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HomeMy Public PortalAbout9437 KENNERLY ST_Plumbing__ r� A COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY PLUMBING 1 WILLIAM J. FOX. County Engineer DISTRICT NO. GROUP I Z N FOR APPLICANT TO FILL IN � _ / PLUMBER Gam` R VED BY READY FOR E- IBS ED FIRST INSPECTION ADDRESS _ CITY TEL Na. ADORES _ COUNTY LOCALITY ♦/�I� ,s�I.� �/ / l//lY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. y ,or�r,"? A NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL ' WATER CLOSET(TOILET) @ 0.V13 ADDRESS .1 L( �filil BATH TUB @ O 50 �4 CITY � TEL. No. SHOWER @ .50 q 01 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) Q O. O APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK- @ 0,5 AND STATE- LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ ❑. ❑ ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER OF THE RESIDENTIAL.,PROPERTY DESCRIBED ABOVE. GAS BYSTEM__OUTLET9 @ .50 /* SIGNATURE OF, �:-��. WATER HEATER @ 0.50 PERMITTEE —' SLOP SINK .50 INSPECTION RECORD FLOOR SINK @ .SO 7 ♦�"VS ( / iIL/ FLOOR GRAIN @ -50 DISHWASHER @ 0.50 i DRINKING FOUNTAIN @ 0.50 Z 6O fW `4v-*,vqi4 URINAL C>1 0.50 �j(f`C� / �F "� ♦ Q HOUSE SEWER MISCELLANEOUS54,11YA A!? q � APPROVA S DAIj IN.PECTOR'9 N E ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT 1.00 GAS TEST UTILITY CO. NOTIFIED TOTAL FEE FINAL 7GA667 DBS#17 10/52 SA- 7 17 25M SETS 7-48 I APPLICATION FOR PERMIT DARTMENT OF BUILDING AND SAFETY �' �' CO'tJNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER DISTRICT O. ROUP Z P . FORA�P)PLICAN_T T❑ FILL IN / �f PLUMBER / /� (' RECEIVED,BY READY FOR DATE ISSUED ADDRESS 1,6), // �i //��/,�/ ( -/� ��/ 9 G - // FIRST INS/PE/CTION CITY.._ i�%/'7/ �9��.✓O,Y' TEL. No. �/ / / JOB - ADDRESS COUNTY LICENSE NO. Sd"�� EXPIRES - LOCALITY I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST ANGELES COUNTY LICENSE. CROSS ST. OWNER • ,, MAIL 9 PLUMBER ADDRE5��9��,, / PERMIT FEE IS $1.00 FOR THE FIRST FIXTURE OR CITY ��/ yJTEL. No. ITEM LISTED BELOW, PLUS 50c FOR EACH ADDITIONAL 1 AM THE LEGAL OWNER OF-THE RESIDENTIAL PROP- ITEM. FOR EACH SEPTIC TANK AND PIT OR DRAINFIELD ERTY DESCRIBED ABOVE. $1.00. MINIMUM FEE FOR ANY PERMIT $1.00. EACH GAS SYSTEM IS A.SEPARATE ITEM. OWNER NUMBER TYPE OF FIXTURE OR ITEM ` WATER CLOSET (TOILET) CORRECTIONS BATH TUB SHOWER LAVATORY (WASH BASIN) KITCHEN SINK LAUNDRY TU®pR TRAY . GAS SYSTEM .J( OUTLETS WATER-HEATER SLOP SINK J Q FLOOR SINK Z FLOOR DRAIN L9 DISHWASHER DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING ' a- I ,.- GAS PIPING GAS VENT CESSPOOL I _ SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ GAS TEST TOTAL FEE $ UTILITY CO. NOTIFIED FINAL I 76AB67-CES 17-8-58 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING ]]OHN A. LAMBIE, Counq Enggi�nneer ADDRESS i CASSATT D. GRIFFIN.Sup t o!Baildiag LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM u ' OWNER C ��- WATER CLOSET MAIL / BATH TUB DRESS Hyl CITY TEL. NO. SHOWER LAVATORY CONTRACTOR SINK ADDRESS DISHWASHER CITY TEL. NO. CONTRACTOR'S STATE ❑ LAUNDRY TUB REGISTRATION NO. COUNTY El CLOTHES WASHER DISTRICT O. G7 ZONE CESSED BY WATER HEATER ? AJ GAS SYSTEM INDUSTRIAL WASTE APPROVAL )O SPECTION RECORD a APPROVALS OH O PER rD[TUES $ DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK PERMIT 151 2 00 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR TH AM THE LEGAL OWNER—OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDE IAL PROPERTY. SIGNATURE n I ^y VO OF PERMITTE FINAL ROBERT A.WOOD. ®F VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.O. CASH ` lCo 8 3 6 9 ° DEC 5 A 3 ,Q 0 WORKERS'COMPENSATION DECLARATION 76A887A ' I hereby affirm that I have a. certificate of consernt-to self _CE_817 (2-86) APPLICATION P O R 'P L U M B I.N G i.