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Home My Public Portal About4945 RYLAND AVE_Plumbing__ WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT hl hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers'Compensation Insurance, 76A667A or o certified copy thereof(Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. BUILDING ��l , �q�,/ ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS l &4.14 Certified copy is filed with the county building inspec- NUMBER FIXTURE OR ITEM @ FEE tion department. LOCALITY S WATER CLOSET %OSSST. AREST Date Applicant CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE OWNER A6� (This section need not be completed If the work Involved by SHOWER MAIL . the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS 1 certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY TEL.NO. ' so as to become subject to the WorkCompens11 Lyws. DISHWASHER CONTRACTOR C: J 1/�-�FfG C�21� Ll L Date4 ApplicantLat CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL. NO. Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC. deemed revoked. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO �SED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM � OUTLETS � (commencing with Section 7000)of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL < VALIDATION C DATE \ I License Number Lic. Class---- C; FINAL Ilk Contractor Date BY C ❑ I am exempt under Sec. ' I LL B.BP.C. for this reason Plan check fee I U.U. Date: PLUMBING PERMIT ISSUING FEE$ S Signature TOTAL FEE Q SINGLE FAMILY Plan check applicant J HOME OWNER-BUILDER DECLARATION NameCCr�e� I hereby affirm that I am exempt from the Contractor's License Address Law for the following reason (Section 7031.5, Business and r7 �ot Pro essions Code): City Tel. No. 01 1, as owner of the property, will do the work and the t IM / structure Is not intended or offered for sale (Section I , T0TI AL 37.513 7044, Business and Professions Code). ' CONSTRUCTION LENDING AGENCY I CF CK 37■vO I hereby affirm that there is a construction lending agency for CI S2 L4{an�;-- �(I the performance of the work for which this permit is issued C,'ua oLfl (Sec. 3097, Civ. C.). Lender's Name I dIIII � Dl x/19/ 9 Lender's Address I 4 1 1 iffil11A¢6 1 certify that I have read this application and state that the I , above information is correct. I agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize reprelentatives of this County to enter upon the above- tinned p ty for inspection purposes. E" SEE REVERSE FOR EXPLANATORY LANGUAGE ignature of Permittee Date 78A887--CE I7 M . '` APPLICATION FO PLUM11G PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION 'BmMING *9 _TOF N A.LAMBIE.•Co=ty EaL iaeer ADDRESS TT D. GRIFFIN.Supt lu LOCALITY F08 APPLICANT TO IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM _ OWNER WATER CLOSET NAIL TUB ADDRESS BATH .CITY TEL.IL SHOWER LAVATORYCTTq AIVILII SINS rcm DD883S DISHWAMIER ITY NO. ON 08'S TA LRUNDRY TUB REGISTRATION NO. COUNTY CLOTHES WASHER FnwUSTRULL STRI O. fa80FJ TH- P CESSED BY WATER HEATER GAS SYSTEM E APPROVAL INSPECTION RECORD OS FIXTURE I $ / 0-0' APPROVALS 'DATE INSPECTOR'SSIGNATURE PERMIT $ 2100 UNDER SLAB WORK TOTAL FEE �—� ROUGH PLUMBING GAS PIPING q 1 0'• I GGd�LL�e..r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENTi WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING LEA HEATER PLUMBING. I HEREBY CERTIFY THAT I 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 0 THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO.NOT1FiED SIGNATURE /T OF PERMITTE FINAL ®. V VAIMATIO VOBERT A.WOOD, CK. M.o. case SUPERVISING MECHANICAL ENG'R Li,,04 C 6 8 !