HomeMy Public PortalAbout5543 RYLAND AVE_Plumbing__ 76A667 (CE-817)- 5/73
APPLICATION FOR PLUMBING PERMIT '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO:
ADDRESSS 554 No -R land v�
ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY
Temple. Cit
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
NUMBER FIXTURE OR ITEM @ FEE CROSS ST. Daine.s. Dr.
WATER CLOSET 1.75 OWNER Thad •Hadden•
MAIL
BATH TUB 1.75 ADDRESS o RSEland
1 SHOWER am. re-place 1.75 3 00 CITY Temple Git TEL.'NO. 579_108
LAVATORY 1.75 CONTRACTOR Rainbow Tiles.. Ine
SINK .1.75 - ADDRESS - 1-743 Bo La -Ciene a B
DISHWASHER 1.75 CITYDos Angeles TEL. NO.8 0
CLOTHES WASHER 1.75 STATE LIC
LICENSE NO. 14113 • CLASS
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. GROUP ZQNfj PR ESSED BY
LAWN SPRINKLER SYSTEM 1.75 U c!, j��
21
WATER HEATER 1.75 INDUSTRIAL C/
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD ov
OUTLETS OVER /
5 PER SYSTEM 30 J''S CD
U
W
O-
G7
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ -43
TOTAL FEE
_ APPROVALS DATE INSPECTOR'S SIGNATURE -
-Plan Check-applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. NO. GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT 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
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL OWNf�R OF, AND INTEND TO Ole.
RESIDE IN THE ABOVE DE RIBED RESIDENTIAL PROPERTY. FINAL r
,. .
SIGNATURE
OF PERMITTE i
PERMIT VALIDATION \K~ M.O. - CASH
PLAN CHECK VALIDATION CK. M.O. CASH
4 8 1 w�iAR z 5 D
7.5 0 e�
m-.
76A6W 17 B-Bo .10. APPLICATION FOR PERMIT
"DEPARTMENT OF BUILDING•AND SAFETY
COUNTY OF LOS ANjGELES
PLUMBING
WILLIAM J. FOX..CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICTNO. GROUP I ZONE PERMIT.NO
PLUMBER VALLEY BOULEVARD, FLUMBING CO.. RECEDED BY - F DY.FOR DATE I s.UED'
FIRSTINSPECTIOlt /
ADDRESS '9.00 EA'T VALLEY DLVDr 'BUILD
ROSE.MEA®' /�0. 2'2715 NI
'-ADDRES8 ^`3
CITY A. TEL. NO.
COUNTY 931rA., .. 6'3O`{I, LOCALITY.
LICENSE N0. EXPIRES
.,NEAREST. f}�'
PERMIT FEES.
CROSS ST. z> ',�„ ./�'E�'
"OWNER
NUMBER TYPE:OF FIXTURE•OR ITEM FEE -
_ Q
i�'• 'WATER CLOSET (TOIL'ETMAIL
) 0.50 !$ Q, %AD.DRESS J' xw„�I?�.4.1
BATH TUB 0.56 .Q ,GITn� dt�('�✓' TEL. NO. diHNE,!
® O.50 -rQI HEREBY /ACKNOWL'EDGE THAT '1 ':HAVE READf/ LAVATORY (WASH BASIN) @ '0.50 Q. APPLICATION AND STATE THi4T'THE ABOVE IS'CORRECAGREE' TO COMPLY WITHALL COUNT((,_•ORDINANCE
STATE LAWS. REGULATING PLUMBING..
I KITCHEN SINK (� '0.50 F CERTIFY THAT 1 POSSESS THE. ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0...50 SQ ANGELES' COUNTY`LICENSE. OR I AM THE LEGAL-OWNER .
OFRESIDENT�(Cq//fL/,PROPERTY DESCRIBED-ABOVE.
GAS.SYSTEM OUTLETS .@.' ,0.50 O
SIGNATURE OF
WATER HEATER @ o.SO
PERMITT
s,_oP slNx @'0.50
'INSPECTION RECORD
FLCCR SINK @ •0.50
FLOOR DRAIN @. O.SO -
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL 0.50 J
HOUSE SEWER @,O.50. . Z
MISCELLANEOUS. 3
O
�_J)�� l .. APPROVALS
/
• - I 1'/1/Ll rI AD DATE _ INSPECTOR!S:NAME
U. 2R UGH'�PLUMBING •%
.l�r.✓rl�.f `�S
- GAS 'PIPING-• �r -
GAS VENT
'CESSPO.OL @ .1•.00 CESSP.00L /f
'SEPTIC TANK':. SEPTIC TANK
DRAIN ( ' ) PIT'(. ) @' 1.00 ' SEWER,_ a
PERMIT . Loo. "GAS TEST.
UTILITY-CO. NOTIFIED 4
TOTAL, FEE
FINAL• C.��