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Home My Public Portal About4948 RYLAND AVE_Plumbing__ See ' WORKER'S COMPENSATION of consent to 200025DPW 8/59 APPLICATION FOR k.'UMBING PERMIT 76A887A I hereby,affirm that I have a certificate of consent to self insure, or a cerrkcate of Worker's Compensation Insurance, or a certifiedi copy thereof(Sec.3800 Lab.C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. Policy No. Company Certified copy is hereby furnished. ! BUILDING e_1 ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS !! 6 t7 Qe7 Certified copy is filed with the county building inspection department. NUMBER FIXTURE OR ITEM FEE I LOCALITY Date Applicant I WATER CLOSET NEAREST ! CROSS ST. CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB ASSESSOR COMPENSATION INSURANCE ' (This section need not be completed if the work Involved by the; SHOWER MAP BOOK PAGE PARCEL permit Is for one hundred dollars($100)or less.) LAVATORY OWNER UisO�/ I certify that in the performance of the•work for which this permit is Issued, I shall not employ any person in any manner so as to', SINK ADDRESS become subject to the Workers'Compensation Laws. DISWASHER CITY /yam �! TEL.NO.,3,_d2, Dat@ ' Applicant CLOTHES WASHER Oy/ NOTICE TO APPLICANT: If, a r maki this C ificate of+ CONTRACTOR S.� Exemption,you should become subject to the Workers'Compensation, SWIMMING POOL RECEPTOR i provisions of the Labor Code,you must forthwith comply with such ADDRESS s! provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY !(��' TEL.NO. ` > I hereby affirm that I am licensed under provisions of Chapter 9• WATER HEATER �f�LIC. ^o`�� 6 a (commencing with Section 7000)of Division 3 of the Business and. STATE S-3 .10 GAS SYSTEM OUTLETS LICENSE NO. �"6� CLASS Professions Code,and my license is In full force and effect. • OUTLETS OVER DISTRICT NO. PROCESSED BY a: 5 PER SYSTEM I /i Q /�_ License Number Jl�/ 6� Lic.Class y FINAL U.1Contractor Data 01 SO I DATE VALIDATION ❑ I am exempt under Sec. % BY AL � � B.&P.C.for this reason D tPlan check fee. e: ! Signah PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant ! SINGLE FAMILYnn 5 HOME OWNER-BUILDER DECLARATION Name klle I hereby affirm that I am exempt from the Contractor's License Law ji1;CT,= for the following reason Section 7031.5, Business and Professions. Address ¢ Code)., g ( f V L P C 33IP ❑ ��/�'��?'� JY"0 I,as owner of the property,will do the work and the structure• City Tel.No. � 1 T E s'S Is not Intended or offered for sale(Section 7044, Business and Professions Code). ® TOTAL I AL 20m501 CONSTRUCTION LENDING AGENCY CHECK I hereby affirm that there Is a construction lending agency for the ' CHANGE alai performance of the work for which this permit is issued(Sec.3097, Giv.C.) Lender's Name 0000-0001 121/ t3/ 11 Lender's Address 4234 1 P M 12 e k 1'' I certify that I have read this application and state that the 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-mentioned property for Inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE 76A667 17 11-49 f APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES L mw13 rd E193he WILLIAM J. FOX, CHIEF ENGINEER I TRC O. GROUP ZONE. FOR APPLICANT TO FILL IN7-1/_? ®0/ r° �'PLUMBER (� /,I :�%l�,`tdG!/+' G RECEIIVED BY READY FOR DATE ISSUED) ADDREBB 14 i H,.C, FIRST INSPECTION 3'1/o f/ a1 3 r �s 8 /1 BUILDING ADDRESS CITY / 'G TEL.No-V (� ([; 46 COUNTY LICENSE NO. �' EXPIRES AJ" !!i V I LOCALITY • NEAREST G PERMIT FEES CROSS 5T. NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL WATER CLOSET(TOILET) 0.50 $ ADDRESS/ / BATH TUB @ 0.50 CITY ,d' a� TEL. No. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS 1 LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES J KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS J LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL QS ROPERT,Y�D� CRIBED�e�VN�J OAS SYSTEM OUTLETS 0.50 a'o Ij!�GG SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK 6 O.so INSPECTION RECORD FLOOR SINK 0 0.50 FLOOR DRAIN @ 0.5011 DISHWASHER O:50I I DRINKING FOUNTAIN (BZ 13.5131 1 URINAL 0.50 J Q HOUSE SEWER @ 0.50 _Z MISCELLANEOUS I O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING I / .I , GAS PIPING Q`."