HomeMy Public PortalAbout5441 RYLAND AVE_Plumbing__ 76A667 CBS 17 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY L
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN EfolvVI--le
R [3R0 P I O U•
PLUMBER onsolidated PlumbingCooIVED BY READY FOR DATE ISSUED
rZ 1aT 1. FIRST INSPECTIONrADDRESS 9231 Y'do Hun Vin Dro � v I
�R
p O BUILDING 1
CITY M 868
Monrovia TEL.N.-El 78 ADDRESS o
LIOEN E NO. 6799M EXPIRES 6/30/52 LOCALITY Te a Clty
PERMIT FEES
CROSS ST. Ba win
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER t
Bldg
WATER CLOSET(TOILET) @ 0.50 S MAIL 3106 Live Oak
ADDRESS
BATH TUB @ 0.50 CITY T City TEL No.
SHOWER 0.60 1 HEIOk BY ACKNOWLEDGE THAT 1 HAVE READ THIS
E ABOVE 18 CORRECT
LAVATORY (WASH BASIN) @ 0.50 1 OONi
pNDLAG EE TO COMPLY WITH ION A 0 STATE AALLHCOLINTY ORDINANCES
KITCHEN SINK @ 0.50 50 AND ST TE LAWS REGULATING PLUMBING.
t C TIFY THAT I POSSESS THE BOVE VALID LOS
LAUNDRY TUB qOR TRAY 0.50 ANGEL B COUNTY LICE E, O 1 A HE LEGAL OWNER
1 GAS SYSTEM A UTLETS (� 0.50 50 OF TH RESIDENTIAL OP Y R1BED ROVE.
BIGNA URE OF
1 WATER HEATER @ 0.50 50 P RMITTE
SLOP SINK @ 0.50 INSPECTION 0RECORD'
FLOOR BINK 0 .50 0 3 W✓a7e� 7e-.r �7 f 75'
FLOOR DRAIN O.SO
DISHWASHER 0:50 p
J t
DRINKING FOUNTAIN 0.50 � r,�
URINAL 60 0.50 AlI . leA f Q
HOUSE SEWER 0.50 /1 f �� G ! Z
MISCELLANEOUS u o a.s
C!/
APPROVALS
DATE INSPECTOR'S NAME
a
c./ ROUGH PLUMBING � cl_ / � ✓��
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST
TOTAL FEE
6 00 UTILITY CO.NOTIFIED A a
./ FINAL
V
WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUM-SING PERMIT JI
I hereby affirm that I have a certificate of consent to self 20-0026 DPW 6/87
insure, or a certificate of Workers'Compensation Insurance, 76AG67A IL J'
or a certified copy thereof, 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS
A
Policy No. Company
❑� Certified copy is hereby furnished.
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
❑ Certified co y is filed with the county building in ADDRESS
NUMBER FIXTURE OR ITEM @ FEE
tion d par ent. LOCALITY
Date Appligant WATER CLOSET NEAREST
ERT KATE OF EXEMPTIO _FROM WORKERS' ! BATH TUB CROSS ST.
COMPENSATION INSURANCE SHOWER oWNE `
(This section need not bo completed if the work involved by MAIL
the permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS
I certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner SINK CITY TEL.N _3
so as to become subject to the Workers'Compensation Laws. DISHWASHER
• CONTRACTOR
Date Applicant CLOTHES WASHER ADDRESS
NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR
Exemption, you should become subject to the Workers' • CITY TEL.NO.
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall•be STATE LIC.
deemed revoked. WATER HEATER LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT N ED BY ,
I hereby affirm that I.am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS O
(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL Q �
VALIDATION
DATE C
License Number Lic. Class L
FINAL �rj IT
Contractor Date BY a
1:1I am exempt under Sec: W
B.BP.C. for this reason Plan check fee
Date: PLUMBING PERMIT ISSUING FEE$ I0
Signature
TOTAL FEE
SINGLE FAMILY
Plan check applicant CHECK 13.20
HOME OWNER-BUILDER DECLARATION i Name %HAHGE aW
I hereby affirm that I am exempt from the Contractor's License T
Law for the following reason (Section 7031.5, Business and Address
ACCTo R
'�[Prroffessions Code): City Tel. No.1, -0001
gV s as owner of the property, will do the work and the 55771 IMS AM 8247
' as
is not intended or offered for sale (Section ;® o
7044, Business and Professions Code).
TOTAL 16 o 50
CONSTRUCTION LENDING AGENCY
I hereby affirm that there is a construction lending agency for CHECK 1065
the performance of the work for which this permit is issued 1.65(Sec. 3097, Civ. C.).
