HomeMy Public PortalAbout6214 ROWLAND AVE_Certificate of Occupancy__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer OPLUMBING
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DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Enginear
DISTRICT NO. GROUP ZONE PER .
FOR APPLICANT�TO FILL IN I A r �T � f
PLUMBER CIV J 1 /���'/. ..`f�+�•1 M&xJ
BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS ,.sr ��,�/'"•• /•r- ,ni /, / '
V', , ,,// y� r ADDRESS e•/ l y", I,
CITY� G' i rf!r e'I' (t TEL.No./7 /��f _
LICENBE NO.r-1 /T :j EXPIRES /'1 0.��) LOCALITY t
NEAREST
PERMIT FEES C GROSS ST--,
1
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERS / - —P
Ci 1� MAIL
WATER CLOSET(TOILET) @ 0.50 Is tJ ADDRESS
BATH TUB @ O.SO V ciTYA4Prie r r lrl TEL. 14. /
SHOWER 0 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 'O.SO APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
v AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 tj AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 AN0ELE8 COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIA OPERTY DESCRIBED—AS
GAS SYSTEM - OUTLETS 0.50 SIGNATURE /F
WATER HEATER @ 0.50 p ) PERM ITTE�
t
SLOP SINK @ 0.513 IN PECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50 `/1
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS _ Z, / /t�� r/A1
2 L4' D
APPROVALS
DATE IN9PECTORI9 NAME
ROUGH PLUMBING
GAB PIPING
OAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK., SEPTIC TANK
DRAIN ( ) PIT ( ) (119 1.00 SEWER
PERMIT .
1,00 GAS TEST F/AIR 1=. G -2 a
/ UTILITY CO.NOTIFIED "�i S- T v r� !�i✓
TOTAL FEE e Ip G FINAL —/r—,
T6A667 DBS#17 6-5E
76A662-c:m992A-4/77
APPLICATION FOR OCCUPANCY INSPECTION
COUNTY 0F•LOS ANGELES
DEPARTMENT OFZQUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APP LICANT TO FILLl N' BUILDING
(Print or.type only) ADDRESS
BUILDING /! LOCALITY
ADDRESSql7t
�' NEAREST /J n
CITY / C ZIP CROSS ST. 4✓C ( Y)
6,6,5—K
r--,� NO.OF BLDGS. ASSESSOR•
SIZE OF LOT 6, —K/4 r7 NOW ON LOT MAP BOOK PAGE PARCEL,
DISTRICT I TYPEFIRE PR E5 D BY
TRACT/ O d ;l BLOCK LOOT NO. CONST.w/_ ZONE
�/— i
OWNER TEL —
USE ZONE O -
—09 0-
N
NO.
ADDRESS (� L�
CITY SPECIAL
C®f MONS
ZIP
G 1 . BLDG. ET BACK FROM
SIZE OF NO.OF FP.ONTSPROP.LINE OF (STREET)
EXISTING BLDG: [STORIES
HIGHWAY + YARD-, TOTAL SET BACK FROM TYPE OF i IXIS'ra4G
FRONT PROP,6LNEj HIGHWAY WIDTH
PRESENT USE OF BUILDING
+ —
BLDG.SET BACK FROM
NO. PARKING SIDE PROP.LINE OF (STREET))
SPACES PROVIDED AF
HIGHWAY + YAR
OTA L SET BACK FROM TYPE OF EXI31 Q4G
SIDE PROP. LINE HIGHWAY WIDTH
REASON FOR INSPECTION REQUEST +
t
CORNER CUTOFF YES' NO t
OCCUPANCY GROUP OCCUPANT
AS VERIFIED OCCUPANT 3 .1 LOAD
I EXIT HARDWARE:
PROPOSED MAX.OCC. NO.OF EXITS NO SPEC. KNOWL. ❑
� '
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PANIC DEVICES ❑
APPLICATION AND STATE THAT THE ABOVE IS COR-
RECT.
'{ PARKING
SPACES : REQ'D f PROVIDED
�
SIGNATURE O
APPLICANT FINAL.g�n BY
DATE rf ^
ADDRESS n
o� Within the scope of this inspecr
• tion the Building Official may
ap.:)rove minor corrections or
ZIP alterations of an existing struc-
ture involving work of a build- PERMIT FEE
ing, plumbing, mechanical or
PHONE electrical nature. ISSUANCE FEE'
TOTAL FEE
APPLICATION VALIDATION CK. M.O. -CASH
9 7 -3'OJtll 14 6 1...o a