�I'✓ GAS VENT CESSPOOL @ t.fl0 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 I SEWER PER MIT . I t.0o GAS TEST UTILITY CO.NOTIFIED TOTAL FEE $ � FINAL ' COMPENSATION DECLARATION, 20-0026 APPLICATION FOR PLUMBING PERMIT ! •1 ATeli'y; a.ffirm ffirm that I have a certificate of consent to self in- 176A667A PW 4/87 sure,or a certificate of Workers'Compensatiori Insurance,or a ICE 817(REV.8/86) 'fl certified copy thereof(Sec. 3800, Lab. C.) Policy-No. 'Compapy �. COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Certified copy is hereby furnished. copy" y g inspection FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS .� ��' y�! �vq Certified co is filed with the count building NUMBER FIXTURE OR ITEM LOCALITY -�`-' �. department. @ FEE , l` Date Applicant WATER CLOSET(TOILET) NEAREST !� CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST. 6(,}L 4I" AZL+,.,A— COMPEN f1TION INSURANCE SHOWER OWNER (This section need not be completed if the work involved by MAIL the permit is for one hundred dollars($100)or less.) -LAVATORY ADDRES I certify that in the performance of the work for which this per- SINK CITY TEL. NO. mit is issued, I shall not employ any person in any manner so as to become subject to the Workers'Compensati n Laws. CONTRACTOR [ DISHWASHER Date ? '?; %i Applicant 722tr"I CLOTHES WASHER NOTICE TO APPLICANT: If, after making this Certificate of Ex- emption,you should become subject to the Workers'Compen- SWIMMING POOL RECEPTOR CITY TEL. NO. sation provisions of the Labor Code,you mus}forthwith comp- LAWN SPRINKLER SYSTEM ly with such provisions or this permit shall be deemed revok- STATE LIC. ed. WATER HEATER LICENSE NO. CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NO. PRO ED BY I hereby affirm that I am licensed under provisions of Chapter GAS SYSTEM OUTLETS /�. 9(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER (,/ and Professions Code, and my license is in full force and ef- 5 PER SYSTEM FINAL �� VALI ATION } tett. DATE CL License Number -Lic. Class O U " FIN � Contractor Date BY 0 F V I am exempt under Sec. � W a B. P.C. for this reason ® U) Plan check fee Date: i PLUMBING PERMIT ISSUING FEE$ Signature • TOTAL FEE � (� . SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Plan check aEELEW 9 2[L"3 A ` o o,0 0 0 I hereby affirm that exempt from the Contractor's License Name .� � Law for the followingng r reason (Section 7031.5, Business and � h U Professions Code): Address 0 0 0�f. lot�� I., as owner of the property, will do the work and the City`"� Y+�r y Tel. No. �..� o a2 "88 Jr. structure is not intended or offered for sale(Section 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY I*hereby affirm that there is a construction lending agency for the performance of the work for which this permit is isiued (Sec. 3097, Civ. C.). Lender's Name 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 D ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above-mentioned property for inspection purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee Date ' - COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT " DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0006200027 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 a PHONE: (626) 285-0488 EXT: GA D: FEES PAID BUILDING ADDRESS: TR: 17107 LT: 25 4948 RYLAND AV FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804037 ASSESSOR OR ATIONUMBER: NEAREST CROSS STREET: LOWER AZUSA 8585-013-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY 07 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED Y: P N Y: EXPIRES ON: 25 LAVATORIES/SINKS 2.00 FIX 32.40 06/20/00 UT 12/17/00 45 WATER CLOSET/URINAL 2.00 FIX 32.40 OWNER: TEL. NO: 47 WATER HEATER(S) 1.00 WTH 16.20 FINAL DATE FINA BY: CODE: LEI,KUO CHUN; PEI KUI PEI - 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 4948 RYLAND AV TOTAL FEES 157.35 TEMP 917804037 ESCRIPTIO OF W—OR—K4 PLUMBING FOR ADDITION APPLICANT: TEL. NO: SAME AS OWNER - SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: O� APPROVALS DATE INSPECTOR SIGN E SAME AS OWNER LIC. NO �f� � UNDER SLAB WORK WATER SERVICE ARCHITECT 0 PLASTIC Y/N METAL Y/N ENGINEER: TEL. 0: / ' � L C T DESIGN GROUP (626) 285-3408 RO GH PLUMBING 112 N. EARLE ST. LIC. N0: SAN GABRIEL, CA 91775 NONE 11 GAS PIPING i--- ' —'– GAS VENT F LO ` " 11 �� 0 WATER HEATER FU �� I1 �C Vf c�� [n�� ——- PLUMBING FIXTURES ,\ `O L �•'.>.,},j; �� LAW S R N LER +f� Tf1f� GAS TEST •� r� J NOTIFIEDUTILITY COMPANY �-/ 'c CWV "vice Tha" RAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508