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Home My Public Portal About4902 RYLAND AVE_Plumbing__ 76A667 17 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY i COUNTY OF LOS ANGELES • WILLIAM J. FOX, CHIEF ENGINEER D R GROUP ZON RMIT NLJ. FOR APPLICANT TO FILL IN PLUMBER .A1•• D/I ,Yjy��`d .O,dY1./� .r1 RECEIVED BY READY FOR DATE ISSUED rr�� FIRST INSPECTIONCQ c ADDRE S ..,/O/ � � � s a �� NG 2,6 �j//// AADDRESS 1 4 ��/� CITY /� TEL Na /l9G10BUILD /, _ 'CUN E NO. / // EXPIRES(o � � LOCALITY hlJYF NEAREST PERMIT FEES -ROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) @ 0.50 S ADDRESS BATH TUB @ 0.50 CITY (p /i�GGJ TEL No. SHOWER @ 0.50 I HEREBY ACKNOWLED THAT I 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. I CERTIFY THAT 1 POSSESS THE ABOVE VALID L4S LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL ROP RTY D SCRIBED ABOVE. SIGNATURE OF GAS SYSTEM_ 3—OUTLETS @ 0.50 ��, +� • �JC��.a'�e �4 WATER HEATER @ 0.50 PERMITTE SLOP SINK. @ o.SO INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.5o DISHWASHER @ 0.50I DRINKING FOUNTAIN 0.50 , URINAL 0.50 Q HOUSE SEWER 0.50 Z MISCELLANEOUS O I APPROVALS DATE /INaPEOToR•s NAME ROUGH PLUMBING I �\ �T GAS PIPING L GAS VENT CESSPOOL 1.013 CESSPOOL SEPTIC TANK1 SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 I SEWER PERMIT I 1.013 GAS TEST TOTAL FEE UTILITY CO.NOTIFIED � �(� FINAL 76A667 17 II-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY nmiIIIIIIIIh COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT GRD ZONE M . FOR APPLICANT TO FILL IN PLUMBER i n RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION Ab+ ADDRESS 30$4 North PBC& Road R40NTC P� nW�`t Ir. BUILDING CITY TEL' No. Il ADDRESS y I d T LICENSE CEN E NO. EXPIRES 4 o j2 1_.,&_ LOCALITY E 'f PC 1 PERMIT FEES NEAREST. o w P7 k' Q [i S NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER 1d 17 S All Al/* m MAIL WATER CLOSET(TOILET) @ 0.50 $ Kjj ADDRESS T-S.3 -7 J'L 4 A 5 r(i lY A) .7 •il /� BATH TUB @ 0.SM _'8 CITY-rk Al R L.[.'r C_I V TEL. No. SHOWER @ 0.50 1 HEREBYAPPLICAT I LAVATORY (WASH SASIN) (!� 0.50 .,� AND AGREE TO COMPLY W L C N Pe A E5KITCHEN SINK @ 0.50 AND STATE LAWS REGUL!JJ j$ o I CERTIFY THAT 1 POSS�{p {@• B�/ALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LI OF R q.L OWNER OF THE RESIDENTI L•PRER Y 5 IBED ABOVE. GAB SYSTEM.�_OUTLETS @ 0.50 Lso SIGNATURE OF WATER HEATER @ 0.50 -0 PERMITTEE SLOP SINK @ 13.513INSPE ON RECORD FLOOR SINK @ 0.50 1 _ •_• FLOOR DRAIN 0.50 ' `Z f i �V 4 `� ,- DISHWASHER @ 0:50 I I `M��` •G 4- DRINKING FOUNTAIN @ 0.50 �� 'n" URINAL @ 0.50 J HOUSE SEWER @ 0.50 m -y J�� Z MISCELLANEOUS Y ec ^1 r :='-g 4 Acbd Ao 79 D APPROVALS DATE G� INBPECTCR•B NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 7.130 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER 1 PERMIT I 1.00 GAS TEST ✓'�► �+ �+�► UTILITY CO.NOTIFIED TOTAL FEE S Ll so FINAL 76 A 667- CE 017 7-69 V °;s- APPLICATION FOR . PLUMBI _'` ° MIT COUNTY OF LOS ANGELES DEPARTMENT OF 'COUNTY ENGINEER. BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY T. Gi FOR APPLICANT TO FILL IN PR NT OR TYPE NEAREST. CROSS.ST. & -rlf NUMBER FIXTURE OR ITEM EACH FEE " OWNER r ��,0,61- WATER CLOSET 1..50 MAIL BATH TUB 1.50 ADDRESS SHOWER 1.50 CITY G£•. TEL' NO. LAVATORY 1.50 CONTRACTOR . SINK 1.50. ADDRESS,/4p-2de5 j 'DISHWASHER 1.50 