HomeMy Public PortalAbout6215 ROWLAND AVE_Plumbing__ oBB'7 11-5O APPLICATION FOR PERMIT
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ARTMENT OF BIIILDING AND SAFETY
V
,, COUNTY OF LOS ANGELES 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN
DISTRICT . GROUP O P R IT NO.
-J � ® �
PLUMBER READY FOR
♦ ECEIV D BY DATE ISSUED
FIRST INSPECTION
ADDRESS 7 •r ! �E�' Y�'i CO Z/6' m ,/
BUILDING/� —� Al
CITY kry TEL Na. _ ADDRESS(O
COUNTY LOCALITY I
LI ENSE NO. +/I✓ EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ .dq--j ADDRESS
BATH TUB @ 0.50 v CITY TEL. No.
SHOWER ® 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
y AND AGREE TO COMPLY WITH ALL OUNTY ORDINANCES
KITCHEN SINK 0.50 S V AND STATE LAWS REGULATING MBINO.
I CERTIFY THAT 1P1338 THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0 0.50 S�i ANGELES COUNTY LICEN OR THE LEGAL OWNER
0.50 SYi OF THE RESIDENTIAL PE DE CRIBED ABOVE.
GAS SYSTEM-1—OUTLETS
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE
SLOP SINK @ 0.90 IMSPECTION RECORD
FLOOR SINK 0 0.50
FLOOR DRAIN @ 0.50
DISHWASHER 0.50
DRINKING FOUKTAIN 0.50
URINAL@ 0.50
a
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS 0
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APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING 10-71 .
GAS PIPING /
GAS VENT
CESSPOOL 1.4313 CESSPOOL
SEPTIC TANK' SEPTIC TANK
DRAIN ( ) PIT ( ) @ 7.00 SEWER
PERMIT I 1,1313 GAS TEST /�
UTILITY CO.NOTIFIED I•/FR A�n,On
TOTAL FEE B
:;--c7 FINAL
7SA687-CE.#817 2-82 TEMPLE CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING y r hive,
A. LAMBIE. COUNTY ENGINEER ADDRESS
WILLIAM A.JENSEN,.SUP'T OF BUILDING LOCALITY
Ld &
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. _
NUMBER FIXTURE OR ITEM EACH FEE
f P
WATER CLOSET $1.25 OWNER
MAIL
BATH TUB 1.25 ADDRESS 6 bl.► d yllei
SHOWER CITY TEL. NO.
1.25
If
04 LAVATORY 1.25 CONTRACTOR
SINS 1,25 ADDRESS
DISHWASHER 1.25 CITY TEL. NO.
LAUNDRY TUB 1.25 CONTRACTOR'S STATE [I
REGISTRATION NO. COUNTY ❑
CLOTHES WASHER 1.25 DISTRICT NO. GROUPZONE P CESSED BY
WATER HEATER 1.50
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE AT'PAOVAL
i OUTLETS OVER 5 PER SYSTEM .30 n/• �' INSPECTION RECORD
w
n.
h
z
r APPROVALS DATE/ INSPECTORS SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK //'
ROUGH PLUMBING Q/ r
TOTAL FEE GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AN STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
r
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN.THE ABOVE DES B RESIDENTIAL PROPERTY. _ UTILITY CO.NOTIFIED
SIGNATURE 1 ,�
OF PERMITT �j L .j
FINAT/ ��/i�iS i 6+-.1 -"L'�"�„�!
LIDATION ROBERT A.WOOD
CK.
m.0.
CASH SUPERVISING MECHANICAL ENG'R
LAGO 4 7 1 8 PAY 5 a 5.7 5 N