HomeMy Public PortalAbout6125 ROWLAND AVE_Plumbing__ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0708130012
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID BUILDING ADDRESS:
1TR: 32644 LT: 3 1 6125 ROWLAND AV
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917801723
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LAS TUNAS
5385-024-044 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY, Cl
147 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
108/13/07 SR 02/09/08
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1OWNER: TEL. NO: I IF�DAF:7 CODE: 1
11GE DAVID H;ELAINE A (626) 291-2707- I 1 I
16125 ROWLAND AV 1 [ I
ITEMP 917801723 DgStRIPTION OF WORK
I I IWATER HEATER CHANGE OUT 40 GAL. 1
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APPLICANT: TEL. NO:
IBRUCE SMITHE (310) 638-0408- 1 1 I
13801 LENAWEE AVE 1 ISPECIAL CONDITIONS:
CULVER CITY CA I 1
1CONTRACTOR: TEL. NO: I APPROVALS DATE INSPECTOR SIGNATURE 1
IMIKE DIAMOND PLUMBING AND HEATING (310) 253-5229- 1 [
13801 LENAWEE AVE LIC. NO 1 1UNDER SLAB WORK
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ICULVER CITY CA 90232 C20 / C16 * 1 I
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IWATER SERVICE I [
I I 1PLASTIC YIN METAL Y/N I I 1
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
1 1ROUGH PLUMBING I I I
LIC. NO: 1 !
f (GAS PIPING 1 1
[ 1GAS VENT
1 1HOT WATER HEATER
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I II (PLUMBING FIXTURES 1 I 1
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I ILAWN SPRINKLERS I I [
I IGAS TEST I [
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I (UTILITY COMPANY NOTIFIED( [
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[GRAY WATER SYSTEM
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I* ADDITIONAL DATA ON FILE 1 1 I [
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IREPORT ID: DPR263 ROUTE TO: BS0508
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78A887A (Cg 817131-4/77
APPLICATION FOR PLUMBING PERMIT
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BUILDING AND SAFETY'DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING , ftw3md
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
3 WATER CLOSET LOCALITY TO1$I.fiA C#y
NEAREST
BATH TUB 3 CROSS ST.
SHOWER 0/ 'OWNER' JOhn S032
MAIL
3 LAVATORY ADDRESS 2023 Bella Vista
1 SINK 2 CITY Arcadia, Cao TEL.NO. 442772
DISHWASHER % CONTRAcTcFr=kMarrone & SOUS Plb 6-•COe
CLOTHES WASHER ADDRESS 3227AA N• Durfee Ave,,
SWIMMING POOL RECEPTOR
CITY El. Monte Lea TEL.NO. 444_11
LAWN SPRINKLER SYSTEM' STATE 286612 LIC. X36
1 WATER HEATER LICENSE NO. CLASS
GAS SYSTEM OUTLETS3 DISTRICT NO. GROUP ZONE CESSED BY
O r^ t
OUTLETS OVER ` Up O
5 PER SYSTEM INDUSTRIAL C7
WASTE APPROVAL
INSPECTION RECORD CD
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Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name UNDER SLAB WORK �✓ 7j�'
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REOUIRED BY'LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE GAS TEST
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE
OFPERMITTEE T o FINAL
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P it0 M.D. �Casx PERMIT VALIDATION M.O. CASH
POLICY HOLDER:� f s 4 $NrB 5 g 4 .5 0 A.'�
POLICY NUMBER:611 99 ,
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