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Home My Public Portal About4818 RYLAND AVE_Plumbing__ J fi.7 Fw: D ` ��EPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES ' 1 WILLIAM J. FOX, CHIEF ENGINEER DI R GRD P •O PERMIT NEI. FOR APPLICANT TO FILL IN .00/'7—)9 PLUMBER .1j t RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION �q BUILDIN CITY(_/ i6i / G / TEL.N4- ® JP g!fe ADDRESS COUNTY / 'LICENSE'LICENSE No. s�® EXPIRES/�J-.y? NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /'` / a /0 MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDREBB!Y a/ /A BATH TUB @ 0.50CITY /��iv/� /,O.&!b TEL. Na. SHOWER @ 0.50 1 HEREBY ACKNOWLED E THAT I HAVE READ THIS P LAVATORY (WASH BASIN) 0.50 APPLIC;%TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS. THE ABOVE VALID LOB LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER of THE RESIDENT�I -pP__OP TY DESCRIBE D1ABOV� E. , GAS SYSTEM OUTLETS @ 0.50 SIGNATURE OF �J / WATER HEATER @ 0.50 PERMITTE SLOP SINK @ o.so INSPECTION RECORD FLOOR BINK @ 0.50 FLOOR DRAIN 0.50 DISHWASHER 0:50 DRINKING FOUNTAIN @ o.5o URINAL @ 0.50 J Q HOUSE SEWER @ D.50 Z MISCELLANEOUS O O I APPROVALS DATE IN PECTOR•S NAME ROUGH PLUMBING /f / GAS PIPING GAS VENT ✓ r CESSPOOL G 1.430 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1.00 GAS TEST UTILITY CO.NOTIFIED TQTAL FEE =-6 FINAL 76A667 055 77 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY ' COUNTY OF LOS ANGELES ��t �i PLUMBING 1 WILLIAM J. FOX, CHIEF ENGINEER T O. GROUP . FOR APPLICANT TO FIAJLL IN � /g*�'/'/� PLUMBER ald �l E:'a.�s1 i."11�J CLE READY FOR 5r RECEIVED BY DATE ISSUED ` FIRST INSPECTION /y ADDRESS 91436 SO. :i0Q? (� BUILDING /?t CITY ` mss=`- TEL.No. �.. ADDRESS COUNTY EXPIREH LICENSE NO. Zoo (j �- C�2 LOCALITY f NEAREST nr J dzc�I PERMIT FEES CROBB ST. _ . ,_e.�, EQ� .��o,, NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER/ MAIL WATER CLOSET(TOILET) 0.50 B ADDRESS BATH TUB 0.50 CITY �rcf� lrC�%G TEL No. SHOWER 0.50 1 HEREBY ;CKNOWLED134 THAT I HAVE READ THIS LAVATORY (WASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO C'dMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK Q 0.50 AND 37`AE LA1N-Br REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VAI�.1 B LAUNDRY TUB OR TRAY 0 0.50 ANGELES CO•NTY LICENSE. DR I AM HE -LEGALF.9 ER OF THERE D—ENTIAL PROPERTY DESCRIBED ABO VE. GAS SYSTEM OUTLETS @ 0.50 SIGNATU l D �� WATER HEATER @ 0.50 PER TT + � SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN 0 0.50 DISHWASHER @ 0.50 DRINKING FOUP6TAIN 0 0.50 URINAL 0 0.50 J Q HOUSE SEWER 0 0.50 _Z MISCELLANEOUS O OiU A ' APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.'00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT I 1,00 GAS TEST /T UTILITY CO.NOTIFIED TOTAL FEE $ Vj u FINAL WORKERS'COMPENSATION DECLARATION • APPLICATION FOR PLUMBING PERMIT I,.hereby affirm th6t I'have a. certificate of consent to self 20=0026 DPW 6/87 insurlj, or mcertificate of Workers'Compensation Insurance, 76A667A orlp,certified copy thereof(Sec. 3800, Lab. C..) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy Nd; Company Ce tified copy is hereby furnished.. ❑ ? FOR APPLICANT TO FILL IN(PRINT bR TYPE) BUILDING +(a�j .gip`/ Certified copy is filed with the county building inspec- r ADDRESS b 1 D `�, tion department. T NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Appli4antNEAREST WATER CLOSET 1' CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS$T. f ZU-S Pl COMPENSATION INSURANCE OWNER GbW�la Qy" G� t 11 (This section need not be completed If the.work Involved by SHOWER , MAIL � the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS LQG I certify that in the performance of the work for which this permit'is issued, I shall not employ any person in any manner SINK J!� CITY� Q�� 1(�q t� TEL.NO, so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after -making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY' TEL NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATERLICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PROCESSED BY 1 hereby off irm•that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS 'Q , (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER d �`J and Professions Code,and my license is in full force and effect. 5.PER SYSTEM. FINAL DATE VALIDATION C License Number we. Class 7_q Z . C FINALIM Contractor Date BY C ❑ I am exempt under Sec. 00, W B.BP.C. for this reason �' O• Plan.check fee Date. PLUMBING PERMIT ISSUING FEE$ ' Signature i TOTAL FEE , 4,7 SINGLE FAMILY i Plan check applicant � HOME OWNER-BUILDER'DECLARATIONName ; f e= I hereby affirm that I am exempt from the Contractor's License' I. Law for the following reason (Section 7031.5, Business and Address 3L07 68.40 Professions Code): f City Tel. No. y -T tl:: LSI I, as owner of the property, will do the work and the f t,. structure is not intended or offered for sale (Section I TOTAL 641-Elp -40 7044, Business and Professions Code). t, f`��Ji�C�[ TLS ( CONSTRUCTION LENDING AGENCY � E I hereby affirm that there is a construction lending agency for I t -� ((j t 1 the performance of the work for which this permit is issued (Sec. 3097,Civ. C.). j 0101 !L?