HomeMy Public PortalAbout5570 RYLAND AVE_Plumbing__ VeaeeT " e-so APPLICATION FOR .PERMIT '�L
DEPARTMENT 'OF.BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT�fO: GRP ZONE PERMIT NO.
Be 1
PLUMBER� IVIEF&Y READY FOR vD�ATE�ISS ED1ALLEV BOULEVARD
DLUMBINA Q FIRSTINSPECT ION.
`
ADDRESS /1. • J
AST VALLEY BLVD. BUILDING
CIT[777
Y RMSEM Arl TEL. NO. AT 2 MOCOUNTY ADDRESS
o
LICENSE NO. 93M EXPIRES &qn..5/ LOCALITY
NEAREST f '
PERMIT FEES. CROSS ST.
NUMBER TYPI:OF FIXTURE OR ITEM .FEE OWNER
- MAIL p � n
WATER CLOSET.(TOILET) @ O.SO $ h ADDRESS LJ
A�J
BATH TUB O.50 CITY ..A s-P� .TEL. NO.
/ SHOWER 0.50 Sd I HEREBY AC O'LEDGE THAT I HAVE READ THIS
I LAVATORY (WASH BASIN) @ 0.80 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES ,AND
/ KITCHEN SINK @ 0.50
STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
I LAUNDRY TUB OR TRAY @ 0.50 V ANGELES•COUNTY LICENSE: OR' I AM THE LEGAL OWNER .
OF THE RESIDENTIAL P CPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.SO 1 O f
SIGNATURE OF ✓! h
/ WATER HEATER @- 0.50 5 PERMITT �� /�?.�i1�!I rJ'LIjLL _
SLOP SINK @ 0.50 . 'INSPECTION RECORD c/
FLOOR SINK @ '0.SO
FLOOR DRAIN @. '0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 J
HOUSE SEWER @ 0.50 Q
MISCELLANEOUS ('
Lr
APPROVALS
DATE j INSPECTOR'S NAME
ROU' UMBING
GAS 'PIPING
GAS VENT
CESSPOOL @ 1:.00 CESSPOOL /.
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 1 SEWER
PERMIT . 1.010 , GAS TEST
UTILITY CO. NOTIFIED
TOTAL FEE d Q
FIN)kL �� ,
76A667 (CE-817)-4/72
- ; APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER.
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: ADDRESS ADDRESS
HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY /-
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE.OR ITEM FEE
OWNER
WATER CLOSET 1.75
MAIL
BATH TUB 1.75 ADDRESS
SHOWER 1.75 CITY TEL.•NO.
LAVATORY 1.75 C 0 NTRAC TOR
SINK 1.75 ADDRESS dz�/
DISHWASHER 1.75 CI EL. N
CLOTHES WASHER 1.75 STATE LIC
ICENSE N0. CLASS C�
SWIMMING POOL RECEPTOR 1.75
DISTRICT NO. OUP Z E PROCESSED BY
LAWN SPRINKLER SYSTEM 1.75 too f� C
�� o v !
WATER HEATER 1.75 INDUSTRIAL
WAST APPROVAL or.
GAS SYSTEM OUTLETS 1.75INSPEgJrION RECORD v
OUTLETS OVER
5 PER SYSTEM .30 C
1--
C�
W
a
J �
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
Gity el. N GAS VENT
HOT WATER HEATER
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED ASGUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR AT I AM THE LEGAL OWNER OF, AND INTEND TO 44
RESIDE IN THE AS D RESIDENTIAL PROPERTY. FINAL
SI GNATU RE
OF PERMIT EE
PERMIT VALIDATIU CK. M.O. CASH
PLAN CHECK VALIDATI CK. M.O. CASH
( 1'„ 0 3 3 4?3 APR 2 5 D 8.2 5NCQ
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1104250006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID BUILDING ADDRESS:
ITR: 16957 IT: 117 1 5570
AV
I
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA�802723 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: BOGUE [
18586-017-013 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B3 LOCALITY: TEMPLE CITY, Cl
1 107 BATHTUBS/SHOWERS 3.00 FIX 48.80 I 1
ITENANT- 113 DISHWASHER(S) 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 121 HOSE BIBB(S) 4.00 FIX 65.10 104/25/11 SR ]
1 125 LAVATORIES/SINKS 5.00 FIX 81.30 1 1
(OWNER: TEL. NO: 145 WATER CLOSET/URINAL 3.00 FIX 48.80 IFINAL DATE FINAL BY: CODE: 1
IWONG, SHAUN (626) 443-1832- 147 WATER HEATER(S) 1.00 WTH 16.30 I 1
15570 RYLAND AV 151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 I I
ITEMP 917802723 160 DWV REPAIR OR ALTER 1.00 SYS 16.30 IDESCRIPTION OF WORK I
I I TOTAL FEES 337.00 IPLUMEING FOR NEW BATHROOMS, REMODEL KITCHEN, (E) BATHROOM, 1
I i (REPLACE WATER HEATER AND GAS LINE FOR HVAC SYSTEM
(APPLICANT: TEL. NO:
IWONG, SHAUN (310) 468-4914-
15570 RYLAND AVE. I ISPECIAL CONDITIONS: I
(TEMPLE CITY CA 91780 i 1
ICONTRACTOR: TEL. NO: I [APPROVALS DATE INSPECTOR SIGNATURE 1
IKEN G CHAN CORP (626) 255-7578- I 1 1
1310 W. RALPH STREET LIC. NO I (UNDER SLAB WORK
ISAN GABRIEL, CA 91776 906406 I
I
WATER SERVICE I I I
PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: I I I I 1
ILEE, PETER (626) 280-9000- 1 IROUGH PLUMBING
18748 E. VALLEY BLVD. SUITE L LIC. NO:
ROSEMEAD, CA 91770 906406 * GAS PIPING
GAS VENT
IHOT WATER HEATER I I I
I I I
IPLUMBING FIXTURES I I I
]LAWN SPRINKLERS I [ I
GAS TEST II
(UTILITY COMPANY NOTIFIEDI -
�1 I
1CWv I 1 I
IGRAY WATER SYSTEM 1
DAL
I I e- I I I
I I
1• ADDITIONAL DATA ON FILE
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I I I I
I
IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I 1
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