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Home My Public Portal About5926 ROWLAND AVE_Plumbing__ 76AB67-CE8I7-848 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER CMr IL MO QTY gD�cM�S�I�ON WEBBB 26 N. R owl and Ave. CASSATT D:GBIFFII�T;Snp o!Building LOCALITY T e 1® City FOR APPLICANT TO FILL IN NEHRB$T CROSS ST. NUMBER FIXTURE OR ITEM OViiNER Ja o Giangregori0 WATER CLOSET MAIL RATE Tn AnDDSM 5926 N. Row land Ave s s SHOWER CITY Temple City TEL.NO. LAVATORY CONTRACTORAnthony 73 roso Inc®D Smx ADDRESS 5;B71. Fire stns Blvd®s DIS$WASMM CITY South GA to TEL.NO.SFm32a 0 LAUNDRY TUR CONTRACTOR'SGIsTRA'I O 0117013 S.Cg53 CO TD�Y o CLOTHES WASHER DISTRICT GROUP ZONE P BY WATER BEATER GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Fresh water piping to swim poo APPROVALS ga°PER MM FI$TOR s df C DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT $ 2100 ROUGH PLUMBING TOTAL FEE 1 31--670- 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 WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY.RE STE AND/OR GAS TESL' LICENSED AS REQUIRED BY LOS ANGELES COUN ATE OF CALIFORNIA OR THAT I A THE LEGAL OWN E ABO UTILITY CO.NOTIFIED DESCRIBED RESIDENTIA P ERTY. SIGNATURE FINAL OF PERMiTTE 16 ROBERT A.WOOD. OF V ATION SUPERVISING MECHANICAL ENG'R CK H.0. CASH LAC5185fl� APR 16 5 A 300 M ;- ;y.•" k�WotdCERS''CO(fAPENSATIONDECLARATION APPLICATIOA FOR PLUMBING PERMIT di'ergby affirm,that I have a certificate of consent to self 76A667A 1i insurL s or a certificate of Workers'Compensation Insurance, CE 817(REV: 10/81) \+ �br a certified copy thereof(Sec. 3800, Lob. C.) COUNTY.OF LOS ANGELES ;BUILDING AND SAFETY Policy No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspec- E ADDRESS' Zrp Fd6W tion department. NUMBER FIXTURE OR ITEM ® FE .-r /' LOCALITY yV 6 N Date Appligant '2_ WATER.CLOSET 6 � NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER (This section need not be completed if the work involved by MAIL SHOWER Cr� the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS �CM� I certify that in the performance of the work for which this -permit is issued,I.shall not employ any person in any manner SINK CITY -rja,,,,,p L TEL.NO, 2 so as to become subject to'the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date: Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- CITY TEL.NO. LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed.revoked. WATER HEATER LICENSE.NO. CLASS LICENSEDCONTRACTORS DECLARATION DISTRI O. ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS (commencing with'Section 7000)of Division 9,of the Business OUTLETS.OVER YYY and Professions Code,and my license is in full force and effect. S PER SYSTEM FINAL VAL ATION. O ' •. DATE �' � License Number Lic..Class. FINA Contractor Date BY �183i8A RU I am exempt under Sec. IL B.BP.C. for this reason #'o 0 0 0 0 5. Z Plan check fee • Date: -00 I o o 3 6.5 0• PLUMBING.PERMIT ISSUING FEE$ Signature s, TOTAL FEE 3 V o-o o 3 IL 5 0 1=1 SINGLE FAMILY Plan check applicant ® 0-4. 