HomeMy Public PortalAbout9454 KENNERLY ST_Plumbing__ 76A667A�-Zt
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APPLIC TION F®R:•PLUMBIKG PERMIT
BUILDING D SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE( BUILDINGpp' G
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY eM LO`
NEAREST
BATHTUB CROSSST
SHOWER OWNERR
LAVATORY MAIL
ADDRESS mv tQI,
/ SINK CITY �,r TEL NO o2
DISHWASHER CONTRACTOR
CLOTHES WASHER ADDRESS
SWIMMING POOL RECEPTOR
LAWN SPRINKLER SYSTEM CITY _ A, 6 „� TEL NO. �
STATE LIC Cl a G •
WATER HEATER LICENSE NO Q CLASS
GAS SYSTEM OUTLETS DISTRI NO GROUP NE WOCESSPP BY
OUTLETS OVER 081 -7- -1
S PER SYSTEM INDUSTRIAL d
WASTE APPROVAL O
INSPECTION RECORD L
cc
O
Vf
Plan check fee _
PLUMBING PERMIT ISSUING FEE
TOTA
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
L
Tel No. GAS PIPING
REBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENTABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
E LAWS REGULATING PLUMBING HOT WATER HEATER
EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TESTNER OF.AND INTEND+TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
UTILITYCO NOTIFIED
RE v-& -MITTEE FINAL
PLAN CHECK VALIDATION CK M.o CASH PERMIT VALIDATION CK M o-. CASH
5 1
71 ,-MAY 25 5 D 2 8.5,0 as3
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76A667 17 25M SETS 7-48 APPLICATION FOR PERMIT
' DEPARTMENT OF BUILDING AND SAFETY PLUMBING
�� �� �� � -
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GRO P ZONE Fl-ERMIT .
PLUMBER // r RECEIVED-BY READY FOR DATE ISSUED
/fQ �� 1 �� �f� / FIRST INSPECTION
CITY /.��STEL. No. c AOB
DDRESS
COUNTY `_//
LICENSE NO. l� EXPIRES
LOCALITY
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST -�
ANGELES COUNTY LICENSE. CROSS ST.
OWNER
✓ 1� MAIL
PLUMBER ADDRESS
PERMIT FEE IS. $1.00 FOR THE FIRST FIXTURE OR CITY TEL. No.
ITEM LISTED BELOW, PLUS 50c FOR EACH ADDITIONAL I 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
OAS SYSTEM IS A SEPARATE ITEM.
OWNER
NUMBER TYPE OF FIXTURE DR ITEM
/ WATER CLOSET (TOILET) CORRECTIONS
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
LAUNDRY TUB OR7 TRAY
GAS SYSTEM y OUTLETS
WATER HEATER
SLOP SINK J
Q
FLOOR SINK Z
FLOOR DRAIN C7
DISHWASHER
O
DRINKING FOUNTAIN
URINAL
MISCELLANEOUS
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL I.
SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK
CESSPOOL $ SEWER
HOUSE SEWER $ GAS TEST
TOTAL FEE UTILITY CO.NOTIFIED
• °: V
FINAL
PLUMBING 1
DEPARTMENT OF COUNTY ENGINEER
' DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING -6--z -
z -
WILLIAM J. FOX.-COUNTY ENGINEER ADDRESS
FOR APPLICANT TO FILL IN LOCALITYNEAREST
BUILDING 9 �5� T ,ems CROS3ST.
ADDRESS )
� M � �, �„� � � /' � DISTRICT.NO. GROUP �ZDNE PERMIT N0:
LOCALITY
6' YI !`t /
NEAREST CROSS ST.r{� . y4,�// /T/�, (�/ RECEIVJED BQYy�' Ready for Inspection - DATE ISSUED'j
OWNER
MAIL INDUSTRIAL
v WASTE APPROVAL
ADDRESS Q GyioyfysLlG �`
CITY J1 P1 TEL.NO.A�/� �-TS -�L _ INSPECTION RECORD `
PLUMBER�{7
ADDRESS �{ f- •
CITY ���/�`/ EL:NO.
❑STATE
LICENSE ND. / COUNTY J
4`PERMIT FEES i
NUMBER TYPE OF FI_XTLJRE OR ITEM FEE - ('
WATER CLOSET(TOILET) @ 0.80 S
❑.
