HomeMy Public PortalAbout6052 ROWLAND AVE_Plumbing__ DEPARTNIEUM OF CODNW ENGENEE n PLUMBING 1
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COU= OF LOS ANGELES BUILDING {,r
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLICA TO FIN LocaLITY . .
BU' / .j NEAREST
ADDRESS C� Ory„�� CROSS ST.
DISTRICT. GROUP ZONE PERMIT NO.
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LOCALITY J1 I 41� I r ��9se of£',
CROSS ST. j/o )tt,'tct s--- -�c� Q:' jRECEIVED BY Ready for Inspection �y DATEISSUED[�
OWNER s�"� T� /o�i ° 0 ��0 ���f
MAIL INDUSTRIAL
ADDRESS WASTE APPROVAL
CITY 7` �c.� TJEL.NO. INSPECTION RECORD
PLUMBER��f�a ,� ?. :J. .�' t-'✓.�/
ADDRESS g ,��•- _/�
CITY TEL.NO.. //
STATE
LICENSE NO. C---.�. � K /a 4 C [d 4 O COUNTY J
PERMIT FEES
_z
VUMSER TYPE Or FIXTURE OR ITEM FEE _ 2
WATER CLOSET(TOILET) 0.80 S
O
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 @ 10.80
DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM..._.........OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE s`, �` GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APP LI-' GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE, HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED,
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST
AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWN-
ER OF THE ABOVE DESCRIBED RESID511IAL PRO$EJiTY. UTILITY CO.NOTIFIED
SIGNATURE y +�`j ��
OF PERMITTEE... .._.._.._........ ................
.. -•-• -. . ..._........ :...- - - -....
FINAL A
78A087 DBS 1T rJ L I—R O
D.B.S.-17 EoM SETS 1E-45 - �
APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY.OF LOS ANGELES
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRtc'-NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURESCOMPLETE
HEATER CESSPOOL H SEPTIC TANK R �fi ED.BY READY FOR DATE ISSUED
FIRST INSPECTION !!''
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
77-ADd-RESS
° ADDRESS
L/� � LOCALITY��JNEAREST
�s0 �,,.�_ , , TEL.Ngl� �� /� CROSS ST.. a EXPIRES NAME
LOCATION OF SEPTIC TANH, OR CESSPOOL z MAIL '
NORTH 0 ADDRESS
CITY ' TEL.No.
I -AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIF AT •F QUALIFICATION.
r ♦
rl.uIM
I AM THE LEGAL O ER OF THE PROPERTY DEBOR18FD
ABOVE.
OWNS
CORRECTIONS
5
SOUTH 4
DESCRIPTION OF,WORK
PATH TUB FURNACE a
HOWER DISHWASHER
AVATORY REFRIGERATOR 1
KITCHEN SINK WATER SOFTENER
-FLOOR SINK BAND TRAP
LOP SINK -FLOOR DRAIN
WASH TRAY URINAL
APPROVALS
T a
_WATER'CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME
WATER HEATER. - ^ENTAL LAVATORY ROUGH PLUMBING
ETE AS SODA FOUNTAIN
OUTL GAS PIPING
GAS VENT I I.
CESSPOOL I I
TOTAL NUMBER OF FIXTURES � SEPTIC TANK
ESSPOOL_-_SEPTIC TANK SEWER
8 UTILITY CO.NOTIFIED I
TOTAL FEE 3 Yra
FINAL
a -