HomeMy Public PortalAbout5033 RYLAND AVE_Plumbing__ 16A667•.CE#617 5+61•
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENCTUMR
BUILDING AM
EFETYEINON BUILDING
LAEE
WILLIAM A..JENSEN, SOP'T OF BUILDING LOCATITT --
LE
FOR APPLICANT TO FILL. IN C8o88 Si. 4 .
NUMBER FIXTURE OR ITEM
+f.. WATER CLOSRr a S E - b�.$ N s` p T
/ BATH TUB ADDRESS
crrx TEL.NO.
SHOWER
LAVATORY a 1 CONTRA=RY kpL., �. L
snO: a S ADDRESS ,. O
/ DIBHWASM CITY'c—L TEL.NO. (;3
LAUNDRY TOB RREG ORN NO. J go?3. ATZ co rum
CLOTHES WASHER DISTRICT NO. I OR 0 P ZONE P BED BY
J WATER HEATER / P
GAS SYSTEMINDUSTIM O
WASTE APPROVAL V
M=CrION RECORD .4'a ad
7 /
Lu
, - - -
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/ S .00 PER ITEM
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(f� OFISTIIAE AP„P- /4L ATE INBP.ECT '8 SN
�O �TURB
PERMIT $ 2100 UNDER WORK 9190A 3 1 .
TOTAL FEE ROUGH PLUMBING
GAS PIPING mpu
I HEREBY ACKNOWLEDGE �• � / /J
PLICATION
AND STATE THAT THE ABOVE HI9T CORRECT I HAVE AND AGREED THIS TO COMPLY GAS VENT IIyy �/••,,// ,-�S`J 17
WITH ALL BOUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER I btA /�'r/i../1.�r"i
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES yl;, /e.� C� -.h _,,.��.��rA�.
LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST d A 31 -f/�MP.A
CALIFORNIA OR. THAT 1 THCZLwQgWNKRTHE ABOVE `
DESCRIBED REBID TIAL RO UTILITY CO.NOTIFIED f � i4�i :=.•i� -/--. '!dl
SIGNATURE -v v r X a:
OF PERM""Ir FINAL.
AAA-i _ r
f�- ALIDATIO ROBERT A.fW6OD
ex. M,.o. Q4SH SUPERVISING MECHANICAL ENG'R
JCo 2 5 6 5 a f�:lfi 2'7 5 D 1 C).0 0r� G ;
I
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
` DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309250010
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
-LEGAL ID: S PAID B G R
BK: 78 PG: 72 PC: 2 5033 RYLAND AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804039
ASSESSOR INFORMAT0 NEAREST CROSS STREET: LOWER AZUSA
8585-008-041 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 64 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENiNT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 PROCESSEDPLAN BY: EXPIRES OW--
45 WATER CLOSET/URINAL 1.00 FIX 16.20 09/25/03 JK 03/23/04
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20
OWNER: TEL. NO: TOTAL FEES 92.55 FINAL DATE FINAL BY: CODE:
VALENCIA JONATAN& RAMOS MIRNA A (626) 448-3814-
5033 RYLAND 1C����
TEMPLE CITY 991780 b€$
PLUMBING FOR ADDITION
APP TEL. 0:
SAME AS OWNER -
_ SPECIAL CONDITIONS:
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CONTRACTOR: TEL. NO: /.�' �%��'\ APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER - %� s3'r� ♦,,
LIC. NO UNDER Ig"RK
WATER SERVICE
RC ITC OR E GI N0: �� L�ff '- ' �a PLASTIC Y/N METAL Y/N
URIBE DANIEL / r I i' I�'. - . `1a
(818) 244-2297- j I�r -_./ _- X41 G PL G
1116 E PALMER AVENUE LIC. -
SUITE # 27 NONE.'] GAS PIPING �—
GLENDALE CA 91205I_�' i-
} --- - ------ -----II GAS
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{I irY� j VENT—
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HOT WATER HEATER
Cir
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LAWN SPR NKLE S
�'W.•� ,` -- '/ �_ ,1 _iii �� •; ,SS TEST
UTILITY COMPANY NOTIFIED
cWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508