HomeMy Public PortalAbout6058 ROWLAND AVE_Plumbing__ • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0006210038
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGA ID: FEES PAID BUILDING ADDRESS:
TR: 6561 LT: 27 6058 ROWLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801720
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GARIBALDI
5385-029-023 01 PERMIT ISSUANCE FEE 27.75 I THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON:
06/21/00 UT 12/18/00
OWNER: TEL. NO: FINAL DATE FINAL CODE:
DANIELSEN COLIN C (818) 286-1612-
6058 ROWLAND AV I
TEMP 917801720 DESCRIPTION OF WORK
GAS LINE FOR NEW HVAC SYSTEM
APPLICANT: TEL. N0:
SAME AS OWNER -
_ SPECIAL CONDITIONS:
CONTRACTOR: TEL. N0: f'J..�.t��/� 't i��� �e� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO �� ' ri^`7_� N UNDER SLAB WORK
�y" �+a G• f __•� `•� WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TE N0:
ROUGH PLUMBING
LIC. NO-,' _1
GAS PIPING
GAS VENT
OT WATER HEATERF
Li
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'+��t--` ----------i .J� i, �,_ -------�----; -----�--�-' PLUM13ING FIXTURES
LAWN S R N RS /
GAS TEST
�`• ��:- � _J � � ., � UTILITY COMPCwV
NO I F I ED
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GRAY WATER SYS E
REPORT ID: DPR263 ROUTE TO: BS0508
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'16A8417-CF-9817 4-84 '
APPLICATION FOR PLUMBING P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
Q.
FOR APPLICANT TO FILL IN CROASS ST. r ,
NUMBER FIXTURE OR ITEM EACH. FEE
OWNER Aif
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS
SHOWER 1.25 CITY TEL. NO.
i
LAVATORY 1.25 CONTRACTOR
SINS 1,25 ADDRESS
DISHWASHER 1.25 CITY TE,+L. NO.
LAUNDRY TUB 1.25 TE
REGISTRATION NO. �/, COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P SBED BY
WATER HEATER 1.50 1
GAS SYSTEM OUTLETS 1'50 WWAuASTSE�APPROVAL O
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
0
U
u:l
a
t/1
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLCDGE 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBERESIDENTIAL PROPERTY.
UTILITY LITY CO.NOTIFIED _
SIGNATURE //�J
OF PERMITTC� p�
FINAL
V ATION ROBERT A.WOOD.
CK.
M.0. CASH SUPERVISING MECHANICAL ENG'R
Lh6o 5 9 6 0:91 SEP 2'7 5 D 3.50-