HomeMy Public PortalAbout6016 ROWLAND AVE_Plumbing__ 0.8J3.-17 25M SETS 7146 ' APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY -
COUNTY OF LOS ANGELES ���G
WM.J. FOX.CHIEF ENGINEER _
NATURE OF -INBTALaAnON DISTRIarNO_. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
RECEIVED BY READY FOR DATE ISSUED
HEATER. `CESSPOOL SBPi IC TANK FIRST INSPECTION
GAS-
-APPLICANT FILL. IN HEAVILY OUTLINED PORTION ONL
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ADDRESS 5�� •LOCALITY
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COUNTY / 1i 2
CERT.No: EXPIRES
NAME Gam. �1 v C���_,,-�'•-����'�i-i�-r p
LOCATION,OF SEPTIC TANK, OR CESSPOOL �P
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ADDRESS
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CITY /cwt e TEL.NQ..C"1
1 AN -THE LEGAL POSSESSOR OR THE A CVE LOS
-ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
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I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE. /�• �
.� OWNER
CORRECTIONS
SOUTH , J
DESCRIPTION OF WORK z
ATH TUB FURNACE
ROWER DISHWASHER 17
. VATORX REFRIGERATOR
KITCHEN SXNK WATER SOFTENER
FLOOR SINK BAND TRAP
-SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IN0696TOR'®NAME
WATER HEATER DENTAL LAVATORY ROUGH..PLUM®ING 7' Y I n
METED GAS KODA FOUNTAIN I II A
"• OUTL GAS PIPING
r: IGAS VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES 0-0 SEPTIC TANK I
CESSPOOI SEPTIC TANK SEWER I
BE
S
O� UTILITY CO.NOTIFIED
TOTAL FEE
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0910150001
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: [
ITR: 6561 IT: 231 6016 ROWLAND AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801720 I
[ASSESSOR INFORMATION NUMBER: I NEAREST CROSS STREET:
15385-029-016 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, CI
1 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 [ ]
ITENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I 125 LAVATORIES/SINKS 1.00 FIX 16.20 110/15/09 SR 10/15/10 I
I 145 WATER CLOSET/URINAL 1.00 FIX 16.20 1 I
(OWNER: TEL. NO: I TOTAL FEES 92.55 IFINAL DATE FINAL BY: CODE: ]
IYANG, WENDY (626) 759-4006— 1 1 ��� 1
16016 ROWLAND AVE. 1 1 O —t t 1
ITEMPLE CITY CA 91780 1 (DESCRIPTION OF WORK I
I I IPLUMBING FOR BATHROOM AND LAUNDRY ROOM [
APPLICANT: TEL. NO:
SAME AS OWNER
_ 1 1
1 1 [SPECIAL CONDITIONS: [
1CONTRACTOR: TEL. NO: 1 ]APPROVALS DATE INSPECTOR SIGNATURE I
ISAME AS OWNER — 1 1 104 oqI
[ LIC. NO [ [UNDER SLAB WORK xv
I I WATER SERVICE
I 1 [PLASTIC YIN METAL YIN I I I
]ARCHITECT OR ENGINEER: TEL. NO: I I I I
1 — I IROUGH PLUMBING
1 LIC. N0: I �7 1 1
[ 1 ]GAS PIPING
I i [GAS VENT 1 I 1
1 I IHOT WATER HEATER 1 1
IPLUMBING FIXTURES I 1 1
I I I
1 1 [LAWN SPRINKLERS I 1 ]
1 1 [GAS TEST 1 1 1
[ [ [UTILITY COMPANY NOTIFIED[ I 1
I I ICWV I I
1 I ]GRAY WATER SYSTEM 1 1
[ I I I I I
I I it I�70-
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[ I I I I
I 1 I 1 j 1
I I 1 I 1
[ IREPORT ID: DPR263 ROUTE TO: BS0508 1 [