BATH TUB @ 0.80
SHOWER @ 0.80
LAVATORY(WASH BASIN)- @ 0.80
KITCHEN SINK @ 0.80
LAUNDRY'TUB OR TRAY @ 0.80 '
SLOP SINK @ 0.80
FLOOR SINK�' @ 0.80
FLOOR DRAIN @ 0.80
DISHWASHER @ 0 80
'DRINKING FOUNTAIN @ 0.80
URINAL @ 0.80
GAS SYSTEM_....____.--OUTLETS @ 1.00
WATER HEATER @ 1.00
MISCELLANEOUS -
APPROVALS
DATE 'INSPECTOR'S SIGNATURE
UNDER SLAB WORK-
PERMIT $ I 00 ROUGH PLUMBING' 'f
TOTAL FEE 6-e GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI- GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER,H EATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING. PLUMBING FIXTURES
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED
AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY GAS TEST q
AND STATE OF GA IFORNIA,OR THAT I AM THE LEGAL OWN-
(
WN- t
ER OF THE ABOVE ESCRIBED•RESIDENTIAL PROPERTY. UTILITY CO.NOTIFIED
I j/�O ff
OIGNATU
FPERMRTTEE! _C1_\`/lOoo1_-__�S-_-__.•( /loi`iXA---- �t�
FINAL
76A667 DBS 17 1/53
I 'COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
• DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1008170013
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: I
ITR: 15890 LT: 10 I 1 9454 KENNERLY ST 1
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803635 1
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18590-011-015 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 596 GRID: J5 LOCALITY: TEMPLE CITY, Cl
I 103 BACKWATER VALVE(S) 3.00 VAL 141 00 1 1
(TENANT: 105 BACKFLOW DEVICE(S) 1.00 DEV 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 1
1 107 BATHTUBS/SHOWERS 3.00 FIX 48.80 108/17/10 SR
111 CLOTHESWASHER(S) 1.00 FIX 16.30 1
(OWNER: TEL. NO: 113 DISHWASHERS) 1.00 FIX 16.30 IFINAL DATF FI CODE: I
ITRAN, LIEN NGOC (310) _930-6907- 125 LAVATORIES/SINKS 4.00 FIX 65.10 1 1
19454 KENNERLY ST _ 145 WATER CLOSET/URINAL 3.00 FIX 48.80 1
ITEMP 917803835 147 WATER HEATER(S) 1.00 WTH 16.30 IDESCRIPTION OF W RK I
I 149 WATER TREATING EQUIP 1.00 SYS 16.30 IPLUMBING FOR KITCHEN, BATHRO MS, LAUNDRY ROOM, TANKLESS WATEI
151 LOW PRS GAS 5 OUTLET 1.00 SYS 16.30 IR HEATER AND GAS LINE 1
1APPLICANT: TEL. NO: 160 DWV REPAIR OR ALTER 1.00 SYS 16.30 1 1
ISU, RICHARD (626) 376-1863- 1 TOTAL FEES 445.60 I I
1216 S. SUNNYSLOPLE I ISPECIAL CONDITIONS: I
__(,PASADENA, CA 91107
1CONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
ITRAN, LIEN NGOC (310) 930-6907- 1 11
el 4
19454 KENNERLY STREET LIC. NO I (UNDER SLAB WORK 1
ITEMPLE CITY, CA 91780 NONE 1 I I
I I IWATER SERVICE
I I IPLASTIC YIN METAL YIN I I I
(ARCHITECT OR ENGINEER: TEL. NO: 1 I I I
1KWEI, PETER (949) 395-6954- 1 IROUCH PLUMBING
LIC. NO: 1
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NONE i r IGAS PIPING
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1 1 IGAS VENT I I
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I IHOT WATER HEATER I 1 I
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I 1 IPLUMBING FIXTURES 1 I I
1 i _ ILAWN SPRINKLERS 1 I I
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I I IGAS TEST
UTILITY COMPANY NOTIFIED( I I
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I I IGRAY WATER SYSTEM
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1 IREPORT ID: DPR263 ROUTE TO: BS0508
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