HomeMy Public PortalAbout9226 KENNERLY ST_Plumbing__ �7&*667 OBS 17- 11-50APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES �' 1°
WILLIAM J. FOX, CHIEF ENGINEER
DISTRIr
,,T—NO. GROUP I ZONE PERMIT NEJ.
FOR APPLICANT,10 FILL IN
PLUMBER > L 4 R EIVED BY READY FOR DATE ISSUED
L FIRST INSPECTION
ADDRESSF-e/t/��y"vg,�� 1 6� 7® f
CITY " - '" ✓ TEL. N • e3a ?/ O BUILDING
ADDRESS
COUNTY 1 a i /.T B '� LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES cRosa BT
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER I
MAIL
WATER CLOSET(TOILET) 0.50 111 ADDRESS
BATH TUB @ 0.50 t
CITY TEL N.4 1 73 J
SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) Ccs 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.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB.?R TRAY @ 0.50 AN13ELEB COUNTY LICENSE. OR 1 AM THE -LEGAL OWNER
GAS SYSTEM OUTLETS 0 0.50 OF THE RESIDENTIAL�P/ROPEj2T'Y�RI_BED ABOVE.
SIGNATURE OFe Y t V//JJPyPyjj ��(G�+QQ„. �K�•�
WATER HEATER @ 0.50 PERMITTED I
SLOP BINK 0.50 INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN 0 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN 0.50
URINAL 0.50 J
Q
HOUSE SEWER 0.50 _Z
Mt L NEOUS��/�� 9
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
OAS PIPING
N
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ) PIT ) @ 1.00 SEWER
PERMIT . . I 1.00 GAS TEST
UTINILITY C
FO. NOTIFIED
TOTAL FEE `& �1 �Q
AL
'WORKERSCOMPENSATION DECLARATION 76a667A
I hereby affirm that I have a certificate of conse t to self CE s»-(z-80) APPLICATION FOR P L U M B I N.G PERMIT
insure, or a certificate of Workers'Compensation I urance,or �J
a certified copy thereof(Sec. 3800,Lab C.)
COUNTY OF LOS ANGELES' BUILDING AND SAFETY,
Policy No. Company �
Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING �� Jam`," �e /1 j A+,Lp�
NUMBER FIXTURE OR ITEM- • FEE ADDRESS _ J� 'v 1"
�- Certified copy is filed with the co ty building inspection '
department. _ WATER CLOSET LOCALIT \ ���,
Date Applicant NEAREST
BATHTUB
- CROSS ST.
CERTIFICATE OF EXEMP- ON FROM WORKERS'
COMPENSATIO INSURANCE' SHOWER OWNER QU ( p V+� ef�
LAVATORY MAIL }
(This.section need not be oritpleted if the work involved- ADDRESS as
by the permit is for on hundred dollars ($100) or less.) SINK 0
CITY TEL.NO. U
I certify that in-the pe oimarice of the work for which this DISHWASHER
permit is issued, I shall riot employ any person in any manner CONTRACTOR �/ 4yY C�'Yj•f°i . 0
so as to become subj t to the Workers' Compensation Laws. CLOTHES WASHER ADDRESS
Date plicant LU
SWIMMING POOL RECEPTOR nom, tL
NOTICE TO APPL-CANT:'If, after making this Certificate of CITY S"� 0,7—
en TEL. NO.`I�Q -lil I, to
Exemption„ youi should; become -subject to the' Workers' LAWN SPRINKLER SYSTEM STATE p� LIC. Z.
Compensation provisions-of the-Labor Code, you must forth- LICENSE NO. •� 415 p 7 CLASS
with comply with such provisions or this permit shall,be WATER HEATER
deemed,revoked. GAS SYSTEM OUTLETS DISTRICT NO, PR ES ED BY,
LICENSED CONTRACTORS DECLARATION OUTLETS:OVER
�>:�l W
U
I hereby affirm that I am licensed under provisions of Chapter 15 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- - FINAL VALIDATION'
ness and Professions Code, and my license is in full force and DATE
effect. ,
FINAL
License Number 3 Lic.Class C- BY
Contracto 8 'Date
OI am exempt from'the licensing requirements as I am a Plan Check fee
licensed architect or -a registered professional engineer PLUMBING PERMIT ISSUING FEE$ g 50
acting in my professional=capacity (Section 7051, Bus-
iness and Professions,Code)., TOTAL FEE-, 12-
5�
Lic.or Reg.No. Date Plan check applicant
HOME OWNER-BUILDER DECLARATION Name
I hereby affirm that I'am exempt from the'Contractor's Address
License-Law for the'following reason (Section 7031.5, Busi- City Tel:No.
ness and Professions Code):
I, as owner,of the property,'am exclusively contracting
,with licensed contractors to construct the project
(Section 7044, Business and Professions Code).-
CONSTRUCTION
ode).CONSTRUCTION LENDING AGENCY -
I 'hereby affirm that there is,a construction lending agency o'o 0 0'0 5
for the performance of the work for which this permit, is' \ ;
issued(Sec. 3097,Civ.C.)., 2 o e 1'2.50 \
Lender's Name
01.0 0`1 2.50
Lende'r's Address +
I certify that I have read'this application and state that the O 7;Q 2-8.2
above,information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE
ordinances and State laws regulating Plumbing, and hereby
authorize•represe atives is Co ty to enter upon the
above-mentioned roperty o insp on purposes.
