HomeMy Public PortalAbout6130 ROWLAND AVE_Plumbing__ 76A667A.(C6 81760 477
APPLICATION FOR PLUMBING PERMIT
BUILDIN ND SAFETY DIV.ISIO
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING 6100 Land NUMBER FIXTURE OR ITEM ® FEE ADDRESS (Q
3 WATER CLOSET LOCALITY Temple City
NEAREST
Z BATH TUB CROSS ST.. �
SHOWER OWNER john Sell
3 LAVATORY ADDAILRESS 2023 Bella nota 'j-27'f�
SINK CITY AI°CaCia, Ca. TEL.NO.jjjJM
DISHWASHER -J CONTRACTOR Frank Namone &.Sons Plb Co
1 CLOTHES WASHER ADDRESS 3227 No Dwfee Ave.
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY ]gj MBtjte CasTEL.NO.
STATE LIC.
i WATER HEATER LICENSE NO. 2%612 CLASS
I GAS SYSTEM OUTLETS DISTRICT NO. GROUPON ESSED Y
OUTLETS OVER v
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL CL"
INSPECTION RECORD v
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.Plan check fee
PLUMBING PERMIT ISSUING FEE$
TOTALFEE U --a.
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Plan check applicant
Name APPROVALS DATE INSPf.CfTOR-S SIGNATURE
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE G/ TEST
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL -
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE _
OF PERMITTEE FINAL
ASH PERMIT VALIDATIONM.O. CASH'
8. 4 9r-FES .27 .5 D C O
'OLICY HOLDER:f `
'OLICY NUMBER: 62/I
a
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0109140023
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 DUPLICATE
PHONE: (626) 285-0488 EXT:
LEGALFEES PArD BUILDING ADDRESS:
TR: 32644 LT: 4 6130 ROWLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917801722
ASSESSORE : NEAREST CROSS STREET: GARIBALDI
5385-024-045 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: A2 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 3.00 FIX 48.60
25 LAVATORIES/SINKS 4.00 FIX 64.80 TSSUED ON: PROCESSED N E PIRES
45 WATER CLOSET/URINAL 3.00 FIX 48.60 10/01/01 JK 03/30/02 .
47 WATER HEATER(S) 1.00 WTH 16.20
OWNER: TEL. NO: TOTAL FEES 205.95 FINAL D CODE:
H -P6730IROWLANDGAV (626) 374-7526-
dor-&
TEMP 917801722 IDESCRIPTIONOF-wow
C/O PLUMBING FIXTURES N 3 BATHROOMS AND KITCHEN
APPLICANT: E 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
GfcL ES c�
CONTRACTOR: TEL. NO: �j �/� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO � SLAB WORK
_ WATER SERVICE
ARCHITECT 0ENGINEER: E : yy PLASTIC Y/N METAL Y/N
LIC. NO��I _ ROUGH-PLUMB ING
'� ` 11;1' GAS NG
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HEATEF-
PLUMBING FIXTURES
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REPORT ID: OPR263 ROUTE TO: BS0508
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