-P E R M IT insure, or a certificate of Workers'Compensatibn•Insur'ance,or > ' a certified copy thereof(Sec. 3800,Lab.•C.) ��/ q� a�uT COUNTY OF LOS ANGELES, ' BUILDING AND SAFETY; Policy Ng�L�/Company` Certified copy is hereby furnished. FOR•APPLICANT TO FILL IN (PRINT OR TYPE)' BUILDING C ADDRESS O Certified copy is filed with the county building inspection NUMBER FIXTORE OR ITEM ®A FEE department. LOCALITY' i Date ApplicantWATER CLOSET, • � _ NEAREST - , { f BATH TUB CROSS ST. . r L CERTIFICATE-OF'EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER L'AVATORY­- _� MAIL (This section need not be completed'if the work 'involved ADDRESS a7 by, the permit is for one hundred dollars ($100) or less.) SINKCITY r- PL ` TEL.N' a: I certify that in the performance of the work for which this DISHWASHER U permit is issued, I'shall not employ any person in any manner CONTRACTOR so' as to,become subject to the Workers' Compensation Laws. CLOTHES WASHER. ADDRESS D •O Date- Applicant, SWIMMING POOL RECEPTOR NOTICE TO APPLICANT: If, after making this•Certificate'of CITY ��� TEL. NO' g , tL Exemption, you, should become 'subject to the'Workers' LAWN SPRINKLER SYSTEM Cn STATE y LICA Compensation provisions of the Labor Code, you must.forth- LICENSE NO. a a/ CLASS with comply with such-provisions or° •this permit sh'all be WATER HEATER' deemed revoked. GAS•SYSTEM OUTLETS DISTRICT NO. t. PROCESSED BY LICENSED CONTRACTORS DECLARATIONI . . � `� OUTLETS OVER I hereby'affirm that I am licensed under provisions of Chapter 5 PER.SYSTEM 9-(commencing.with Section 7000) of Division 3 of the Busi- FINAL VALIDATION ness and Professions Code, and my license is in.full force and 'DATE �� � ,effect. tt l 6 /J FINAL fJ r License.Number Lie.Class. BY ContractoAfJfL U1/L,AF Date, 7_/'_457 I am exempt from the licensing'requirements as Iain a Plan check fee _ licensed architect or a, registered professional engineer PLUMBING PERMIT'ISSUING FEE$ ` acting,in my professional capacity (Section 7051; Bus, iness and Professions Code). TOTAL FEE Lie.or Reg.No. Date Plan check•applicsnt HOME OWNER-BUILDER DECLARATION Name c 06 4 A' I hereby 'affirm-that I am exempt from ,the Contractor's Address #'o 0 0 0 0 5 License Law for the following reason (Section 7031.5, Busi- Cit 'o'. City Tel.N 2 yo 0'2 4,•5'� ness and Professions'Code): OI, as owner-of the property, am exclusively contracting" • � " '*to'o 2 li.'S Q v with-'licensed contractors to construct the project (Section 7044, Business and Professions Code). _ 7V0 2�—8 2 CONSTRUCTION LENDING AGENCY ; I hereby affirm that there is a construction lending agency, for the performance of'the work for which this permit is „ issued(Sec. 3097,.Civ.C.). ry Lender's.Name Lender's Addr-ss I certify that I have read this application and state that the above information is correct.I agree to comply with all County ' '' ordinances- and State laws regulating Plumbing, and hereby SEE,REVERSE FOR EXPLANATORY LANGUAGE authorize representatives of-this County to enter upon the above-mentioned property for inspection purposes..- Signature urposes,Signature of Permittee 'Date