Signatu f Perm ee Date
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS - PL 0508 1203120025
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 '
PHONE: (626) 285-0488 EXT:
ILEGAL ID• FEES PAID
I BUILDING ADDRESS: _ I
ITR. 16475 LT- 106 1 9226 KENNERLY ST
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803727 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18590-010-008 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
163 WATER PIPING BR/FIX 8.00 FIX 54.40 I
(TENANT: - I TOTAL FEES 82.20 (ISSUED ON: PROCESSED BY: PLAN BY: I
1 103/12/12 SR
(OWNER: TEL. NO: I IFINAL, DATE FINAL, Y: CODE: I
IZAVALA MANUEL M (626) 287-7884- ' 1 I �� •I
19226 KENNERLY ST
ITEMP 917803727 1 IDESCRIPTION OF WORK I
' IRE-PIPE COPPER PIPE FOR 8 FIXTURES
I
(APPLICANT: TEL. NO: I
IPERETZ, HADAR (818) 355-5113- I
12101 LAS LOMITAS I ISPECIAL CONDITIONS: I
IHACIENDA HIGHTS 1
ICONTRACTOR: TEL. NO: 'I - 1APPROVALS DATE INSPECTOR SIGNATURE 1
IRIGHT ON TIME PLUMBING, INC. (818) 644-2389- I 1 I
111023 MCCORMICK ST.,APT 514 LIC. NO I (UNDER SLAB WORK I I I
INORTH HOLLYWOOD, CA 91601-3286 913366 C36 II I 1
I (WATER SERVICE I I I
I I IPLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: I - _ I ' I I
I - 1 1ROUGH PLUMBING "D ,I �I 1
LIC. NO: I
IGASGAS PIPING
I _I IGAS VENT -
I
IHOT WATER HEATER
I I I
I 1PLUMBING FIXTURES I I
I I I
I 1 ILAWN SPRINKLERS
I I I
IGAS TEST 1 I 1
_ I I I
I 1UTILITY COMPANY NOTIFIEDI 1 I
I ICWV I
1GRAY WATER SYSTEM
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508
I I I I I I
• COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1203140003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626)- 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 16475 LT: 108 9226 KENNERLY ST
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803727 -
ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18590-010-008 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
1 160 DWV REPAIR OR ALTER 6.00 SYS 97.20 1
TENANT: 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.20 JISSUED ON: PROCESSED BY: PLAN BY:
TOTAL FEES 141.20 103/14/12 SR
(OWNER: TEL. NO: (FINAL ATE FINAL BY: CODE:
ZAVALA MANUEL M (626) 287-7884-
19226 KENNERLY ST I 1 3� �
ITEMP 917803727 I IDESCRIPTION OF WORK I1
1 1 IRE-DRAIN 6 F-IXTURES AND MAIN LINE
I
(APPLICANT: TEL. NO: 1 -
IPERETZ, HADAR (818) 355-5113- 1
12101 LAS LOMITAS 1 (SPECIAL CONDITIONS:
IHACIENDA HIGHTS I
ICONTRACTOR TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
IRIGHT ON TIME PLUMBING, INC (818) 644-2389- 1 1
111023'MCCORMICK ST.,APT 514 LIC. NO (UNDER SLAB WORK
INORTH HOLLYWOOD, CA 91601-3286 913366 C36 I 1 1 1 1
I 1 IWATER SERVICE
I 1 (PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I I
- I IROUGH PLUMBING I I
LIC. NO:
1 1 IGAS PIPING
I I
I GA.4 VENT 1 1 1
I I I
IHOT WATER HEATER 1 1 1
I I I
1 IPLUMBING FIXTURES I 1
I I I
1 1 ILAWN SPRINKLERS
I I I
I I IGAS TEST I I
I I I
1 (UTILITY COMPANY NOTIFIEDI I I
I I ICwv I I
I I (GRAY WATER SYSTEM
I I I
I I I I I I
I I I I I I
I I I I I I
I I f I I I
1 IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 1
I I I I I
i
L
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0402240015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT: ' +
LEGAL EESADDRESS:
TR: 16475 LT: 108 — 9226 KENNERLY ST
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803727
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREE
8590-010-008 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, C
45 WATER CLOSET/URINAL 1.00 FIX 16.20
TENANT: TOTAL FEES 43.95 ISSUED . P L EXPIRES .
02/24/04 VG 08/22/04
OWNER: TEL. N0: F N D�4 E_ FINA Y:_ CODE:
ZAVALA MANUEL M (626) 287-7884- !/
9226 KENNERLY ST
TEMP 917803727 DESCRIPTION Or WORK
WATER HEATER CHANGE OUT
APPLICANT: L.
VALIANT CONSULTANT (818) 898-7401-
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR S GNATURE
DEPENDABLE ELECTRIC (818) 898-7401-
511 5TH STREET LIC. NO UNDER SLAB WORK
UNIT G 382175 C36 * —
SAN FERNANDO CA 91340 WATER SERVICE
PLASTIC Y/N METAL Y/N
ARCHITECT OR R: TEL. N
LIC. N0:
GH PLU B
GAS PIPIN
GAS VENT
OT WAT15R HEATER _7G
PLUMBING RES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
cWV
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508