HomeMy Public PortalAbout9220 KENNERLY ST_Plumbing__ 76A667-CE817-11-57 0
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. County En eer ADDRESS
CASSATT D. GRIFFIN, Sup t of Building
LOCALITY
FOR APPLICANT TO'FILL IN NEAREST r'
NUMBER ' FIXTURE OR ITEM CROSS ST._
WATER CLOSET OWNER
or 0a
MAIL BATH TUB ADDRESS :.2-
D
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR
SINS ADDRESS 6
0,1
DISHWASHER CITY ' TEL.
LAUNDRY TUB CONTRACTOR'S ! A STATE El
REGISTRATION NO. -7 S ID C7 COUNTY Ej
CLOTHES WASHER DISTRIX UP ZONE READY FOR INSPECTION
WATER HEATER /�
GAS SYS INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
APPROVALS
$1.00 PER ITEM DATE INSPECT? 'S SIGNATURE
I OR FDM URE
UNDER�SLAB WORK
PERMIT $ OO ROUGH PLUMBING
TOTAL FEE 3 GAS PIPING
A41 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
1) STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY -CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY-LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL WNER THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDE L PRAP
SIGNATURE
OF PERMITTE I INAL / �Y
ROBERTA.WOOD.
OF ^VALIDATION SUPERVISING MECHANICALENG'R
M.0. CASH
3 2.5 3 L; MAR 10 5 A 3.Q 0Ir
' I.
7,6A667 D211917 11-513 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DIS / O. D , ZONE FOR APPLICANT TO FILL IN 1 7-33.3`
`,p, � w
PLUMBER' f READY FOR
R Y DATE ISSUED
FIRR ST INSPECTION -
ADDRESS
CITY !/P'F'D TEL N �f�lg BUILDING Qyu
ADDRESS
COUNTYi LOCALITY
L113EMBE NO. / D y EXPIRES
NEAREST
PERMIT FEES CRO88 BT.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLO8ET(TOILET) a 0.50 s ADDRESS u I �J
BATH TUB @ O.SO CITY - TEL D. / J
SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH SARIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE I8 CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
KITCHEN SINK @ 0.50 AND STATE LAWS'REGULATING PLUMBING.-
I CERTIFY THAT 1 POSSE88 THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE. OR 1 AM THE-LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.GAS SYSTEM__. OUTLETS @ 0.60
. SIGNATURE OF •//1L� V
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK _ @ 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNJTAIN @ 0.50
URINAL @ 0.50 J
Q
HOUSE SEWER @ 0.50 Z_
MIS ELLA-NEO 8 C7
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING P
GAS' PIPING A.lf�_
GAS VENT _
CESSPOOL @ 1.00 CESSPOOL v
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 1 SEWER
GAB TEST
PERMIT I l.Op
• UTILITY CO.NOTIFIED /
TOTAL FEE SLI 1
_� FINAL `� J