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Home My Public Portal About6037 ROWLAND AVE_Plumbing__ )BS-17 tO.S3 APPLICATION FOP-PLUMBING PERMIT .1 )BS-17 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING JOHN A.LAMBIE, COUNTY ENGINEER ADDRESS 6()17 TEL101;rInrld CASSATT D,GRIFFINS SUPT OF BUILDING LOCALITY Tnn 1 t p FOR APPLICANT TO FILL IN I NEAREST CROSS ST. zamf lig" OWNER Mrq. PoulonnDISTRICT NO. GROUP ZONE I READY FOR INSPECTION MAIL ADDRESS 0037 Foe r. dURIAL CITY CTI u(: C TEL.NO. Fig 3dn' WA TE APPROVAL PLUMBER JUCL PLUMING A Iii'ATLIG INSPECTION RECORD ADDRESS 3232' No. San Gabriel Blvdo CITY a11b °. n TEL.NO. 049 LICENSE NO. /� / /f/ NUMBER TYPE OF FIXTURE OR ITEM FEE ,�/. '?i"/ fC'.Al r�,�� /V F h, rJKT S WATER CLOSET (TOILET) @ $1.00 $ FITd L I) a l"l y} BATH TUB @ $1.00 SHOWER @ $1.00 LAVATORY (WASH BASIN) @ $1.00 KITCHEN SINK @ $1.00 DISHWASHER @ $1.00 LAUNDRY TUB OR TRAY @ $1.00 CLOTHES WASHER @ $1.00 WATER HEATER @ $1.00 GAS SYSTEM @ $1.00 APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT S 1 00 ROUGH PLUMBING GAS PIPING TOTAL FEE 00 GAS VENT 1 HEREBY ACKNOWLEDGE THAT 1 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. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED 1ASS{JR�E�QUIRED BY LOS ANGELES COUNTY AND STATE OF DES�FS D$0j.Er�yfiTb AM TIDE-kEfAbOWNER OF THE ABOVE UTILITY CO.NOTIFIED SIGNATURE SPlxl�4 + f Aa OF PERMITTEE FINAL OHN A.L AMBIE.COUNTY E GINEER VALIDATION ROBERT A.WOOD,CHIEF PLEIG. INSPECTOR ea. M.o. CASH ?� 9 6 8 9 I AU628 3 3.00 n 75A557 (CE-517) - 1/79 f 'APPLICATION ORPIMBING PERMIT COUNTY OF' LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: ADDRESS 6,[� � t�- HARVEY T. BRANDT, COUNTY ENGINEERICROSS_ST. LOCALITY re- f e C' FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST NUMBER FIXTURE OR ITEM @ FEEn WATER CLOSET 2.00 OWNER �D .2i n'4i MAIL 0 BATH TUB 2.00 ADDRESS SHOWER 2.00 CITY7-e TEL. NO. LAVATORY 2.00 CONTRACTORRe) Y^ 'r N It*. SINK 2.00 a ADDRESS J 7 e I- DISHWASHER 2.00 CITY�OA IV41^)Alo TEL. NO. CLOTHES WASHER 2.00 STATELIC (� SWIMMING POOL RECEPTOR LICENSE NO.,Z �oZ 3 CLASS 2.00 DISTRICT NO.JGRIOUPJ NE R ESS BY LAWN SPRINKLER SYSTEM 2.00 WATER HEATER 2.00 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 2.00a INSPECTION RECORD OUTLETS OVER V 5 PER SYSTEM .30 CD W EL N Z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEES APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant Roper Tr41%a t/ UNDER SLAB WORK Name r r r'q m G h D ROUGH PLUMBING 02 -0 j��v-tom Address J I0 Z r K e. Is-y A I/e GAS PIPING CityMjj_1' y Tel, o.�(��4-'r GAS VENT HOT WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ RHIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED LICENSE DAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANT) IATEHb TO ar.1 RESIDE IN THE ABOVE DESCRIBED REST 9PE'RRY- / FINAL SIGNATU RE //¢��/,• w/�j/�j„a (1 OF PERMITTEE GG��WWv�w 1 PERMIT VALIDATION cK. •0. CASH PLAN-CHECK VALIDATION CK. M.O. CASH, / 9 7'r'-'OCT 3.1 5 D 1 3.5 0 aelo ` r,l WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby, dffimn' that I have a certificate of consobt to self'in- 20 0026 DPW 4/87 76A667A sur • ar.p,cQr icor:of Workers Compensation Insurance,or a CE 817(REV.8/86.) � cert,fiedreop the�ebf(Sec. 3800, lab. C.): COUNTY OF LOS'ANGELESDEPT. OF PUBLIC WORKS Poltcy N6. Company Certified copy is hereby furnished. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /� ❑ Certified copy is filed with the county building inspection ADDRESS KO wtAA P ve- department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant 2 WATER CLOSET(TOILET) 190 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' / BATH-TUB C CROSS ST. COMPENSATION INSURANCESHOWER /i OWNER ,> w s p (This section-need not be completed If the work involved by V _rA MAILw the permit Is for one hundred dollars($100)or.less.) LAVATORY -ADDRESS Q 4uLAa✓D /4✓GS• I certify that in the performance of the work for which this per- SINK mit is issued, I shall not employ any person in ahy manner so CITY C/i TEL. NO. S r as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If; after making this'Certificate of Ex- SWIMMING POOL RECEPTOR emption,,you should become subject to the Workers'Compen- CITY TEL.NO. sation provisions of the Labor Code,you'must forthwith comp- LAWN SPRINKLER SYSTEM •ly with•'such provisions or this permit shall,be deemed revok- STATE LIC. ed.- WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATIONDISTRICT O OCES BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and ProfessionsCode, and my license is in full force and ef- 5 PER SYSTEM FINALALIDATION =" tett, DATE O' LII ense Number Lic. Class. V FINAL cc Contractor Date BY O ❑ I am exempt under Sec. W d B.&P.C. for this reason Plan check•fee Date: PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant 5 I hereby affirm that I am exempt from the Contractor's License Name AE•1rl nti LOW for the following reason (Section 7031:5, Business and Professions Code): Address67.50 3307 I; as owner of the property, will do the work and the City Tel. No. 1 ITEMS structure is not intended or offered for sale(Section 7044; Business and Professions Code). TOTAL 67 .50 CONSTRUCTION LENDING AGENCY ® CHECK. 67 v0[1 I hereby affirm that there is a construction lending agency for CHANGE -00 the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). Lender's Name 0000-0001 7/16191.1 Lender's Address 1816 1 AM 7146 1 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 above-mentioned property for' spection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signo re of Permittee 6.3te COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0701290014 '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 IT: 30 I 1 6037 ROWLAND AV I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT:[ TEMP CA 917801721 1 [ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GARIBALDI 15385-028-005 101 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl I07 BATHTUBS/SHOWERS 3.00 FIX 48.60 I 1 [TENANT: 125 LAVATORIES/SINKS 4.00 FIX 64.80 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I 145 WATER CLOSET/URINAL 2.00 FIX 32.40 101/29/07 JK 07/28/07 [ 1 1 TOTAL FEES 173.55 1 [ IOWNER: TEL. NO: 1 [FINAL DATE MR HY: CODE:ICASTRO JORGE;TERESA (818) 429-7739- 16037 ROWLAND AV I [ -' [ ITEMP 917801721 [ [DESCRIPTION OF WORK [ I [ IPLUMBING FOR BATHROOMS & KITCHEN I I I I I IAPPLICANT: TEL. NO: I I [ ICASTRO (818) 429-7739- [ [ I 16037 ROWLAND AVE. I ISPECIAL CONDITIONS: 1 ITEMPLE CITY CA 91780 1 1 I I 1 I I [CONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I ITERESA, CASTRO (818) 429-7739- I 1 I 19531 LONGDEN AVENUE LIC. NO I [UNDER SLAB WORK I I I ITEMPLE CITY, CA 91780 NONE I I I 1 I IWATER SERVICE I I I IPLASTIC YIN METAL YIN II [ARCHITECT OR ENGINEER: TEL. NO: 1 I _ I - I ]ROUGH PLUMBING I LIC. NO: I I I I I IGAS PIPING I I I I [GAS VENT I I I I I I I I I 1 1 [HOT WATER HEATER I I I 1 I [PLUMBING FIXTURES 1 I I I I I I I I ILAWN SPRINKLERS I I I I I 1 I I I IGAS TEST I 1 I I 1 I I [ [ [ UTILITY COMPANY NOTIFIED [ I ICWV I I I I I [ I [ [GRAY WATER SYSTEM I I 1 1 I I I 1 I 1 1 I I I [ [ I 1 I I I I I I I I 1 I I [REPORT ID: DPR263 ROUTE TO: BS0508 1 1 1 1