Loading...
HomeMy Public PortalAbout5553 RYLAND AVE_Plumbing__ 2oow hKER41ave aENSATat?ijf consent to 76A668DPw9le9 APPLICATION FOR PLUMBING PERMIT' I her at ,•have a certiilcatea'�,1f consent to self insure, 78A887A or c:e�rtifl.'.3E,Worker's Compensation Insurance,or a certified copy the eof(Sec.3800 Lab.S..�,,��L � ' Policy No. Z tA IU Company yp7 �f 1 -��L COUNTY OF LOS ANGELES DEPT.OF PUBLIC WORKS DEPT.OF PUBLIC WORKS DIV. ❑ Certified copy is hereby furnished. BUILDING ` FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS C7 Certified copy is filed with the county building Inspection doort nt. Z NUMBER FIXTURE OR ITEM @ FEE LOCALITY Date Applicant - �� c�7�• WATER CLOSET NEAREST / CROSS ST. �I CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB COMPENSATION INSURANCE ASSESSOR (This section need not be completed if the work Involved by the SHOWER MAP BOOK ( PAGES 16 PARCEL OI permit is for one hundred dollars($100)or less.) LAVATORY OWNER tJ �� 1 e. !LA I certify that in the performance of the work for which this permit MAIL Q'�tt��//�/T'� is issued, 1 shall not employ any person in any manner so as to SINK ADDRESS � AYFj1 "L become subject to the'Workers'Compensation Laws. DISWASHER CITY LL G T TEL.NO. Date Applicant t CLOTHES WASHER l CONTRACTOR v` 1 NOTICE TO APPLICANT: If, after making this Certificate of G Exemption,you should become subject to the Workers'Compensation SWIMMING POOL RECEPTOR ADDRESS provisions of the•Labor Cade,you must forthwith comply with such I provisions or this permit shall be deemed revoked. LAWN SPRINKLER SYSTEM LICENSED CONTRACTORS DECLARATION CITY TEL.NO. I hereby affirm that I am licensed under provisions of Chapter 9 WATER HEATER @e (commencing with Section 7000)of Division 3 of the Business'and GAS SYSTEM OUTLETS CENSE NO. CLASS Professions Code,and my license is in full force and effect. OUTLETS OVER DICT NO, FJIOCESSED BY 5 PER SYSTEM License Number Lic.Class g ,G. A/S FINAL/ / V .NATION 57.3() Lu Lu DATE r7 Contractor Data. FINAL 1 ITEM _ cc ❑ I am exempt under Sec. /D BY B.&P.C.for this reason C 10091- 57 c 30 Plan check fee t ;11HE'CK 57-93 Date: Signature PLUMBING PERMIT ISSUING FEE$ Q CHKNGE -011 ❑ TOTAL FEE , 3 a SINGLE FAMILY Plan check applicant )]111]1]-01301 9/16/93 HOME OWNER-BUILDERDECLARATION Name �� j (� oLj4 I hereby affirm that I am exempt from the Contractor's License Law 17 for the following reason(Section 7031.5, Business and Professions Address Code): El 1, 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 I and Professions Code). CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued(Sec.3097, Civ.C.) Lender's Name Z] Lender's Address I certify that I h rea applicet n an that the above , Information re I ree to co th all County ordinances and S Is reg Ing, and hereby authorize repres tats of y to nter upon the above-mentioned pro rt pur se . SEE REVERSE FOR EXPLANATORY LANGUAGE Sianatura of.Parmitlaa Dao 76A887A(C EB 17A) - 8/78 APPLICATION FOR PLUMBING PERIT^ f COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER -T BUILDING AND SAFETY DIVISION MAKE CHECKS PAYABLE TO: 7NEAREST —� ADDRESSHARVEY T. BRANDT, COUNTY ENGINEER FOR APPLICANT TO FILL IN (PRINT OR TYPE)NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET OWNER gy• MAIL ti BATH TUB ADDRESS SHOWER CITY f EL. NO..ZV_ LAVATORY CONTRACT � -_ Jho SINK ADDRESS,,�j 0,we'o en DISHWASHER CITYP �O C L TEL. NO CLOTHES WASHER SWIMMING POOL RECEPTOR LICENSE NO. c �(? CLASS DISTjJ�T NO. GROUPONE( P CES ED LAWN SPRINKLER SYSTEM �`1 gyp- WATER HEATER INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS INSPECTION RECORD d OUTLETS OVER A 5 PER SYSTEM u OC Q 0 4n N z Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING City Tel. No.:. A GAS VENT HOT WATER HEATER 1 HEREBY.ACKNOWLEDGE THAT I HAVE READ TICATION AND STATE THAT THE ABOVE 13 CORRECT AND ACOMPLY PLUMBING FIXTURES WITH ALL COUNTY'ORDINANCES AND STATE LLATING PLUMBING. GAS TEST I HEREBY CERTIFY THAT 1 AM PROPERLY REAND/OR UTILITY CO. NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OFEND TORESIDE IN THE ABOVE DE IBED REST ENTIAL PRFINALSIGNATURE OF PERMITTEE PERMIT VALIDATION CK. M.0. CASH PLAN CHECK VALIDATION CK. M.O. CASH 5 5 9 N DEC 2 5 © 7.50 a o 76A667-CE#617 10-62 ' t?� a_�e / APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 5553 Ryland WILLIAM A.JENSEN,SUP'T OF BUILDING - - LOCALITY Tem le Cit Calif o- FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE OWNER WATER CLOSET $1.25 -MAIL BATH TUB 1.25 ADDRESS 2215 13 in e Is InAve SHOWER 1.25 CITYPraSerlTEL. NO. LAVATORY 1.25 CONTRACTOR Vasbinder Plbg & Htgo CO SINS 1.25 ADDRESS 2216 Foothill Blvd DISHWASHER 1.25 CITY Pm sad TEL. NO. 79-6-020 REGISTRATION NO. y 15 5 2 33 STATE LAUNDRY TUB 1.25 COUNTY ❑ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY WATER HEATER 1.50 1.50 INDUSTRIAL GAS SYSTEM—OUTLETS— WASTE APPROVAL OUTLETS OVER 5 PER SYSTEM 90 INSPECTION RECORD u 99 P CLz APPROVALS DATE INSPECyOR'S SIGNATURE PERMIT 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE d 5,0 GAS PIPING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO .COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER l PLUMBING. _ 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES {� ' ' &� '�--;-'>C/ :+��:,E,+'f LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT t AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE SCRIBED�ESIDE IAL PROPERTY. UTILITY CO.NOTIFIED LSIGNATURE I l �� �,1 ® n F PERMITTEE" �1'z' / / q FINAL }r LIDATION ROBERT A.WOOD CK. cM.O. CASH SUPERVISING MECHANICAL ENG'R Li L0 4 8 3 9 AuG 2 0 5 D 4.5 0cc 76AG67C (CE-81713) -9/75 APPLICATION FOR PLUMBINGPERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING 5553 w9and ✓-e NUMBER FIXTURE OR ITEM @ FEE ADDRESS WATER CLOSET �� LOCALITY Tenp e aty NEAREST BATH TUB CROSS ST. Ba�.dW.ln. SHOWER &_0 OWNER StAwe 110vus LAVATORY MIL ADDRESS 5553. itylaud 448-4126 SINK CITY Temple CIV TEL. NO. 285-3105 DISHWASHER CONTRACTOR j&V cons iY'uctlim CLOTHES WASHER SWIMMING POOL RECEPTOR ADDRESS 9123 Las TUnas CITY Temple .City TEL. NO. 285-1,310 LAWN SPRINKLER SYSTEM STATELIC Qr� WATER HEATER LICENSE NO. 3210[ CLASS is r a GAS SYSTEM OUTLETS `D'I�TF0C�NO. IGROUP IZON�EI OC EDB J OUTLETS OVER CD 5 PER SYSTEM