—?�i0 t i/L 1/'�z Lender's Name 1 2 1 Lender's Address '211'� AM �"`-°`"` I certify that I have read this application and state that the ve information is correct. I agree to comply with all County ord ances and State laws regulating Plumbing, and hereby out orize representatives of this County to enter upon the ab ve- entioned'p t foZinction purpos ' SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Dae , COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0411160001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGALD: FEES PAID B ILDI G ADDRE S: TR: 17107 LT: 40 4818 RYLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804032 ASSESSOR INFORMATION N B NEAREST CROSS STREET: 8585-011-020 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY, C 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: P PIR S ON: 11/16/04 JK 05/15/05 OWNER: TEL. 0: FINAL DATE FINAL BY: CODE: MARTIN PATRICIA A (626) 448-2131- 4818 RYLAND AV TEMP 917804032 DESCRIPTION OF WORK GAS LINE FOR THE HVAC SYSTEM. PP E VAL AIR CONDITIONING & HEATING (626) 810-6897- 592 ABERY AVE SPECIAL CONDITIONS: LA PUENTE, CA 91744 CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE VAL AIR CONDITIONING & HEATING (626) 810-6897- 592 ABERY AVENUE LIC. NO UNDER SLAB WORK LA PUENTE, CA 91744 8253GIC20 WATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT OR ENGINEER: . ROUGH PLUMBING LIC. NO: GAS IPING GAS VENT HOT WATER PLUMBING FIXTURES LAWN S RS GAS TEST UTILITY COMPANY NOTIFIED CWV GRA WA S ST M REPORT ID: DPR263 ROUTE TO: BS0508 I' WORKERS'COMPE(dSATION DECLARATIONAPPLICATION FOR PLIJIV RING PERMIT ` I,hereby affirm th6t I'have a certificate of consent to self 20,;0026 DPW 6/87 insurg, or arcertificate of Workers'Compensation Insurance, 76A667A or't�certified copy thereof(Sec. 3800, Lab. C.) ( COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy N± Company , ❑ Cerfified copy is hereby furnished. BUILDING ❑ I FOR APPLICANT TO FILL IN(PRINT OR TYPE) -ram(1$ � it Certified copy is filed with the county building inspec- ADDRESS tion deportment. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Appli4ant WATER CLOSET f+Qr ��lAs NEAREST CERTIFICATE.OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST; 1„D A- COMPENSATION INSURANCE OWNER �W�� p.. (This section need not be completed if.the work Involved by SHOWER CIPS the permit is for one hundred dollars($100)or loss.) LAVATORY ADDMAI "V2 �l�-Y l-P-t�b ADDRESS I certify that In the performance of the work for which this permit•is issued,I shall-not•employ any person in any manner SINK CITY 6MQLt (IiL rY TEL.NO. ( f so.as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should' become subject to the Workers' CITY TEL.NO. Compensation provisions of the Labor Code, you must forth- I LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall- be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION • DISTRICT NO. PROCESSED BY 1 hereby affirm-that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS mrd (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM- FINAL VALIDATION License Number Lic. Class DATE FINAL Contractor Date ' BY ❑ I am exempt under Sec. B.$P.C. for this reason Plan.check fee Date PLUMBING VERMIT ISSUING FEE$, ; Signature TOTAL FEE C Plan check applicant r SINGLE FAMILY HOME OWNER-BUILDER'DECLARATION ;� Name ;; ;i,4 I hereby affirm that I am exempt from the Contractor's License• 'IAddress +q('1 A Law for the following reason (Section 7031.5, Business and }. 6 .40 Professions Code): City Tel. No. i 7rC• �y s El LTJ I, as owner of the.property, will do the work and the + structure is not intended or offered for sale (Section + TOTAL 6�® -'`x-�0 7044, Business and Professiohs Code). �t CONSTRUCTION LENDING AGENCY + L fl�ir�t Vit:" i t I hereby affirm that there is a construction lending agency for 1 CHANGE ' en' the performance of the work for which this permit is issued, ta.' (Sec. 3097,Civ. C.). i Lender's Name I 1IC1;;iL'i—ti�t011 —/11/'-4 Lender's Address i182 i "�? 1 I certify that I have read this application and state that the ve information is correct. I agree to comply with all County ord ,an and State laws regulating-Plumbing, and hereby aut orize representativ s. of this County to enter upon• the J ab.ve- entioned;pr t for ins' ction purpos SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee D e i ' I ,