HomeMy Public PortalAbout6012 ROWLAND AVE_Plumbing__ 76A%67C (CEI H) -9/75
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN*(PRINT OR TYPEI BUIDLDING
RESS 6012 N. Rowland Ct.t.��
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET LOCALITY
BATH TUB NEAREST
CROSS ST. Las Tunas
SHOWER OWNER Mr- Paul Wojdak
LAVATORY MAIL
ADDRESS 6012 N. Rowland
SINK CITY Temple City TEL.NOX 286-4717
0
DISHWASHER CONTRACTOR
Kamor Engineering
'CLOTHES WASHER
ADDRESS 60 N. San Gabriel Blvd.
SWIMMING POOL RECEPTOR
CITYPac denaTEL. N0. _ 3
LAWN SPRINKLER SYSTEM
WATER HEATER LICENSE NO. 165064 CLASS STATE LIC C�20 O
DISTRICT NO. I GROUP ZONE PR ESSED BY v
GAS SYSTEM OUTLETS 3 0 �r 3
OUTLETS OVER J a v
5 PER SYSTEM INDUSTRIAL Lu
WASTE APPROVAL
INSPECTION RECORD Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $ 7 QQ
TOTAL FEE
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
Address
ROUGH PLUMBING
City Tel. NO. GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS RED.UIR Y LOS TELES COUNTY AND STATE OF GAS TEST �UP-?-
T .
CALIFORNIA OR T ``A THE GAL OWNER 'F, AND INTEND TO
RESIDE IN THE A DE9 BED ID P PE TY,
UTILITY CO. NOTIFIED
SIGNATU RE -O
OF PERMIT FINACM O 0 0
v o 0 0 {.
PLAN CHECK VALIDATION CK. M.Q.- CASH IYERM1T VALhDA1TirON CK. M.D. CASH
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76A667.CE#817 9/63
APPLICATION FOR PLUMBI G PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING'
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS �Q
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARESToS .
NUMBER FI)gURE OR ITEM EACH FEE
OWNER
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR444
SINK 1.25 ADDRESS
DISHWASHER 1.25 CITY TEL O. �42 3
LAUNDRY TUB 1.25 CONTRACTOR'S STATE
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP Z NE OGESSED BY
WATER HEATER 1.50 't—.� '
GAS SYSTEM OUTLETS 1'50 INDUSTRIAL o_
WASTE APPROVAL O
OUTLETS OVER 5 PER SYSTEM .90 INSPECTION RECORD U
. O
F-
U
W
O.
1/1
Z
APPROVALS DATE INSPECTOR'S 549NATURE
PERMIT S 2 100 UNDER SLAB WORK ;
TOTAL FEE
ROUGH PLUMBING •yam j9
_
GAS PIPING
IHEREBY 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
PLUMBING. HOT WATER HEATER _'�� +i • -b'4 '•�
r•- b: r_G•.....J�'%!
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES' I,
LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE 'OF GAS TEST jj ...� ,a,+•
CALIFORNIA OR THAT 1 AMM THE LEGAL OWNER OF,AND INTEND.TO
RESIDE IN,THE ABOVE DIE67CRED RESIDENTI pRopERTY. UTILITY CO.NOTIFIED
SIGNATURE Y
OF PERMITTEEI ,
BIBBIBBIBBIBBIBBIBIBBIBBEFINAL G .+ '�0,6 ?c .I
VALIDATION ROBERTA.WOOD y Le
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
LAU'o 6 5 5 3:o DEC 7 5 D 3.5 0- ci