HomeMy Public PortalAbout6032 ROWLAND AVE_Plumbing__ DER."TRUMW OF COUNTY ENGDMER PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTS OF LOS ANGELES BUILDING
WILLIAM J. FOX, CouNT•Y ENGINEER ,ADDRESS
FOR APPLICANT TO FILL Itl LOCALITY
BUILDING NEAREST —, ~
ADDRESS �� u CROSS ST. �•a _J I�(�•I��-!' -� \ J
DISTRICT N0. L)P jf�011; MIT NOj
LOCALITY
NEAREST
CROSS ST. y t.RECEIVEII BY Ready for Inepeotlon DATE ISSUED
OWNER / ✓ ,1 1 dpi y /���--�
MAIL / ,INDUSTRIAL I f
ADDRESS / �7 ,', � ��"/�t, �!kf, WASTE APPROVAL
CITY TEL.N0.
INSPECTION RECORD
PLUMBER
ADDRESS
CITY TEL 0.
(]STATE
LICENSE NO. []COUNTY J
PERMIT FEES z
4UMBER TYPE OF FIXTURE OR ITEM FEE t
WATER CLOSET(TOILET) @ 0.80 $ 0
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN) @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY TUB OR TRAY @ 0.80
SLOP SINK @ 0.80
FLOOR SINK @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ -0.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..............OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
/ o o APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
p GAS PIPING
TOTAL FEEgo
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ASOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWN- v y
ER OF THE ABOVE DESCRIBED RESIDENTIAL PRO�RTY. , UTILITY CO.NOTIFIED ���
SIGNATURE
OF
FINAL 17 16 J'f!
76A08T DBS 17 rj I. I.
e a
�p PLUfV MING 1
Y 'ABrBMM oF
DIVISION OF IBUUM ATG AND SAFETY' PERMIT APPLICATION
courfm OF lag "aRLUI BUILDING
WILLIAM J. FOX. COUNTY ENGINEER ADDRESS Q �..
FOR APPLI(:bNT T FILL I LOCALITY 'ed 4L
BUILDINB NEAREST
ADDRESS GROW ST.
DISTRICT NO. GROUPONE PERMIT NO.
LOCALITY f 1p--j b'
NEAREST
OR088 ST. REGRIVED my Ron&far Nmaille t DATE ISSUED
OWNER • ~ `J
MAIL INDUSTRIAL
ADDRESS WASTE APPROV
CITY INSPECTION RECORD '
PLUMBER
ADDRESS 1922
CITY 11$'TEG TIO:'•"4'7
T
LICENSE NO. O EW J
�RTiMTT FEES Z
aumt Tvpc OR Fwmm OR PRM Rtes
WATER CLOBET(TOIL • GAD 0• •
BATHTUB • 0.00 ! {_ 'ti:�'•, , rf� �rC'F' O
SHOWER • 0.10
LAVATORY(WASH BASIN) • O.eo - - 1)
KITCHEN SINK ! LN
LAUNDRY TUB OR THAT • 0.80
SLOP SINK • 0.00
FLOORBINK ! 880
FLOOR DRAIN ! 0.00 No
DISHWASHER • 0.00
DRINKING FOUNTAIN • 0.00
URINAL 0 LN
GAB SYSTEM-SL-OUTLETS 0 IAO
WATER NEATER ! 1.00
MISCELLANEOUS �YEW
APPROVALS
DATE INSPECTOW8816NATURE
UNDER SLAB WORK
PERMIT ; 1 00 ROUGH PLUMBING rr"
TOTAL FEE GAB PIPING
1 HEREBY AOKNDWLEDGE THAT 1 HAVE READ TH18 APPLI- GAS VENT
TTOOTCOMPLY WITH ALL COUNTY ABOVE 18
STATE LGARW8 NOT WATER HEATER
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTI THAT 1 AN PROPERLY REGISTERED
AND/OR LIOENBED REQUIRED BY LOS ANBELEB COUNTY OAS TEST
AND STATE OF NIA OR THAT I AN THE LE OWN-
ER OF THE A HIRED,RES TI ROPE UTILITY O0.NOTIFIED
SIONATUR
OF FEW
FIN
70AUf SM 11 IM