HomeMy Public PortalAbout5552 RYLAND AVE_Plumbing__ 7GA887 17 U-80 10 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER VALLEY CCI, V P9 . Ir RECE ED BY READY FOR DATE ISSy1ED
C FIRST INSPECTION
ADDRESS 900 EA:T VAI LFY R1yD
AT, BUILDING 1!7
CITY ROSEPI+<IEAD TEL. NO.AT 2-27 ADDRESS c.-!?
�/` .� Ff'Cf C/�•.:t y�
LICENSE OUNNO. 93M EXPIRES 6 3O''.Cs LOCALITY �-i�
NEAREST.
PERMIT FEES CROSS ST
'NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER /r�. ,e <<Q J�-C•l�
MAIL i
WATER CLOSET (TOILET) @ 0.50 S d O ADDRESS
B CITY ,La)-�L so'�, 2 �'i '. f % '.sf f '�"•�r°•;• ,�
J BATH TU0.50 D L ITEL. NO���v •" I.
.q �
/ SHOWER @ 0.50 !moi 1 HEREBY KNOWLEDGE THAT I HAVE READ THIS
PJ LAVATORY (WASH BASIN) @ 0.50 [r� APPLICATION A D STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
KITCHEN SINK @ 0.50 0 STATE.LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
/ LAUNDRY TUB OR TRAY @ 0.50IT-el ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
/ GAS&YSTEM OUTLETS @ 0.50 � OF THE RESIDENTIAC� OPERTY DESCRIBED ABOVE.
SIGNATURE OF
/ WATER HEATER @ 0.50 PERMITTEE F �� �/ •�% •j;C�
• SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ O.50
DISHWASHER @ O.So
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
J
HOUSESEWER @ 0.50 Q
Z
MISCELLANEOUS (�
0
APPROVALS
/„7 DA'fk INSPECTOR'S NAME
ROUE LUBING
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK- I SEPTIC TANK
DRAIN ( ) PIT ( ) __@I00 SEWER
PERMIT 1,00 GAS TEST
TOTAL FEE S h �} UTILITY CO. NOTIFIED
:J V FINAL ?
V