HomeMy Public PortalAbout5558 RYLAND AVE_Plumbing__ VaAse. 17 11'50 9 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING.
WILLIAM J. FOX: CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRIC�. NO. GROUP ZONA.. PERMITNO.
PLUMBER VALLEY BGULEVARD PLUMBING. . ECEIVED BY READY FOR DATK7S UED
/ FIRST INSPECTION fJ—�
ADDRESS 900 EAST VALLEY D
CITY ROSEMEAD TEL. NO.- AT.2-2719 BUILDING
p 11.1 ,ADDRESSCOUNTY
LICENSE NO. 93M EXPIRES 6.30,.-T LOCALITY �.LP/Y.► � G'
NEAREST --
d J �
PERMIT FEES CROSS ST. ,"A--G
OWNERITH NUMBER TYPE OF•FIXTUR6 OR YTEM � FEE ADDRESSMAIL
WATER CLCSEr..(TOILET) @ O.50 Z8: D BATHTUB @ 0.50 �°�O f CITY I�Pi ii ♦.�.(�r•J TEL. NO.SHOWER @ 0.50 1 HEREBY CKNOWLEDGE THAT I. HAVE REA
7 LAVATORY (WASH BASIN) @ 0.50 Q O APPLICATION. D STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
° STATE LAWS REGULATING PLUMBING.
I KITCHEN SINK @ 0.50 � 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUDOR TRAY @ 0.50 _ ANGELES COUNTY LICENSE: OR I AM THE LEGAL=OWNER
OF THE RES ENT P OPERTY DESCRIBED ABOVE.
J GASsYSTEM OUTLETS @ 0.50 SIGNATURE OF
WATER HEATER @ 0.50 . 7 tS PERMITTE ILL���111 ✓ J
SLOP SINK. @ 0.50 INSPECTION RECORD. v
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50.
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
HOUSE SEWER @ .0.50 a
Z
MISCELLANEOUS. (�
- a
- APPROVALS
DATES% INSPECTOR'S NAME
UMBING
GAS PIPING . �jwl �
GAS VENT
CESSPOOL @ '1.00CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1..00 SEWER.
PERMIT • 1.00 GAS TEST
UTILITY CO. NOTIFIED ` !• f /.
TOTAL FEE I y
FINAL /
761APPLICATION FOR 'PLUMBING PERMIT
DBS,17 9.33•17 .
NNISION OF BUILDING AND SAFETY
Department of County Engineer
I: County of Los Angeles
WM.J. FOX, COUNTY ENGINEER BUILDING tt
ADDRESS V �. }- / •-v�
CASSATT D.GRIFFIN,$UP•T OF BUILDING -
LOCALITY
FOR APPLICANT TO;F'ILL IN/; NEAREST ,r
CROSS ST.Ow
✓ .-Gv�
IJIAILEm {_ i7 / DISTRI5�NO. GROUP' Z9AIE READY FOR INSPECTION
_ADDRESS•t� ) / (�/ / I
INDUSTRIAL
CITY CITY/ TEL.NO WASTE APPROVAL
PLUMBE " - t`-%-y� . INSPECTION RECORD
ADDRESS / /1/J f/ ;��i/yr J •/fr
TE s(/L /��/J•`7 -L l
LICENSE NO./ �/ �I
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER l
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO. @ 0.86 APPROVALS
DATE' INSPECTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 1.00
WATER HEATER ® 1.00 UNDER SLAB WORK
ROUGH PLUMBING
PERMIT S I 1 00
GAS PIPING
TOTAL'FEE J [� GAS VENT
1 HEREaY 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.
I HEREBY CERTIFY THAT I ,AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE-OF-
CALIFORNIA OR THAT I AM. THE LEGAL0 NER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIAL PROPERTY. ////�
SIGNATURE _ y(
OF PERMITTE ////ilii%%%%//((�A � FINAL �'�:fir 1.:'•'f � rt i.�i .a•
WILLIAM J.FOX.COUNTY ENGINEER VALIDATION �?R.A WOOD.CHIEF PLBG.INSPECTOR
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• T49 +03S "21 5 7. .80