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HomeMy Public PortalAbout9455 KENNERLY ST_Plumbing__ 76A667-CE#817 6-65 'j APPLICATION FOR PLUMBING P_ RiVIIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS COLEMAN W JENKINS, SUP T OF BUILDING LOCALITY G FOR APPLICANT TO FILL IN NEAREST CROSS ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET OWNER 31.25 MAIL BATH TUB 1.25 ADDRESS CITY TEL. NO SHOWER 1.25 LAVATORY 1,25 CONTRACTOR SINK 1.25 ADDRESS DISHWASHER 1.25 CITY iEL. STATE LIC LAUNDRY TUB 1.25 LICENSE NO. G CLASS cS 3 CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE PROCESSED BY WATER 1.50 dl— GAS SYS OUTLETS 1.50 INDUSTRIAL d WASTE APPROVAL Q OUTLETS O R 5 PER SYSTEM 30 INSPECTION RECORD U o ' V W V d APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE GAS PIPING I HEREBY ACKNOWLEDGE THAT 1 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 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TATE OF CAII FORNIA OR THAT I AM THE LEGAL OWNER OF,AN N�END TO GAS TEST RESIDE IN,THE ABOVE DESCRIBED RESIDE PROPE Y ,UTILITY CO NOTIFIED { OF PERMITT - s FINAL VALIDATION CK CASH O`9 7.1 3 juL20 5 0 . 3.50 76A667A Y CE 8171REV 6/78) ©S - APPLICATION FOR PLUMBING PER IT COUNTY OF LOS ANGELES BUILDING AND SAFETY - 9455 Kermerlv St. FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING ADDRESS NUMBER FIXTURE OR ITEM ® FEE LOCALITY •Te le .Cit CA 91780 1 WATER CLOSET NEAREST BATH TUB CROSS ST . 1 SHOWER OWNER Douglas.. Beeler 1 LAVATORY MAIL' S ADDRESS 9455 Kennerl Ste SINK CITY T=le City TEL NO DISHWASHER CONTRACTOR Johnny's Plumbina Service CLOTHES WASHER ADDRESS 9125 E. Las Tunas Drive SWIMMING POOL RECEPTOR CITY TEL NO _ LAWN SPRINKLER SYSTEM STATE 'LIC WATER HEATER LICENSE NO 279687 CLASS C36 GAS SYSTEM OUTLETS APPROVALS - DATE INSPECTOR'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM ROUGH PLUMBING (] GAS PIPING GAS VENT HOT WATER HEATER f• 0 PLUMBING FIXTURES 9 'GAS TEST %n Plan check fee UTILITYCO NOTIFIED PLUMBING PERMIT ISSUING FEE$ TOTAL FEE / FINAL I Plan check apphcant jo] nM t s Plumbing..Service PLAN CHECK-VALIDATION Name Address 9125'E. Las Tunas Drive LREQUIRED Temple City— Tel NO. 285-3224n EREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE 2�, 4 A ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES - - E LAWS-REGULATING EATING PLUMBING - - - PERMIT VALIDATION # O O O O O -- EREBY CERTIFY TH 1 AM PROP LY REGISTERED AND/OR LICENSED AS •,BY LOS ANGELE C UNTY AN STATE OF CAL ORNIA OR THAT,IAM THE ' 2 O O 1 9.00 NER OF,AND IN EN TO RE DEINTHE E ESCRIBE�RESIDENTIALLRE RMITTEE - O 12 6•-7 9 DISTRIC�NO PR SSED BY INDUSTRIAL 'WASTE APPROVAL 76A667A • 4 CE 81-71REV.6/781• Os w APPLICATION .FOR PLUM-B, I•NG -.PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY, FOR APPLICANT TO FILL IN(PRINT OR TYPE) -BUILDING ` ADDRESS X. NUMBER FIXTURE OR ITEM @ FEE WATER CLOSET LOCALITY NEAREST �',l j�r�. J• BATH TUB CROSS ST _,p000e '` •, SHOWER OWNER LAVATORY' 'MAIL 1 (, ADDRESS `,^` V SINK, CITYW C TEL NO DISHWASHER- CONTRACTOR �- r CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR Z CIT - .TEL IN ' LAWN SPRINKLER SYSTEM STATE LIC WATER HEATER LICENSE NO. V CLASS GAS SYSTEM OUTLETS 1 APPROVALS •DATE INSPEC S IGN TURE -- OUTLETS OVER UNDER SLAB WORK.- S PER SYSTEM ROUGH PLUMBING . GAS PIPING GAS VENT99 J HOT WATER HEATER f • 0 PLUMBING FIXTURES GAS TESTyli Platt Check fee ✓ UTILITY CO NOTIFIED �, p -'PLUMBING PERMIT ISSUING FEE$ �• FINAL TOTAL FEE - Plan Lheck applicant -PLAN CHECK VALIDATION Name Address City 1 Tel No I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE -- - - •THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES _ 14 2 lJ AND STATE LAWS REGULATING PLUMBING .PERMIT VALIDATION y ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED # AS - -• O O O O•O 5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE - ' LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL Z O O ' O,O . PROPERTY C�1 - ' SIGNATURE' O O O 1 3 O�O V OF PERMITT DISTRICT NO' PROCESSED BY INDUSTRIAL WASTE APPROVAL 76A667 17 2SM SETS 7-48 APPLICATION FOR PERMIT ''bEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �,L 1 N G g WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT GROUP ZO E PERMIl Nu. PLUMBER / RECEIVED B`Y READY FOR DATE ISSUED ADDRESS/� FIRST INSPECTION jl�TEL. No. / / ADDRESS Q S' COUNTY LICENSE NO. oC EXPIRES LOCALITY I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS NEAREST ANGELES COUNTY LICENSE. ) CROSS ST. OWNER MAIL / �D i�it-�Ci��'-•" PLUMBER ADDRESS or PERMIT FEE 19 $1. O 