HomeMy Public PortalAbout5429 RYLAND AVE_Plumbing__ 76 AL 667..r- CE 617 7-69
APILICATION FOR PL.UMBI G PERMI :
COUNTY OF LOS ANGELES
DEPARTMENT-OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FADDRESSLD
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. $UP'T. OF BUILDING ALITYFOR APPLICANT TO FILL IN(PR NT OR TYPE) RESTSS.ST.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER C,_ Ste
WATER CLOSET 1.50
MAIL `
BATH TUB 1.50 ADDRESS 1u,*•d\ A10rr tib =
SHOWER 1.50 CITY '� koL TEL NO. 1 kLk A(A%
LAVATORY 1.50- CONTRACTOR S `�
SINK 1.50 ADDRESS St U k Nz V_"
DISHWASHER 1.50 CITY."C.4,Ap
LL TEL. NO. �
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 D RICT NO. /7gyE CESSED BY
GRA
LAWN SPRINKLER SYSTEM 2.00 4 P JC pv
WATER HEATER 1.50 INDUSTRIAL
J' WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50 v INSPECTION RECORD
OUTLETS OVER .30
5 PER SYSTEM
V)
z
Plan check fee 25% of above. See reverse.
'PLUMBING PERMIT ISSUING FEE S 2 00.
TOTAL FEE '
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
ROUGH PLUMBING
Name ,r� ♦le, `v,C _
Address GAS PIPING
GAS VENT
City. 3 L Tel. NO. g 1LAHOT WATER HEATER
I HEREBY ACitNOWLEDGE THAik 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING. ,
1 HEREBY CERTIFY THAT 1 AM-PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED ,•.i1�,A +1,•' ..:,j
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -A;
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO *�
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL (r 1
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R.
OF PERMITTEE
PERMIT VALIDATION (0 M.O. CAS , i0
'PLAN CHECK VALIDATION CK. M.O. CASH �•
*�,3
9-1 .7- FEAR .2 3 D .J OP
76AG67 CBS"�3'5' APPLICATION FOR PERMIT
DEPA$�IV�ENT OFNG AND SAFETY
'�•
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIFO. P
PLUMBE RECEI ED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDREm—? ( (g
✓ / TEL. ��� BUILDINQ".5'7�O
� yJ
OI ADDRESS L
COUNTY � LOCALITY
LICENSE NO. - �EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) 0.50 $ I 0 ADDRESS
BATH TUB @ 0.50 1 _-.1
DITY TEL No.
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.60 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK 6 0.50 r! AND STATE LAWS REGULATING PLUMBIN
1 CERTIFY P SESS BOVE ALID LOS
LAUNDRY TUB D TRAY Q 0.50 ANGELES Cp TY LICEN M THE LE AL OWNER
OF THE EBIDENTIA DESCRIBE ABOV .GAS SYSTEM ^UTLETS O.SO SIGN A RE OF
WATER HEATER 0 0.50
SLOP SINK Q O.SoSPECTION RECORD
FLOOR SINK- Q o.50 /
FLOOR DRAIN @ 0.50
DISHWASHER 0.50 ^r� ��v ALJ 41�` /y
DRINKING FOUWCTAIN (ID 0.50 ��`� Li
URINAL 0.513 - '^I
_ Q
HOUSE SEWER 0.80 Z
MISCELLANEOUS O
tY
O
APPROVALS
As DATE INSPEOTORIS NAME
ROUGH PLUM 1N w +
GAS PIPING t
GAS VENT
CESSPOOL 1.00 CESSPOOL
SEPTIC TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) 7.00 SEWER !`
PERMIT • I.DD GAS TEST ,y /
UTILITY CO.NOTIFIED r/��i . J-2
TOTAL FEE
FINAL