v INDUSTRIAL WASTE APPROVAL y� d. INSPECTION RECORD H Z Plan check fee PLUMBING PERMIT ISSUING FEE $ TOTAL FEE Plan check applicant NameCAPPROVALS DATE INSPECTOR'S SIGNATURE ct UNDER SLAB WORK Address ROUGH PLUMBING �• 7� ! City Tel. No. a GAS PIPING 1HER Y ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER PLUMBING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS A ELES COUNTY AND STATE OF GAS TEST CALIFORNIA OR THAT I AM THE LEG L OWNER OF, AND INTEND TO RESIDE IN THE ABOVE DESCRIBED E DENT IAL PROPERTY. UTILITY CO. NOTIFIED SIGNATU RE OF PERMIT FINAL �� 'm �d�,•s�,ai.. '��„_ PLAN CHEC ALIDATION CK. .0. CASH PERMIT VALIDATION CK. M.O. CASH •, 652` i _ U 17.50Gc.:� OBS-1712.54 APPLICATION FOR R PLUMBING PERMIT ' DIVISION OF BUILDING AND SAFETY Deportment of County Engineer . County of Los Angeles WM.J. FOX, COUNTY ENGINEER BUILDING ✓ J F� 1�i1�/ �-�t CASSATT D.GRIFRIN,SYP•T OF BUILDING ADDRESS FOR APPLICANT TO FILL IN NEARESLOCALITY �/ cRoss.ST. OWNER' �� /`- u! CROSS 'DISTRICT O. ROUP ZONE READY FOR INSPECTION MAIL I id✓ ADDRESS a e-,- CITY �h-i /. 0. �u WASTE APPROVAL TEL. NO. O PLUMBER o cev,-2-o✓ INSPECTION RECORD ADDRESS CITY TEL. NO. LICENSE NO. NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER . LAUNDRY TUB OR TRAY CLOTHES WASHER /—/ �✓ ,S�/S �Ire _� a C • TOTAL NO. @.o.eo APPROVALS DATE INSPECTOR'S SIGNATURE GAS SYSTEM OUTLETS @ 1.00 UNDER SLAB WORK WATER HEATER @ 1.00 • ROUGH PLUMBING PERMIT S 1 00 GAS PIPING TOTAL FEE GAS VENT 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY THAT A AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO. NOTIFIED CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPEpTY. c�e� SIGNATURE C Leis-e / OF PERMITTEE FINAL WILLIAM J.FO OUNTY ENGINEER VALIDATION M4 6 1 61R JUN 13 3 2.0 0 n BY ,, / APUTY . sales 1s s'es APFTdGATiO� FOR PSSl�'� I�j DVARTMW OF � �`�" • ". PLUMBING M B 1111 CCARM OF MO AMS U G 1 WILLIAM J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN DItTRIC..NO. C.RO a�jlMITNO. MBER rLL 1 BOUL A RECEIVED tY READYEZ;rllffab woDREW 990 EAST VAL / cl'r„ EMEAD ` " TEL No.•AT.2-2 lc BAS1,0L1ii a/✓r COUNTY •`r No. 931N UPIREs M— LocwLITY NEARENT PEBIkaZ ME � . CROW ST. 0=11101 Tvps OF IFIrMBe an ITEM REE , OWNER I WATER cLoswr TOILET 0.00 S ' ADDRESS I MATH TUM 0 O.SO O CI Tw- J tHowER 0.so 1 HERESY ACKNOWLEDGE THAT 1 HAVE READ THIN LAVATORY WANH BASIN O.S APPLICATION AND STATE THAT THE ABOVE It CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCEB AND KITCHEN LINK a 0.00 O STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID I= LAUNDRY TUB OR TRAY 0.00' ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER OF THE RENIDENTI PROPERTY DWCRIMED ABOVE. ` GAB -To O.BO a SIGNATURE OF WATER HKATER O.S PQIMITT GLOP SINK 0.00 fflawnunun, FIAOR BINK 0.90 FLOOR DRAIN 0.00 DISHWABHEB 0.80 DRINKING FOUNTAIN 0.50 URINAL 0.50 J HOUSE SEWER 0.80 Z MISCELLANEOUS (9 d' 0 n AMMAN , (V TE IN=WCWN7 MANS RO G PLUMBING GAS PIPING ! I. GAS VENT CESSPOOL 1.00 CESSPOOL SEPTIC TANK1 tWTIC TANK • DRAIN ( ) 'PIT ( ) ® 1.00 SEWER r PERMR . 1.00 GAB TES ( TOTAL REE 11111,41001 UTILITY CO. NOTIFIED FINAL