CHECK 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
ordinances and State laws regulating Plumbing; and hereby',
authorize representatives of this County to enter upon the!
ve-mentioned .for inspection purpZ,,
SEE REVERSE FOR EXPLANATORY LANGUAGE
'OV1
ignature of ermittee Date
WORKERS'COMPENSATION DECLARATION APPLICATPON FOR PdE MBINO PERMIT
1 herekiy affirm that I have a certificate of consent to self 76A667A
a in$uris or a certificate of Workers'Compensation Insurance, CE 8171(REV. 10/81)
or a certified copy thereof(Sec. 3800, Lab. C.) I COUNTY OF LOS ANGELES BUILDING AND SAFETY
Policy No. Compony
Certified copy is hereby furnished.
❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
Certified copy is filed with the county building inspec- ADDRESS
tion department: NUMBER FIXTURE OR ITEM @ FEE ° i
LOCALITY
Date Applisanf WATER CLOSET NEAREST 1 ,
CERTIFICATE OF EXEMPTION FROM WORKERS' BATHTUB CROSS ST.
MA a
COMPENSATION INSURANCE SHOWER OWNER ;
(This section need not be completed if the work involved by
the permit is for one hundred dollars($100)or less.) LAVATORY MAIL
ADDRESS �r
1 certify that in the performance of the work for which this
permit is issued, I shall not employ any person in any manner I SINK CITY TEL. NO.
so as to becom subiect•to the W kers'Compens 'on Laws. ; DISHWASHER
° ° CONTRACTOR
Date Applicant ; CLOTHES WASHER
NOTICE TO-APPLICANT: If, after making this Certificate of ADDRESS
SWIM
Exemption, you should become subject to the Workers' MING POOL RECEPTOR
Compensation provisions of the Labor Code, you must forth- CITY TEL. NO.
LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC.
deemed revoked. I WATER HEATER LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DST 167 NO. PROCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 1 GAS SYSTEM OUTLETS
(commencing with Section.7000)of Division. 3 of the Business OUTLETS OVER °
and Professions,Code,and m license is in full force and effect, a 5 PER SYSTEM
Y � FINAL VALIDATION �
DATE 0
License Number Lic. Class
FINAL 09
Contractor Date I BY
I am exempt under Sec. �
0.
BAP.C. for this reason rn
Plan check fee �
Date: 1 PLUMBING PERMIT ISSUING FEE$
Signature
TOTAL FEE
SINGLE FAMILY Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Address
Low for the following reason (Section'7031.5, Business and
Professions Code): City Tel. No.
ILZN I, as owner of the property, will do the work and the
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 _ 098.5 A
the performance of the work for which this permit is issued
(Set. 3097, Civ. C.). ;; 0 u 0 0 0
Lender's Name 2 1 6 5 0
Lender's Address I c, 0 n i �, C v
1 certify that I have read this application and state that the
above information is correct. I agree to comply with all County '. C ti '_R 4
ordinances and State laws regulating Plumbing, and hereby
authorize representatives of this County to enter upon the y
above-mentioned property for Inspection purpos S. SEE REVERSE FOR EXPLANATORY LANGUAGE
Zature of Permittee Da e
WO.ERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT
•s.l+herebylaff that I have a certificate of consent to self 76A667q
„ipsure r a ertific4te of Workers'Comperisqtion I surance, CE 817(REV. 10/81) u
` or,a ce I copy thereof SIR0 8 COUNTY OF'LOS ANGELES " ' BUILDING AND SAFETY
Pol' No MPG ;
C ified copy is hereby fur4he BUILDING
❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS
rtified copy is filed with, d g inspec- NUMBER FIXTURE OR ITEM (� FEEep rtme t. LOCALITY10 C1,
Date Appligant WATER CLOSET NEARESTE FICATE OF EXEMPTIORS' BAT}i TUBcRo55 sT.
COMPENSATION OWNERSHOWER
is section need not be compleInvolved by MAIL
ffie permit is for one hundred dollars($100)or less.) LAVATORY ADDRESS
f/I certify that in the performance of the work for which this SINK CITY li TEL.NO.
permit is issued,I shall not employ any person in any manner
so as to become subject to the Workers'Compensation Laws. DISHWASHER ,
_ CONTRACTOR
Date Applicant CLOTHES WASHER ADDRESS ,
NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR
Exemption, you should become subject to the Workers' CITY'. TEL. NO.
Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM
with comply with such provisions or this permit shall be STATE LIC,
deemed revoked. WATER HEATER r LICENSE NO. CLASS
LICENSED CONTRACTORS DECLARATION DISTRICT NO. OCESSED BY
I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS U t
(commencing with Section 7000)of Division 3 of the Business OUTLETS OVER
and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL_ VALIDATION DATE ��Z n
License Number 4
/ �/ Class C
FINAL
Contractor + Date BY
Q
❑ H I am exempt under Sec.
B.BP.C. for this reason LL
Plan check fee. _ n
Date: PLUMBING PERMIT ISSUING FEE$ /U 2
Signature
TOTAL FEE Z—
Plan check applicant
SINGLE FAMILY
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I am exempt from the Contractor's License Address
Law for the following reason (Section 7031.5, Business and '
Professions Code): City Tel. No.