CITY TEL.NO. - CLOTHES WASHER 1.50 STATE Q LI.0 LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP I IONE �R8 EE�SS�ED BY LAWN SPRINKLER SYSTEM 2.00' - Q --/ 16 WATER HEATER 1.50 INDUSTRIAL a WASTE APPROVAL- GAS SYSTEM OUTLETS 1.50 INSPECTION ORD OUTLETS OVER 30 3 5 PER SYSTEM (n�/ ' De Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 '00. TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS.VENT City Tela NO. •HOT WATER HEATER 1 HEREBY ACKNOWLEDGE' THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS .CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITH ALL COUNTY' ORDINANCES AND STATE LAWS REGULATING .GAS TEST PLUMBING. - 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 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN.THE ABOVE DESCRIBED RESIDENTIAL PROPS Y. FINAL SIGNATUREJACK R. ALLEN, SUPERVISING CHANI CAL ENG-R..OF PERMITTEE - PERMIT VALIDATION c M.O. cases PLAN CHECK VALIDATION C-K. M.O. CASH. 01 !'_ �.• , 9 7 5.r ►-lista 2 a D 3,5 0 1Q{URKERS'COMPENSATION DECLARATION ' I ereby~,affirm that I have a certificate of consent to self in- 706-A667IDPw 4/87 APPLICATION FOR PLUMBING PERMIT sure,ora certificate of Workers'Compensation Insurance,or a CE 817 F(REV.8/86) cerfified copy thereof(Sec. 3800, Lab. C.)' Policy No. Company I COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS ; Certified copy is he furnished. I FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING Certified copy is filed with the county building inspection NUMBER, FIXTURE OR ITEM @ FEE ADDRESS. 15 department. LOCALITY Date Applicant , WATER CLOSET(TOILET) NEAREST Jj CERTIFICATE OF EXEMPTION FROM WORKERS' I BATH TUB CROSS ST. COMPENSATION INSURANCE OWNER,' % SHOWER'.. O (This section need not be completed if the work Involved by MAIL the permit is for one hundred dollars(x100)or less.)' ;' LAVATORY ADDRESS I.certify that in the performance of the work for which this per- lei j mit is issued, I shall not employ any person-in any manner so SINK' CITY �`/(� tEL_NO. S.to beca , ject to the Workers'Compensation Laws. a DISHWASHER CONTRACTOR Date, Applicant /mak-r'J' CLOTHES WASHER, ADDRESS � g� NOTICE O LICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR Lq I /V - emption,you should become subject to the Wotkers'Compen- CITYTEL. NO. sation provisions of the Labor Code,you�must forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit sliall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE:NO. CLASS. LICENSED.CONT.RACTORS DECLARATION DISTRICT NO. P�1pCESSED BY I hereby affirm that I am licensed under'prov'isions of Chapter GAS SYSTEM. OUTLETS 9(commencing with Section 7000)of Division 3 of the Business OUTLETS-OVER. c fed ProfessionsICode, and my license is in full force and ef- i 5 PER SYSTEM FINAL r VALIDATI N d DATE. i + O License Number Lic. Class - (� FINAL ^ Contractor Date ' BY I 0 O I am exempt under Sec. r' W IL B.&P.C. for this reasonic Plan check fee. ® ti Date:: PLUMBING PERMIT ISSUING FEE•$ D Sigriature + TOTAL FEE SINGLE FAMILY Plan check applicant HOME OWNER-BUILDER DECLARATION I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and Professions Code): Address. _ 3C 7 XI, as owner of the property, will do the work and the City. Tel. No. ` structure is not intended or offered for sale(Section 7044, ITEMS •� Business and Professions Code). J CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction.lending agency for4 =`L L''` the performance of the work for which this permit is issued (Sec. 3097, Civ. C.). ` Lender's Name 'i1E'.