HomeMy Public PortalAbout9219 KENNERLY ST_Plumbing__ 76A667`CE817 1259 TFMPLrz, CITY
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY ]DIVISION BUILDIN Q
JOHN A. LAMBIE, COUNTY tLNGINEER ADDRESS
u
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET MAIL ����
DDRESS IC:�� 1 -W
BATH TUB
CITY TEL. NO.
SHOWER
LAVATORY
SINN ADDRESS
DISHWASHER CITY L%CX'► TEL. NO.
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. '� COUNTY ❑
CLOTHES HEATER ER �D_ISTRICT I I ZONE I P �SEC�BY
WATER0 '
GAS SYSTEM INDDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
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0
4c
W
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to
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1
@ SL00 PER ITEM
OR FIXTURE +aS ,. CT� APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
11
TOTAL FEE C'L ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
II AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF GAS TEST
CALIFORNIA OR THE LE L R OF T E ABOVE
DESCRIBED R ENTIAL PRO RTY. UTILITY CO.NOTIFIED
SIGNATURE --e '
OF PERM FINAL
OF VALIDATION ROBERT A. WOOD,
CC., Y.O. CASH SUPERVISING MECHANICAL ENG'R
LrLo- 3 2 3 NOV ?Q 5 p 4.0 0 to
76A667 Dee 17 11-50 APPLICATION FOR PERMIT
63EPARTMENT OF BIIILDING AND SAFETY.
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1
DISTRICT
FOR APPLICANT TO FILL IN - y A
PLUMBER ' READY FOR ( J
R IVED CY FIRST INSPECTION DATE ISSUED
ADDRESS
CITY TEs„ N / ,,e a 61 ADDRESS
COUNTY [,y/y f� LOCALITY
LICENSE NO. I EXPIRES ! J A V
NEAREST
PERMIT FEES CROSS s
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNE
MAIL
WATER CLOSET(TOILET) Q 0.50 s ADDRESSSS7�3YOg4_&�/{� ��n{
BATH TUB @ 0.50 CITY TEL
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
1 CERTIFY THAT I POSSEBB THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL P•OPTYD ABOVE.
GAS.SYSTEM OUTLETS Q 0.50 (_Q
SIGNATURE OF
WATER HEATER @ 0.50 - PERMITTEE
SLOP SINK @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER Ct13 0.50 Z
MISCELLANEOUS I7
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING �
Ty
OAS VENT
CESSPOOL @ 1:00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1.00 SEWER
PERMIT I 1.00 GAS TEST q
UTILITY CO.NOTIFIED
TOTAL FEE -777 O" /
FINAL
'76A667-CE817 12/59 TEMPLE CBTY
APPLICATION FOR.'PLUMBING PE,RMI`i'.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING pAND-SAFETY DIVISION 7BU1LDlD7NIGCf J K'EIYN�(�JOHN A. L MBI COUNTY NGINEER IWILLIAM'A. JENSEN, SUPT OF BUILDINGITY TEMPLE C. IT1
FOR APPLICANT TO FILL IN SCROSS ST. !-(TTV S
NUMBER FIXTURE OR ITEM - "
OWNER.ZON C. Tllc) MPSoIV
WATER CLOSET
ADDRESS a ,-^ E-R Z
BATH TUB CITY I EM L.E C NO. /\T 713
SHOWER
CONTRACTOR
LAVATORY
SINS ADDRESS
DISHWASHER CITY TEL. NO.
CONTRACTOR'S STATE ❑
LAUNDRY TUB REGISTRATION NO. COUNTY ❑
CLOTHES WASHER- D
ISJRICTr Gr ZONE P S BY
WATER HEATER s D
GAS SYSTEM• INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
- a
O
U
r�
O
- F
• U
W
_ _ a
$1,00 PER ITEM / 0 f
OR FIXTURE $ APPROVALS DATE !INSPEC,T/O/R%S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK A —_ /1.. y!/l!/
TOTAL FEE - I I ROUGH PLUMBING ti �I �� `lit/A-11
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION I r
AND STATE THAT THE ABOVE IS CoRRECT- AND AGREE T0. COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE g
DESCRIBED RESIDEN L PROPERTY. UTILITY,CO.NOTIFIED A
SIGNATURE A�1
OF PERMITTE FINAL �\ •\�G 'J(�
01, VALIDATION ROBERT A. WOOD, 11 y
CK. U.o.. cesH /)SUPERVISING MECHANICAL ENG'R
5.6"6,2-0 l 5 'D 3.00
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