HomeMy Public PortalAbout4824 RYLAND AVE_Plumbing__ APPLICATION FOR PERMIT
DFP.ARZ`MENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
13 5 R GROUP PERMIT
FOR APPLICANT TO FILL IN a�q
PLUMBER J f2 RECEIVED BY READY FOR DATE ISSUED
I '. FIRST INSPECTION i� P
ADORE B k� d�
� BUILDING / �� /1 e--,
CITY TEL.N....A �� ADDRESS �( ((�/�/
COUNTYLOCALITY -14
LICENSE NO. i' ®� EXPIRES — ,d e / /J
NEAREST
PERMIT FEES CROSS ST. ,
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER �� ��i'.I_ •.a j:►{f - �i _/!li �/
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDREBB •� �. !�
BATH TUB 0.50 CITY Rr• TEL. No.
SHOWER @ 0.50 1 HEREBY ACKN13WLE GE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION 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 CELERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGES COUNTY LICENSE, OR I AM THE LEGAL OWNER
GAS SYSTEM—OUTLETS @ 0.50 OF THE RESIDENTIAL CRL ABOV.a�sd
SIGNATURE OF
WATER HEATER @ 0.50 FERMITTE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK IS 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ C.5OI
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER 0.50 Z
(MISCELLANEOUS 0
I I O
. I
APPROVALS
DATE /INSPECTOR'S NAME
I
ROUGH PLUMBING I , .`I•
GAS PIPING h
GAS VENT it
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) 1.00 I SEWER
PERMIT I 1.013 GAS TEST
UTILITY 00.NOTIFIED
TOTAL FEE ffi �
FINAL
7GA667 (CE-817) - 1/75 n I Jw ynzfy _.
APPLICATION FOR/PLUMB
1NG PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
ADDRESS RV&&VLI
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY-�—
FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST. ,�
NUMBER FIXTURE OR ITEM @ FEE OWNER O f"O
WATER CLOSET CLOSET 2.00
MAIL
BATH TUB 2.00 ADDRESS
SHOWER 2.00 C IT L. NO. a3
LAVATORY 2.00 CONTRACTOR /F
SINK 2.00 ADDRESS 16?aC)
DISHWASHER 2.00 CITY 13 Ir 0.A. TEL. NO. �a%d76
CLOTHES WASHER 2.00 STATE ^ LIC
LICENSE NO. d�l CLASS
SWIMMING POOL RECEPTOR 2.00
LAWN SPRINKLER SYSTEM DISTRICT N.GROUP ZONE ` ROC qE BY
2.00 r . t -7ZW
WATER HEATER 2.00 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD a
OUTLETS OVER o
5.PER SYSTEM .30 c7
BOO Q n CDCD
W
1w13-
w
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ r Vro�
TOTAL FEE
Plan check applicant �j APPROVALS DATE INSPECTOR'S SIGNATURE
/. UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
W1 TN ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, ANb fRTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDE TIAL PROPERTY. FINAL
SIGNATU RE "
OF PERMITTEE 1
PERMIT VALIDATION CK. M.O: CASH
PLAN-CHECK VALIDATION CK. M.O. CASH
3 7' 5NnEr' 18 5 D 7.5 G ,6z;b
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS PL-0508 9709300021
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA
PHONE: (818) 285-0488 EXT:
LEGAL I S PAID BVILDING ADDRESS:
TR: 17107 LT: 29 (4924 RYLAND AV
FEE DESCRIPTION: QUANTITY: LION: AMOUNT: - TEMP CA 917804035
ASSESSOR INFORMAT0 R: NEAREST CROSS STREET: BALDWIN
8585-011-009 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35
TENANT: I TOTAL FEES 44.10 ISSUED : PROCESS DEXPIRES ON:
09/30/97LAN e : 09/30/98
OWNER: TEL. NO: i FINAL DATE FINAL BY: CODE*
DEL PINO CHARLES R;PATRICIA A (818) 579-0712-
4924 RYLAND AV u4 L
TEMP 917804035 DESC•I OF WOR
GAS LINE FOR NEW HEATING AND AIR C NDITIONING SYSTEM
APPLICANT: TEL. 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
�•, n it—� �.�
CONTRACTOR: TEL. N0: ArJ -¢" - - II APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO �. �= �'-` DE B WORK
I -� t '• WATER SERVICE
'. PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: 1
ROUGHPLUMBING
LIC. NO:
' GAS PIPING
GAS VENT
iOT FATER H
BI G FIXTURES
I LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
1 - -
GRAY WATER SYSTEM
I
REPORT ID: DPR263 ROUTE TO: BS05O8
I