METAL YIN
I - I IROUGH PLUMBING
1 LIC. NO:
(GAS PIPING I Ili
IGAS VENT I 1
IHOT WATER HEATER 1 I I
IPLUMBING FIXTURES I I I
ILAWN SPRINKLERS I 1 1
IGAS TEST I 1
I (UTILITY COMPANY NOTIFIEDI I I
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(GRAY WATER SYSTEM
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IREPORT ID: DPR263 ROUTE TO: BS0508 I ] ] ]
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OBS-1712.s< APPLICATION FOR PLU MBI N G- PERMIT
DIVISION OF BIDING AND SAFETY
DeporI on ofCounty Engineer
County of LOS Angeles :gU1LDIN6
WM.J. FOX, COUNTY ENGINEER ADDRESS-
CASSATT D.GRIFFIN.SUPT OF BUILDING
.LOCALITY
FOR APPLICANT TO FILL IN NEARESr
/ _mss _ CROSS ST.
OWNER !gg/ L- ZF DISTRICT NO. - GROUP ZONE READY FOR INSPECTION
ADDRESS
INDUSTRIAL
CITY TEL. NQ. WASTE APPROVAL
PLUMBER a -INSPECTION RECORD
ADDRESS dop— 42
CITY TEL. ^
LICENSE NO.
NUMBER TYPE OF FIXTURE OR ITEM."• 'FEE -'3..��'` ✓/� I c
WATER CLOSET (TOILET) .
BATH TUB
If Alboeo, e)rfAl'n.
SHOWER
LAVATORY.(WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY '
CLOTHES WASHER
TOTAL NO. @ o.aO APPROVALS
DATE INSPECTOR'S SIGNATURE
GAS SYSTEM • - OUTLETS 1.00
UNDER SLAB WORK
WATER HEATER @ 1.00 ROUGH PLUMBING � r
13211MIT S I 1 00 GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION HOT WATER HEATER
AND :STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED
CALIFORNIA OR THAT I AM THE•'LEGAL 0 NER OF E ABOVE
DESCRIBED RSSIDENTIAL PROPERTY.
SIGNATURE
OF PERMITTEE FINAL i`�717I /�t�,Ct�t!4y
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION
.�&vwa wa-: 3. 3 3-.410 M,
-- BY
DEPUTY t