%=O' 10 5 D 3.00 t, ,ell t. 76A669 EE817 12/59 Np TEMPLE CdTv . , a APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDIN AND SAFETY DMSION BUILDING JOHN A AMBIE,000NTY ENGINEER' ADDERS �!7 S/��Z IV D ]'4 V Y. WILLIAM A.JENSEN.SUPT OF BUILDING. LOCALITY L FOR APPLICANT TO FILL IN NENEAR$EST QS ST. LD W�j 4 �k a 5 NUMBER FIXTURE OR ITEM OWNER v U Ttt WATER CLOSET 1 BATH TUB DAD RES8 VZ W D .A VF, SHOWER CITY '- TEL.NO. G,X. gay LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITY TEL NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO. OUP ZONE/ PROC SED BY WATER HEATER GAS SYSTEM INDUSTR= WASTE APPROVAL INSPECTION RECORD 4So%,.l, a 4;94-'% Z -Pr 0 OR FIXTURE $ I U'U l APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS: APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER I HEREBY CERTIFY THAT I'AIN 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 PROPERTY. UTILITY CO.NOTIFIED SIGNATURE OF PERMI'ITE FINAL ®. AUDATION ROBERT A.WOOD, CB. M.0. CUR SUPERVISING MECHANICAL ENG'R LhCo•4 2 7 71 JUL 2 9 5 D 3.0 0 ;' 76A667-CE817 12/59 d 8 WIEMPLE. CITY APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPA=94 OUNTY ENGINEER BTIA�FETYIVISION sulLanNG 9�s OOUNTY ..NGIE ADDRESS W . SUPT OF BUILDINGLOCALITY T TO FILL IN NEAREST CROSS ST.. NUMBER FIXTURE OR ITEM OWNER WATER CLOSET MAIL ADDRESS RAM TUB CITY TEL SHOWER CONTRACTOR LAVATORY SRRB ADDRESS DRSHWASHER CITY TEL. NO. CONTRACTORS STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE P ESE Y WATER HEATER Q. GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD y, a 0 U a 0 F U W a 0 $1.00 PER ITEM r OR FIXTURE $ / APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK1-1 /,. TOTAL FEE ROUGH.PLUMBING w ./ GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ- THIS APPLICATION 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 I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF f' GAS TEST CALIFORNIA OR THAT I AM THE LEGAL WHER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERlrh UTILITY CO.NOTIFIED SIGNATURE OF PERMITTE FINAL �IvLIDATION ROBERT A.WOOD, - pEM.p. CASA SUPERVISING MECHANICAL ENG'R Lt~r 4 51 2 5 % r,U% 5 5 D 3.00 ,O 76A667 17 11-49 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COU M.TY OF LOS ANGELES ' WILLIAM J. FOX, CHIEFIENGINEER MIT NU. FOR APPLICANT TO FILL IN D15 R GR O P �y PLUMBER J°S READY FOR r/ +�/ RECEIVED BY DATE ISSUED / ! l/ FIRST INSPECTION 3 ADDRE / A Q BUILDING CITY ( TEL.Na Q � �p� ADDRESS COUNTY ,/ req � LICENSE NO. /f0 EXPIRES d—r� - / LOCALI ./ NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE ' OWNER f If {O G MAIL � WATER CLOSET(TOILET) @ 0.50 III ADDRESS BATH TUB 411 0.50 CITY TEL. No. SHOWER @ 0.50 1 HERE- ACKNOWLE E 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 LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAat-$$ROPERTY DESCRIBED' SAVEa - GAS SYSTEM SIGNATURE OUTLETS @ 0.50 �(z.~04 �� WATER HEATER @ 0.50 PERMITTEE D - ---- SLOP SINK @ D.so •INSPE TION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER 0:501 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 Q HOUSE SEWER @ 0.50 Z MISCELLANEOUS I 5 O APPROVALS DATE 'PlIPECTOR'S NAME ROUGH PLUMBING � r GAS PIPING GAS VENT / CESSPOOL @ 1..130 CESSPOOL SEPTIC TANK: SEPTIC TANK u DRAIN ( ) PIT ( ) IS 1.00 SEWER I PERMIT 1.00 GAS TEST //i�✓f! �.Zc +� UTILITY CO.NOTIFIED TOTAL FEE T FINAL ^ p COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0208230017 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: FE9S PAID BUILDING ADDESS: TR: 17107 LT: 18 4945 RYLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804036 ASSESSORNEAREST CROSS STREET: LOWER AZUSA 8585-010-014 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 13 DISHWASHERS) 1.00 FIX 16.20 TENANT: TOTAL FEES 43.95 PROCESSED 08/23/02 JK 02/19/03 . OWNER: EL. 0: FIN DAT E FINAL BY: CODE: AGUILAR;MARIO (626) 575-7609- 4945 RYLAND AV TEMP 917804036 P 0 OR *INTALL DISHWASHER APPLICANT: L. ARNDT & TRAINA INC (818) 343-4009- 12457 GLADSTONE #H SPECIAL CONDITIONS: SYLMAR 91342 r CONTRACTOR: TEL. NO: APPROVALS DATE INSPECT R SIG ATUR ARNDT AND TRAINA, INC. (818) 343-4009- 12457 GLADSTONE AVENUE #H LIC. NO UNDER SLAB WOR SYLMAR, CA 91342 799399 B * ' j WATER SERVICE ARCHITECT OR ENGINEER: No: PLA§TIC Y/N METAL Y/N ROUGH G " LIC.-NO-, - � GASIPIPING I. HOT;WATER HEATER tPLL1MBING FIXTURES <� NKLERS- GASJEST I SYSTEM * ADDITIONAL DATA ON FILE REPORT ID: DPR263 ROUTE TO: BS0508