HomeMy Public PortalAbout5024 RYLAND AVE_Plumbing__ 76A667 (CE-817) - 1/75 ,
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Al
BUILDING AND SAFETY DIVISION TING A`�
MAKE CHECKS PAYABLE TO: ESS Soy h�1 m�HARVEY T. BRANDT, COUNTY ENGINEERLITYL 'i ryFOR APPLICANT TO FILL IN (PRINT OR TYPE) ST -ST.
NUMBER FIXTURE OR ITEM @ FEE OWNER pp '� G-�
WATER CLOSET 2.00 'hKL.
MAIL 1r_ OQ i
BATH TUB 2.00 ADDRESS 1D fF'-�rouA
SHOWER 2.00 CITY• -� TEL.'NO.
LAVATORY 2.00 CONTRACTOR Ow/iL�4L
SINK 2:00 ADDRESS
DISHWASHER 2.00 CITY TEL. NO.
CLOTHES WASHER 2.00 STATE LIC
SWIMMING POOL RECEPTOR 2.00 LICENSE NO. CLASS
DISTRICT NO.GROUP NE CESSED BY
LAWN SPRINKLER SYSTEM 2,00 O /S
--1
WATER HEATER 2.00 UD INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 2.00 INSPECTION RECORD v
OUTLETS OVER
5 PER SYSTEM .30
0
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CL.
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEEDD
APPROVALS DATE INSPE'CTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER f
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING.FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AN /OR UTILITY CO. NOTIFIED
JALI
ICENSED AS REOUIRED BY 9 ANGELES COUNTY ND STA OF
FORNIA AM E LEGAL 0 Efl OF AN-5 IW b TOj.DE IN HE I�OV DESC -n�'lti �4 FINAL _�- .�
SIGNATURE
OF PERMI�EE
PERMIT VALIDATION CK. M.0. CASH
PLAN-CHECK VALIDATION CK. M.O. CASH . - n
1 8'74`-AUG -25 5 'D- �I{/D 7.0.0 Ac-
COUNTY OF LOS ANGELES i TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1110040005
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: I
ITR: 10821 LT: 1 BL: C UN: .002 I 1 5024 RYLAND AV 1
[FEE DESCRIPTION: QUANTITY: QOM: AMOUNT.1 TEMP CA 917804038 I
1ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: [
8585-013-004 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 2.00 FIX 32.50 [ 1
ITENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.50 (ISSUED ON: PROCESSED BY: PLAN BY:
145 WATER CLOSET/URINAL 2.00 FIX 32.50 110/04/11 SR
1 1 TOTAL FEES 125.30 1 I
1OWNER: TEL. NO: I [FINAL DATE FINAL BY: CODE: 1
XU, JIKUN (626) 277-6667- 1 1
15024 RYLAND AV I I 1
ITEMP 917804038 1 IDESCRIPTION OF WORK I
I I [PLUMBING FOR TWO BATHROOMS REMODEL 1
[APPLICANT: TEL. NO: [ I I
ISAME AS OWNER
I I ISPECIAL CONDITIONS: 1
I I I I
ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1
SAME AS OWNER - I I I
1 LIC. NO 1 (UNDER SLAB WORK I I I
1 IWATER SERVICE I [ I
I [ IPLASTIC YIN METAL YIN
[ARCHITECT OR ENGINEER: TEL. NO: I I [ I
I - I IROUGH PLUMBING [ I I
1 LIC. NO: [ I [ [ I
1 I IGAS RIPING 1 I 1
I (GAS VENT
I I I
I 1 IHOT WATER HEATER I 1 [
I I I
IPLUMBING FIXTURES
� I I
I I ILAWN SPRINKLERS I 1 1
I I I
I GAS TEST I 1 1
I 1 d lug E U �
[UTILITY COMPANY NOTIFIEDI I 1
� p --DyfoZ I I I 1
II I I
1 I 1GRAY WATER SYSTEM I I 1
I I I I 1 [
I I I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 [ 1 [ I
I I I I I I