HomeMy Public PortalAbout9252 KENNERLY ST_Plumbing__ 76 A 667—CE 817 468, _.
APPLIZATION FOR PLUMBING `RWT
lJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DMSION BUILDING
JOHN A. LAMB_IE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT OF BUILDING LOCALITY'
FOR APPLICANT,TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER - FIXTURE OR ITEM EACH FEE
OWNER
WATER CLOSET 1.50 MAIL '
BATH TUB 1.50 ADDRESS -
SHOW ER 1.50 CITY TEL.-NO.
LAVATORY 1.50 'CONTRACTOR
SINK 1.50 •ADDRESS Q
DISHWASHER 1,50 . CITY TEL. NO.
O
CLOTHES WASHER 1.50 STATE LIC
.�..��yy LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 G/ DISTRICT NO. GROUP ZONE P CESS D BY
LAWN SPRINKLER SYSTEM 2.00 /) p
WATER HEATER 1.50 INDUSTRIAL
WASTE APPROVAL
GAS SYSTEM OUTLETS 1.50- INS ECTION'RECORD -
OUTLETS OVER .30
5 PER SYSTEM
N
CA
.Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE S 2 00
TOTAL FEE OC? APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PJPING
GAS VENT_ �.
City Tel. No.
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST '
PLUMBING: '
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE / JACK R. ALLEN, SUPERVISIN HANICAL ENG'R.
OF PERMITTEE � '
PERMIT VALIDATION C K M.O. C-ASH
PLAN CHECK VALIDATION CK. M.O. CASH
_
LAC n S 1 .�Na ATTR 2 5 .D ✓C., ti09'"
7,6A667 DBS 17 11-50 APPLICATION FOR PERMIT
,r ,.DEPARTMENT OF BUILDING AND SAFETY ,
COUNTY OF LOS ANGELES BING
WILLIAM J. FOX, CHIEF ENGINEER PLUM 1
PERMIT NEI.
FOR APPLICANT TO FILL IN DISTR O. R
S Ill z 3 3�� y
PLUMBER e-0 dr, 1 R EIVED BY READY FOR DATE ISSUED
f� FIRST INSPECTION
' ADDRESS //� •"
• � � ADDRESS
CITY
TEL NO. w� '
COUNTY
LICENSE NO. � EXPIRES' /d-%� LOCALITY
' NEAREST
PERMIT FEES cRoss sT
NUMBER TYPE OF FIXTURE OR ITEM FEE
OWNER
WATER CLOSET(TOILET) MAIL •0
0 0.50 $ ADDRESS
BATH TUB @ 0.50CITY " ` TEL. N A
SHOWER 0.50 1 HEREBY ACKNOWLEDGE THAT I 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.
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPS TY D SCRIB AB VE.
GAS• SYSTEM OUTLETS 0.50 / __
SIGNATUREOF r
WATER HEATER 0.50 PERMITTEE I 1 +
SLOP SINK @ 13.5o INSPECTION RECORD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER Cel 0.50
DRINKING FOUNTAIN 0.50
URINAL @ 0.50 J
a •
HOUSE SEWER @ 0.50' Z_
MISCELLANEOUS CJ
. O
APPROVALS,
DATE INSPECTOR'S NAME
I
ROUGH PLUMBING* t
GAS PIPING
GAS VENT
CESSPOOL @ 1.00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 I SEWER I
PERMIT 1.00 GAS TEST
UTILITY CO.NOTIFIED r
TOTAL FEE � y 1J!'O
FINAL
76A667aalcg-817e) -a/7s
v A,PPLICA ION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
���
WATER CLOSET LOCALITY Ile
NEAREST
BATH TUB CROSS ST.
SHOWER OWNER
LAVATORY MAIL '
D ADDRESS Via'
SINK CITY TEL
• DISHWASHER CONTRACTOR
V15ow
CLOTHES WASHER /
ADDRESS � X ��
SWIMMING POOL RECEPTOR
CITYTEL. NO.��SSs 2S
LAWN SPRINKLER SYSTEM
ppp STATELIC
WATER HEATER O LICENSE NO 44Cj- /-y f7_` CLASS
/ GAS SYSTEM OUTLETS DISTRICT NO. GROUPZONE PR SSED BY 0
_ U
OUTLETS OVER
5 PER SYSTEM INDUSTRIAL 0
WASTE APPROVAL LLLJ
a
INSPECTION RECORD !n
Z_
" 'v- 725 4/*7Zr,1V
v-
Plan check fee
PLUMBING PERMIT ISSUING FEE $ s`o
TOTAL FEE �Q
Plan check applicant
Name APPROVALS DATE INSPECTOR'S SIGNATURE
UNDER SL+;9_ WORK �j- t
Address
ROUGH PLUMBING Ael
City Tel. No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COULNO
TE OF GAS TEST
CALIFORNIA OR THA I AM E LEGAL OWNER TO
RESIDE IN THE ABOV ES RI D REST IAL PUTILITY CO. NOTIFIED
SIGNATU RE
OF PERMITT FINAL
PLAN CHECALIDATION CK. M.O. cnsH PERMIT VALIDATION M.O. CASH,
4 2 ?tiov 23 5 D5,0 a�
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