HomeMy Public PortalAbout4923 RYLAND AVE_Plumbing__ .C76AIBe7A)
CE 14171REV:6/781 �� LL i✓L-�
APPLICATI-ON- OR PLUMBING PERMIT
COUNTY OF LOS ANGELES, BUILDING ASID SAFETY
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING /�
ADDRESS �
°J 3 /�- 7, j v-C
NUMBER FIXTURE OR ITEM ® FEE ? /t (7e
LOCALITY / �
oZ, WATER CLOSET
NEAREST
BATH TUB CROSS ST. /j;T 4 ZA,
f SHOWER OWNER CdM Ct
LAVATORY MAIL
ADDRESS /77
SINK CITY TEL.NO.
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
CITY TEL.NO.
LAWN SPRINKLER SYSTEM STATE LIC.
WATER HEATER LICENSE NO. CLASS
f GAS SYSTEM OUTLETS APPROVALS DATE INSP TOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK Q `� e,�� --'c
5 PER SYSTEM ROUGH PLUMBING �2{e
GAS PIPING
GAS VENT f-, u
as
HOT WATER HEATER
PLUMBING FIXTURES
GAS'TEST Q 7
Plan check fee UTILITY CO.NOTIFIED
PLUMBING PERMIT ISSUING FEE$ 09r w o
TOTAL FEE 3 FINAL
Plan check applicant PLAN CHECK VALIDATION
Name ;266 5 9•A
Address 0 0 0 0 0 5
City Tel.No.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2 c v 1�G ii
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES f,T_
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATION .O C O 3 i,O G
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS 9.
—79
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE 9' `�z
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY.
SIGNATURE
OF PERMITTEE
DISTRIg NO. O CESSED Y
INDUSTRIAL
WASTE APPROVAL
76A667 17 11-49 APPLICATION FOR PERMIT
DEPARTMENT OF. BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DS R GR UPZONE PERMIT NO.
FOR APPLICANT TO FILL IN /
PLUMBER RECEIVED BY READY FOR DATE ISSUED
�_ ��FIRST INSPECTION �-+c Ste/
AD.DRES9 7
BUILDING
CITY TEL.No. ADDRESS
COUNTY LOCALITY /r1
LICENSE NO. • EXPIRES 04 p
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE CF FIXTURE OR ITEM FEE OWNER Z�, _ ZF.��.® �•
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY 1 TEL No.
SHOWER @ 0.50 I HEREE6 ACKNOWLE96E THAT I HAVE READ THIS
LAVATORY AWASH BASIN) 0.50 APPLICATION AND STATE THAT THE ABOVE I5 CORRECT
/ AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
/ 1' CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE REBIDENTIAI�pR pY DESCRIBED ABOVE.
GAS SYSTEM-,�OUTLETS @ 0.50OF p,•~
SIGNATURE
WATER HEATER @ 0.50 PERMITTEE.
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ D.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.501 1
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J_ Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS 1 D
p
1
APPROVALS
1 DATE IMBPECTOR'6 NAME
ROUGH PLUMBING
1
GAS PIPING
r
GAS VENT
c CESSPOOL @ 1.430 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1.001 SEWER
PERMIT I t.00 GAS TEST i )��u°�:,,.. �• z i-+?
' UTILITY CO.NOTIFIEtD
TOTAL FEEG�
1—I'D FINAL