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 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 TUB OR TRAY , GAS SYSTEM JgOUTLETS WATER HEATER • SLOP SINK J FLOOR SINK Z FLOOR DRAIN _ 3 DISHWASHER d' O DRINKING FOUNTAIN URINAL MISCELLANEOUS APPROVALS DATEINSPECTOR'S NAME r. ROUGH PLUMBING I '/4!0" 9 7 GAS PIPING GAS VENT I L CESSPOOL SEPTIC TANK - DRAIN ( ) PIT ( ) $ SEPTIC TANK CESSPOOL $ SEWER HOUSE SEWER $ GAB TEST TOTAL FEE -( UTILITY CO. NOTIFIED A-/--p� 11 $ FINAL 76A667A•� CE 817(REV 6/78)' ©s APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY _ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING �'I/nJ ADDRESS NUMBER FIXTURE OR ITEM ® FEE • WATER CLOSET 'LOCALITY / NEAREST BATH TUB' . - � CROSS ST Z, V G SHOWER OWNERMAIL LAVATORY 'ADDRESS SINK CITYL •O 'DISHWASHER CONTRACTOR V CLOTHES WASHER v ADDRESS Cl ` �/VJ SWIMMING POOL RECEPTOR It / CITY �(�J It TEL NO LAWN SPRINKLER SYSTEM STATE 1-7e WATER HEATER LIC LICENSE NO Z `� C ASS GAS SYSTEM 0[1 bUTLETS Cd APPROVALS DATE INSPEC R'S SIGNATURE OUTLETS OVER UNDER SLAB WORK 5 PER SYSTEM- ROUGH PLUMBING GAS PIPING GAS VENT V 9tS HOT WATER HEATER PLUMBING FIXTURES GAS TEST Vill� Plan check fee UTILITY CO NOTIFIED 'PLUMBING PERMIT ISSUING FEE$ � 00 FINAL. TOTAL FEE Pion check applicant PLAN'CHECK VALIDA•ION v Name Address City T61 No: I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREEJO COMPLY WITH ALL COUNTY ORDINANCES 9 4,5 3 9 (} I 1 AND STATE LAWS REGULATING PLUMBING PERMIT VALIDATION I HEREBY CERTIFY THAT I-AM PROPERLY REGISTERED AND/OR LICENSED AS # 0 0 0 0 0 5 REQUIRED BY LOS ANGELES COUNTY.AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO RESIDE-IN THE ABOVE DESCRIBED RESIDENTIAL 2 O O 1a 00 PROPERTY SIGNATURE. 'Q O O 1 3.006 OF PERMITTEE 9=,-:1, C===, • ,.O��a 2 3-•7 9 - DISTRICT NO PROCESSED BY INDUSTRIAL WASTE APPROVAL r WORKERS' COMFENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT j I hlreby affirm that f"have a certificate of consent to self 76A667A 'insure, dr a certificate of Workers' Compensation insurance, CE 817(REV. 10/81) or a certified copy thereof (Sec 3800, Lab. C,) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No Company Certified copy is hereby furnished BUILDING- ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) ADDRESS Certified copy is filed with the county building inspec- tion department. NUMBER FIXTURE OR ITEM @ FEE LOCALITY ^ Date Appli4a WATER CLOSET 44 00 NEAREST CERTIFICATE OF EXE ION FROM WORKERS' BATH TUB CROSS ST. COMPENS ION INSURANCE OWNER �/� SHOWERao (This section need not be completed if the work involved by aa MAIL the permit is for one hundred dollars ($100)or less.) LAVATORY �j QV ADDRESS I certify that in-the performance of the work for which this w SINK CITY TEL NO 'r;;rermit is issued, I shall not employ any person in any manner as to become subject to the Workers Compensation LawsDISHWASHER CONTRACTOR r n Date Applicant CLOTHES WASHER ADDRESS. �� � � NOTICE TO APPLICANT: If, after making this Certificate of SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' CITY TEL NO Compensation provisions of the,Labor Code, you must forth- LAWN SPRINKLER SYSTEM ` " with comply with such -provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO GI -01 CLASS LICENSED CONTRACTORS DECLARATION DISTRICT NOOCESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS /(S( (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER VV UU CL and Professions Code,'and my license is in full force and effect 5 PER SYSTEM FINALVA06ATION V f Yd Lic Class � DA. 11 TE License Number �= FINA4 0'4 1 A O Contractor ajlL1� Date BY #2,40-Al 0 0.0 5 U ❑ j am exempt under Sec: J o,o 2&5 0 N Z B 8P C. for this reasonPlan check fee ► o o o 2 a50. • Date: /`` PLUMBING PERMIT ISSUING FEE$ !V _0 0 2 1 2-8 6 Signature TOTAL FEE 2 �� Plan check applicant SINGLE FAMILY HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's License Address Law for the.following reason (Section 7031.5, Business and Professions Code) City Tel. No* ❑ j, as owner of the property, will do the work and the structure is not intended or offered for sale (Section , 7044, Business and Professions Code) 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.) Lender's Name Lender's Address I certify that I have read this cipplication and state• that the ► above information is correct I agree to comply with all County 'ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the 1, above-mentioned property for inspection purposes .,, SEE REVERSE FOR EXPLANATORY LANGUAGE ,Si ature f Permittee D to