❑ I, as owner of the property, will do the work and the
structure is not intended or offered for sale (Section
7044, Business and Professions Code).
5845•A
CONSTRUCTION LENDING AGENCY I # 0 0 0 0 0 5
1 hereby affirm that there is a construction lending agency for ° 2 2 5 0
the performance of the work for which this permit is issued
(Sec. 3097, civ. C.). 0 0 0 2 2 5 0'6)
Lender's Name V 1. 13-86
Lender's Address
I certify hat I have read this application and state that the
above' ormation is carr .ct. I agree to comply with all County
ordin es and State la s gulating Plumbing, and hereby
auth ri a repre+sentativ, of this County to enter upon the
ob 'e ent'oned prop ty f r inspects n purposes. SEE REVERSE FOR EXPLANATORY LANGUAGE
At
ig a ure o Permitfe Dat
15for
1. i ;
ti
' • COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0709070004
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID I BIIILDING ADDRESS:
N
5451 RYLAND AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:[ TEMP CA 917802722
(ASSESSOR INFORMATION NUMBER: [ [ NEAREST CROSS STREET: DAINES
18586-024-013 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
I 107 BATHTUBS/SHOWERS 2.00 FIX 32.40 [
(TENANT: 25 LAVATORIES/SINKS 3.00 FIX 48.60 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
145 WATER CLOSET/URINAL 2.00 FIX 32.40 109/07/07 SR 03/05/08
147 WATER HEATER(S) 1.00 WTH 16.20
OWNER: TEL. NO: TOTAL FEES 157.35 IFINAL DABY; CODE:
[HUANG, BONNIE (626) 298-2032- I
15451 RYLAND AVENUE I I LLL��� RNM
TEMP 917807584 DESCRIPTION OF WORK
REPLACE KITCHEN SINK, 2 VANITIES, 2 WATER CLOSETS, WATER
HEATER AND 2 TUBS
APPLICANT: TEL. NO:
ISAME AS OWNER i SPECIAL CONDITIONS:
I
CONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO I [UNDER SLAB WORK
I (WATER SERVICE
IPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. 140: I I I
(ROUGH PLUMBING I [
LIC. NO:
(GAS PIPING I
IGAS VENT
I
IHOT WATER HEATER I I
(PLUMBING FIXTURES
[LAWN SPRINKLERS
[GAS TEST [ [
UTILITY COMPANY NOTIFIED[ [ [
[CWV [ [ I
[GRAY WATER SYSTEM [ [
I [ I [ I I
I I I 1
(REPORT ID: DPR263 ROUTE TO: BS0508 [
[ I
76ASS' DW17 7-51• _ - APPLICATION FOR PERMIT
DEPARTkTXT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT,TO FILLJN DISTRICT . GROUP ZONEPTRMIT N13.
Ir
PLUMBS READY FOR
_ RECEI D BY FIRST INSPECTION DATE i UED
Jam'
BUILDING
pl TE ADDRESS
,,v,y J
COUNSE NO. EXPIRES J : LOCALITY
NEAREST
PERMIT FEES CROSS ST. 09
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) a 0.50 111 ADDRESS
BATH TUB 0 0.50 CITY TEL. No.
SHOWER Q 0.50 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) 0 0.50 APPLICAT113N AND STATE
R
AND AGREE T COMPLY WITH COUNTY ORDINANCES
KITCHEN BINK 0.50T THE A813VE 18 C13RREOT
AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT O1 BSESS THE -BGV�ALLID NLOS
OR
LAUNDRY TUB O TRAY « 0.50ANGELES THE COUNTY
EBID NYAI P §E 0 pESC EAD G
GAB SYSTEM UTLETS @ 0.50
WATER HEATER (� 0.50 81®NPERU TTXr
SLOP BINK 13.513 INSPECTION RECORD
FLOOR SINK 0.50
FLOOR DRAIN 49 0.50
DISHWASHER 0 WED ��as "� '✓'�
DRINKING FOUNTAIN 0 0.60 �� + A✓�
URINAL 49 0,513 �'�e��,Q$9 Q
HOUSE SEWER 0 13.80 � ;Alen 4S`£��3 A/ a � Z
MISCELLANEOUS/2 / S n
R183E.'PrIC
c5" A-0409 MApee;e- ova-r-A.4aaa
.Ir a /Ie?J e c-'zs9APPROVALS
DATE INBPE TORIB NAME
ROUGH PLUMBINGGAB PIPING
GAB VENT
SPOOL Q 1.Op CESSPOOL
TANK. SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
1
PERMIT .
1.00 GAS TEST L n
UTILITYCO.NOTIFIED
TOTAL FEE S -t7t7n7i }
FINAL