12-85 HOME OWNER=BUILDER DECLARATION Name I.hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and .Professions Code): City TeL No. I., as owner of the property, will do the work and the structure is not intended or offered for sale (Section ► 7044, Business and Professions Code). CONSTRUCTION.LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued ; (Sec. 3097, Civ. 1 )..M �' Y� n. Lender's Name yyAdA.,� �.W�� 1P/-t�5t < Lender's 6ddress5 T(gram I certify that I have read this application and state that the ► ; above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter-upon the ove-m 'oned property for inspection purposes.. ' SEE REVERSE FOR EXPLANATORY LANGUAGE . 91P ' • 1-2 Signalureof Permittee Date ii - • , COUNTY OF LAS ANGELES, TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0706280006 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I ITR: 6561 LT: 18 I 1 5926 ROWLAND AV (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:] TEMP CA 917802240 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: 18587-032-010 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I 1 ITENANT: 121 HOSE BIBB(S) 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1 I 125 LAVATORIES/SINKS 1.00 FIX 16.20 106/28/07 SR 12/25/07 1 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 I (OWNER: TEL. NO: 151 LAW PRS GAS 5 OUTLET 1.00 SYS 16.20 1FINAL DATF, FIN HY: CODE: 1 ITRINH, TRAM (626) 286-6189- 1 TOTAL FEES 124.95 1 Q� 1 (5926 ROWLAND AVE I I �J 1 TEMP 917802201 1 IDIESCRIPTIOfi OF WORK [ 1 1 IPLUMBING FOR NEW ADDITION [ I I I ]APPLICANT: TEL. NO: 1 I I INGUYEN 626743014 11139 GLENVIEW RD. I ISPECIAL CONDITIONS: 1 1W. COVINA CA 91791 I I I I ICONTRACTOR: TEL. NO: 1 ]APPROVALS DATE INSPECTOR SIGNATURE 1 IH D CONSTRUCTION (626) 695-0444- 1 1 - I 14418 FA4MN AVENUE LIC. NO i JUNDER SLAB WORK / I I 1EL MONTE, CA 91732 636105 B I ]WATER SERVICE IPLASTIC YIN METAL YIN ]ARCHITECT OR ENGINEER: TEL. NO: 1TAGUDAR, FRED (626) 674-3014- I (ROUGH PLUMBING 11139 GLENVIEW RD. LIC. NO: 1 I in (WEST COVINA, CA 91790 C33612 IGAS PIPING ] 1 I [GAS VENT [ I ] [HOT WATER HEATER 1 [PLUMBING FIXTURES I I [ I I (LAWN SPRINKLERS GAS TEST I _7 1 [ I I I iOTILITY COMPANY NOTIFIED( I 1 1 I ICWV I I I IGRAY WATER SYSTEM I I I I 1 I I 1 I i �* ADDITIONAL DATA ON FILE I 1 I 1 REPORT ID: DPR263 ROUTE TO: BS0508 I 1 I I COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0503310011 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL - FEES PAID LADDRESS: TR: 6561LT: 18 5926 ROWLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802240 ASSESSOR 0 R: NEAREST CROSS STREET: LAS TUNAS 8587-032-010 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, C 60 DWV REPAIR OR ALTER 1.00 SYS 16.20 TOTAL FEES 43.95 ISSUED ON: PROCESSEDB EXPIRES 0 : 03/31/05 JK 09/27/05 OWNER: TEL. N0: FI AL DA FINAL BY: CODE: TEMPLE CITY CHURCH OF NAZARENE (800) 233-3226- 9953 LAS TUNAS DR TEMP 917802201 C P 0 0 REPLACE EXISTING SUMP PUMP AND DISCHARGE LINE APPLICANT: 0: GOOD DAY PLUMBING (626) 285-8080- 9729 E. LIVE OAK AVE SPECIAL CONDITIONS: TEMPLE CITY CA 91780 CONTRACTOR: TEL. NO: APPROVALS DATE --INSPECTOR SIGNATURE GOOD DAY PLUMBING (626) 285-8080- 9729 E LIVE OAK LIC. NO UNDER SLAB TEMPLE CITY CA 91780 565485 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECTOR ENGINEER: . ROUGH PLUMBING LIC. NO: PIPING S VENT HOT WATER ffMffEV- PLUMBING FIXTURES LAWN SPRINKLERS GAS S UML C014PANY NOrl-FTEff GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508