—;',t [" iC! O Lender's Address I certify that I have read this application.and state that the ° above information is correct:I.agree to comply with all County tir ordinances and-State laws-regulating Plumbing;and hereby authorize represen tives of this County to enter Pon the ' above- n' n r perty for inspection p rposes = , SEE REVERSE FOR EXPLANATORY LANGUAGE Signature o Permitte G WORKERS COMPENSATION DECLARATION APPL��CA l7 0®E'C.I F®ice Pfl U��]Fa ��I1Fes_ I�ERSL�O'�j I hereby, affirm that I have a certificate of consent to self in- 76A6667A PW a/87 Er IJl� l!—L� uvfaLoJ k`CJI�J ll' Hl'7® u sure,or a certificate of Workers'Compensation Insurance,or a CE 817(REV. 8/86) certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING t 1/�,,�� N a t �P Certified copy is filed with the county building inspection ADDRESS �f�(f department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant 8 WATER CLOSET(TOILET) t NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. J COMPENSATION INSURANCE SHOWER OWNER rj S (This section need not be completed if the work involved by MAIL the permit Is for one hundred dollars($1100)or less.) LAVATORY ADDRESS �r I certify that in the performance of the work for which this per- SINK CITY I `,off T O. mit is issued, I shall not employ any person in any manner so `VV as to become subject to the Workers'Compensation Laws. . DISHWASHER , CONTRACTOR Date 6 lbci Applicant Ad I Dl A Q06ariv CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of Ex- SWIMMING POOL RECEPTOR emption,you should become subject to the Workers'Compen- CITY LAJ TEL. NO. sation provisions of the Labor Code,-you must forthwith comp- LAWN SPRINKLER SYSTEM. ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO, PROCESSED B I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS Q 9(commencing with Section 7000)of Division 3 of the Business OUTLETS.OVER f fed Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL Lf VALI®ATI a DATE License Number Lic. Class O V FINA Contractor Date BY O t— E] I am exempt under Sec. W B.&P.C. for this reason Plan Check fee U) Date: PLUMBING PERMIT ISSUING FEE$ Q Signature TOTAL FEE Z SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check applicant r I hereby affirm that I am exempt from the Contractor's License Name Law for the following reason (Section 7031.5, Business and �.- y Professions Code): Address )'iN i p'z ; 7 i i'-i 50 I,-as owner of the property, will do the work and the City Tel. No. �� + s'�' structure is not intended or offered.for sale(Section 7044, 1 NEMIS Business and Professions Code). 1-54 AL .n�-. oP CONSTRUCTION LENDING AGENCY D I hereby affirm that there is a construction lending agency for a +: 22.511 the performance of the work for which this permit is issued a (Sec. 3097, Civ. C.). '..'ANI`GE010 J s Lender's Name ( ,y / '7 �_} Lr_I;.IWI—_L10i JF Sdi'�L1 Lender's Address I certify that I have read this application and state that the D 1'15 3 AN 8:332 above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above- entioned property for inspection purposes. Z19G,_1C1W_.._ �h U SEE REVERSE FOR EXPLANATORY LANGUAGE Si ature of'Permittee Date