HomeMy Public PortalAbout4924 RYLAND AVE_Plumbing__ _X� '.
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76A667 17 11-49 .r APPLICATION FOR PERMIT
DEPARTMEIQT'OF BUILDING AND SAFETY B
COUNTY OF LOS ANGELES
WILLIAM J.'FOX, CHIEF ENGINEER
FOR APPLICANT TO 'FILL IN D STR fy O. GRO P Z E P Q�
)( diV
PLUMBER l e/J/ 1�/,�. f!� RECEIVED BY READY FOR DATE ISSUED
g f � FIRST INSPECTION
ADDREBB wel d .�
rD®®y� BUILDING
CITY/J /,� ,per / TEL.No. /��( ADDRESSle
LICENSEUNTY NO. �// EXPIRE9(O- Owed / LOCALI
NEAREST
PERMIT FEES CROSS 9T.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNS ���. •� ® i��-" (A�j
MAIL L� .d
WATER CLOSET(TOILET) @ 0.50 R ADDRESS�Y i.I
BATHTUB @ 0.50 CITY TEL NO.
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 15 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
/ KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
ICERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
GA5 SYSTEM-4—OUTLETS OUTLETS @ 0.513 SIGNATURE
THE RESIDENTIAL PROPERTY DESCRIBEE/D1 ABOVE.
SIGNATURE OF aA'd
/ WATER HEATER @ 0.50 PERMITTEE p I
SLOP SINK @ o.SO INSPECTION RECORD
FLOOR SINK @ 0.50I
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ O.So J
Q
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS I E9
m
O
I
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
! � i
GAS PIPING
GAS VENT G
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1.00 SEWER
PERMIT t.oD GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE FINAL 10'6 7ivm -"y
CE 817(REV.6/78t a
APPLICATION FOR PLU. B ING PERMIT
COUNTY OFLOS ANGELES -BUILDINGAND SAFETY
FOR APPLICANT TO:FILL'IN(PRINT ORTYPE) BUILDING
ADDRESS
o0faAaa AP-0-
NUMBER FIXTURE OR ITEM ® FEE
LOCALITY
WATER.CLOSET
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER:
LAVATORY MAIL-
ADDRESS .
SINK CITY TEL.NCf
DISHWASHER CONTRACTOR
CLOTHES WASHER
.. . ADDRESS �r
SWIMMING POOL RECEPTOR
. CITY TEL.NO.
LAWN SPRINKLER SYSTEM
STATE LIC.
WATER HEATERLICENSE NO.. CLASS
GAS SYSTEM OUTLETS
:• APPROVALS DATE INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK
5 PER SYSTEM ROUGH PLUMBING
GAS PIPINGcp
GAS VENT
HOT WATER.HEATER"
PLUMBING FIXTURES
Plari check fee UTILITYCO.•NOTIFIED g
PLUMBING PERMIT ISSUING FEE$ m
TOTAL FEE -FINAL, -7
Plan check.gppl'icont' PLAN CHECK VALIDATION
Name Am
Address.
City R¢� Tel.'No:
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THISAPPLICATION AND STATE
THATTHEABOVE ISCORRECTAND AGREE TO.COMPLY WITH ALL.000NTY ORDINANCES
AND STATELAWS REGULATING PLUMBING. 'PERMIT VALIDATION 2 12 2
I HEREBY•CERTIFY THAT IMAM PROPERLY REGISTERED.AND/OR LICENSED AS i # 0 O 0-0 O 5
'REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE.
LEGALOWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL ,
PROPERTY, 2 A O 2.5 0 0
SIGNATURE 0 0 0 2 5,0 0 5
OF PERMITTEE - - q
DISTRICT NO, PRO SED Y' 011 1 1 -79
INDUSTRIAL
WASTE APPROVAL,