HomeMy Public PortalAbout4938 RYLAND AVE_Plumbing__ 76A667 17 11-49 APPLICATION FOR PERMIT
DEPARYMENT OF BIIILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
D R C G P O P .
FOR APPLICANT/TO FILL IN + �49/7�n�
PLUMBER �� ,/ 4/ �� d RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRES �eUI !?,,f0�i ..��_ -3 F G 9 0'/
BUILDING �/� P
CITY TEL Na d' yg ADDRESS
� LOCALITY_ �v ./LICENE EXPIRESD J
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNERIAA. *4
MAIL
J WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50• CITY TEL. NO.
SHOWER 0.50 I HEREBY ACKNOWLEDGE 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.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL ROPFF,�RR,� DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50 #;W' �►
SIGNATURE OF l _���
WATER HEATER @ D.50 PERMITTED f v s.[
SLOP SINK @ 0.50I INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ C.'50I
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 J
Q
HOUSE SEWER @ 0.50 _Z
MISCELLANEOUS
APPROVALS
DATE INBPECTOR•B NAME
ROUGH PLUMBING I /
GAS PIPING
GAS VENT �/ v
CESSPOOL @ 1,1313 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT • I 1.00 GAS TEST / _y
UTILITYCO.NOTIFIED lei
TOTAL FEE $
�® FINAL e
76A687-CESI7 M
y- APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
d DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMBIE.'Count Ines ADDRESS
ASSATT D. GRIFFIN. Sup t of .wilding LOCALITY J J
1
FOR APPLICANT TO MIN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL
SATE TUB ADDRESS f x ,
1040
SHOWER CITY TEL NO. O ,
LAVATORY CONTRACTOR 1•
sm ADDRESS
DISHWASHER CITY NO.
CONTRACTORS STATE ❑
LAUNDRY TUB I REGISTRATION N COUNTY ❑
CLOTHES WASHER DISTRICT O. G O Z NE O ESSED BY
WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
W &GO PER ITM
a FDrroRE
APPROVALS DATE IN�4PE-*OR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK AP :•t
TOTAL FEE ROUGH PLUMBING �G"JJ�
.GAS PIPING
I HERESY ACKNOWLEDGE THAT I HAYS READ THIS AP LICATION
AND STATE THAT THE ABOVE .IS CORRECT AND AGREE TO COMPLY .' GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY.LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPS UTILITY CO.NOTIFIED .
SIGNATU
OF PERMITTE J
FINAL
®p ( VALIDATION ROBERT A.WOOD,
SUPERVISING MECHANICAL ENG'R
._ � 6.2'73: JO.25 5 A 9.40
COUNTY OF IAS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1210100009
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 17107 LT: 27 I 4938 RYLAND AV I
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917804037 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LOWER AZUSA I
18585-013-029 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I 113 DISHWASHER(S) 1.00 FIX 16.20 I I
TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: I
ITOTAL FEES 60.20 i10/10/12 SR
IOWNER: TEL. NO: I FINAL DATE FINAL BY: CODE:
GUO/TRAN, DA/TU (626) 383-9899- I I I
14938 RYLAND AV I II
(TEMP 917804037 I IDESCRIPTION OF WORK If
(REPLACE DISHWASHER AND KITCHEN SINK FOR KITCHEN REMODEL
(APPLICANT: TEL. NO: I I I
ISAME AS OWNER
I (SPECIAL CONDITIONS:
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER - I I
I LIC. NO I 1UNDER SLAB WORK
� I I
IWATER SERVICE I I I
IPLASTIC Y/N METAL Y/N I I
(ARCHITECT OR ENGINEER: TEL. NO: I I I I I
I - I IROUGH PLUMBING I I I
LIC. N0:
I
I (GAS PIPING I
IGAS VENT I I I
IHOT WATER HEATER I I I
I 1PLUMBING FIXTURES I I I
I I I
I I (LAWN SPRINKLERS I I I
I IGAS TEST
(UTILITY COMPANY NOTIFIED( I
ICWV I I I
(GRAY WATER SYSTEM I I I
I I I I I
I I I I I
I i I I I I
I I I I I I
(REPORT ID: DPR263 ROUTE TO: BS0508 I I I I