HomeMy Public PortalAbout5531 RYLAND AVE_Plumbing__ 7ahow 17 l-so- APPLICATION FOR PERI UT
DEPARTMENT OF BUILDING AND;SAFETY ; �' C`l./
ING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, Cti1BF ENGINEER i
FOR APPLICANT'TO FILL IN DISTRICT NO. GR�UPr ZONE PERMIT NO.
'VALLEY l'UIL�IAfiV 'LU�ltp '�' RECEIVED BY READYFOR DATE
I ED
PLUMBER • i t P� FIRST INSPECTION
ADDRESS 900 EAST VALLEY LV
pp�+ ry
y BUILDING
CITY ROSEMEAD. TEL. No:. AT.2-271 ADDRESS
COUNTY 's LOCALITY_
LICENSE NO EXPIRES 6-sots- C'
-t NEAREST -
PERMIT FEES CROSS sT.
NUMBER TYPE OR FIXTURE OR ITEM FEE MAIL
WATER CLOSET (TOILET). 0:50 S p ADDRESS �3 j /�C/ /p w�"�'►� / �*
BATH TUB 0-50 ? CITYGI� TEL. NO.
Bk6WER O.SO THEREBY tditkOWLEDGE THAT 1 HAVE R-9kr THIS
C.50 (,'} APPLICATION AND STATE THAT THE ABOVE 1S CORRECT AND
LAVATORY-(WASH BASIN
AGREE TO COMPLY,WITH ALL COUNTY ORDINANCES AND L
STATE AWS REGULATING PLUMBING.
KITCHEN$INK' 0.50 is I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY 0.50 Q ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
6F THE RESlDENTIA P .OPERTY DESCRIBED ABOVE.
/ I GAS SYSTEM OUTLETS ' a O.Wo SIGNATURE OF' -
I WATER HEATER .0 0:5.0 P£RMITT£ 19
SLOP SINK C01 0:50' INSPECTION RECORD
FLOOR SINK 0.50 _
FLOOR DRAIN O.50
-DISHWASHER- 0.50 1
DRINKING FOUNTAIN 0.50
URINAL Q 0.50 Q
HOUSE SEWER •0.50 z
MISCELLANEOUS I
-APPROVALS
_/4DAT£ .INSPECTOR'S NAME
ROUGH PLUMBIibI64 4 s+'i- r-•
GAS PIPING / t
GAS VENC `� `)
'` f
CESSPOOL a 1.00 CESSPOOL - !�
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) (4A 1.00, SEWER
PERMIT . 1.00- GAS TEST
UTILITY CO. NOTIFIED d✓
TOTAL FEE I (D .• %- d'
,FINAL
• T •
CE W 7(REIP 6/76) - -''J•
es
n;
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES. BUILDING AND SAFETY
FOR APPLICANT TO FILL IN(PRINT OR.TYPE) BUILDING
ADDRES
NUMBER FIXTURE OR ITEM, ® FEE
WATER CLOSET LOCALITY leen AL C Lj T
NEAREST-
BATH TUB CROSS ST. Ro co U c
SHOWER QP_ft/g) ` OWNER -r +'
LAVATORY MAIL
ADDRESS
SINK CITY �' TEL.NO. -
DISHWASHER
CONTRACTOR
CLOTHES WASHER
ADDRESS•
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY ATE, ckn ie iT
TEL.NO�p��9:�,6"�l/L
WATER HEATER UCENSENO. O �Q CLASS G—.5ry
GAS SYSTEM OUTLETS APPROVALS _ DATE - INSPECTOR'S SIGNATURE
OUTLETS OVER UNDER SLAB WORK' -
5 PER SYSTEM ROUGH PLUMBING
' GAS PIPING
GAS VENT u
HOT WATER HEATER ag
PLUMBING FIXTURES
GAS TEST
Plan,Check fee UTILITY CO..NOTIFIED �cS
PLUMBING PERMIT ISSUING FEE$
TOTAL FEE IL 100 FINAL
Plan check applicant PLAN CHECK VALIDATION
Name
Address 3 2 d ;r 07 2 7 2 A
O '5
City Tel.No. O D D O,,
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2 0 0 1 0.00
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. PERMIT VALIDATIONp p D '� /1 0!1 V
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS U V
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE I Q 17—7 9
LEGAL OWNER OF.AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY. '
SIGNATURE f/
OF PERMITTEE (/
DISTRICT NO. PROCESSED ELY
.Q
INDUSTRIAL
WASTE APPROVAL
MM67-CE817-8-58
APPLICATION FOR PLUMBING PERMIT , 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BEING
JOHN A. LAM M, CountF Engineer ADDRESS
JOHN
D.GRWIX,Sup t of Building LOCALITY—�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
WATER GLOSSY OWNER
BATH TUB DAD 8E88 f .
SHOWER CITY NO.
LAVATORY CONTRACTOR
SSIg ADDRESS jel .1
DISHWASSER CITYCONTRACTW
LAUNDRY TUB
//00 RRGISTRATIOON NO. 7 �f COUNTY 1Ell
3
CLOTH O WAS DIST RI NO. GROUP ZONE P CESSED BY
WATER HEATER oc1+�
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL _
INSPECTION RECORD
i
n APPROVALS
@ lg a Pm r= $ /��V DATE INSPECTOR'S SIGNATURE
UNDER SLAB WORK
PERMIT $ 2 00 ROUGH PLUMBING L:(
TOTAL FEE 3 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT 1 AN PROPERLY REGISTERED AND/Olt GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
:. DESCRIBED RESIDENTIA PROP•`TY.
f
SIGNATURE FINAL
OF PERMI _rR
ROBERT A.WOOD.
®p VALIDATION SUPERVISING MECHANICAL ENG'R
CK. M.0. CASR
IAC0 5 91'110' My 10 5 A 3.00