HomeMy Public PortalAbout9514 KENNERLY ST_Plumbing__ D.B.S-17 25M SETS 12-45
APPLICATION FOR PERMIT
,DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
Wm.J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICTN. GROUPI ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE •� �� r �
HEATER CESSPOOL -I SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
NAME jq ADD
K RESS Y
W
M ADDRESS p Xf LOCALITY
f
J - NEAREST
a CITY- / TEL.No CROSS ST.
COU TY
CERT.No . EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL •C�
3 ADDRES
NORTH O
CITY G TEL.Noj4i F,4817
1AM THE LEGAd POSSESSOR OF THE ABOVE LOB
ANGELES COUNTY CERTIFI OF QUALIFICA i N.
PLUMB R
I AM THE LEGAL OWNER OF THE OPERTY DESC IBED
[Eq ABOVE.
d! OWNER
---111 CORRECTIONS
SOUTH
d
DESCRIPTION OF WORK
M
ATH TUB FURNACE Iy+
�HOWER DISHWASHER
AVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
1 WASH TRAY URINAL APPROVALS
/ WATER CLOSET DRINKING FOUNTAIN DATE tnBPEcroR'B NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
-METER_GAS -SODA FOUNTAIN
OUTL 6A8 PIPING
I `
6A8 VENT
CESSPOOL
TOTAL NUMBER OF FIXTURES V V SEPTIC TANK iI ai f IlO
CESSPOOL__SEPTIC TANK SEWER i
TOTAL FEE UTILITY CO.NOTIFIED
�.✓
FINALv
D B.S-17 25M SETS 6-46 r � ,
APPLICATION FOR PERffiI
.DLT*RTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES i PLUMBING".
WM.J. FOX,CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT . GR OU —PERMIT -
ROUGH FIXTURES COMPI'ETE
HEATER CESSPOOL I'I SEPTIC TANK RECEIVED Y' _READY FOR DATE ISSUED
FIRST INSPECTION
GAS MISCELLANEOUSIIINIIIIIIIIIIII
7 ^
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
` .IoS
�
NAMIM' � AQDRESf1 rZ.) � n ,
W v
m ADDRESS LOCALITY /.i v
12B N G ,0VE i v A VES'
J _CITY TEMPLE CI Ti'111..6ra41LIF.' cftoes�T.
COUNTY �
CERT.No. EXPIRES w. NAME Ll�i
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
�
Pau R
I M THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
a
,= VJ OWNER
I CORRECTIONS
SOUTH J
DESCRIPTION OF WORK _i
BATH TUB FURNACE
a
SHOWER - DISHWASHER r O
---LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP -
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL
APPROVALS _
WATER CLOSET' DRINKING FOUNTAIN
- DATE INSPECTOR'S NAME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER-GAS SODA FOUNTAIN G3 S PIPING
OUTL
_ GAS VENT
dEBSPOOL
TOTAL NUMBER OF FIXTURES / \ SEPTIC TANK I�
/ CESSPOOR / SEPTICTANK // SEWER
$ UTILITY CO.NOTIFIED
TOTAL FEE ✓j h ,?-
-FINAL
76A667 (CE=817) — 5/73 !
APPLIQ TIO"N FOR PLUMBING �PERYIT1
COUNTY OF LOS ANGELES $
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
MAKE.CHECKS PAYABLE,TO FADRE
"�
HARVEY T. BRANDT, COUNTY ENGINEER
,FOR APPLICANT TOFILL'IN (PRINT OR TYPE) - / G
NUMBER FIXTURE OR ITEM @ FEE '
`
•WATER CLOSET 1.75 OWNER -
MAIL
BATH TUB 1.75; "ADDRESS:-
v
SHOWER 1,78 CITY TEL ANO. �.
LAVATORY 1,75 CONTRACTOR - r
i
SINK , 1.75 ADDRESS
DISHWASHER 1.75" CITY STELNO 7
CLOTHES WASHER 1.75 STATE LIC
/
SWIMMING POOL RECEPTOR 1.75 LICENSE NO CLASS• ,',
DIST,RIGT N0 GROUP NE FR ESSE BY,
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75I NDUSTRIAL �i Q
WASTE APPROVAL ?-
GAS SYSTEM, OUTLETS 1.75p
INSPECTION RECORD V
OUTLETS OVER 30
5 PER SYSTEM
O
W
Cn
N
Plan Check fee See Reverse
PLUMBING PERMIT ISSUING FEE S 3 00
TOTAL FEE 5Z3
APPROVALS I DATE INSPECTOR 5 SI GNATURE
Plan Check appl(Cant UNDER SLAB WORK
Name ^ ROUGH PLUMBING
Address GAS PIPING'
s
_
City Tel- No. GAS VENT "
HOT WATER HEATER '
'I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS 'APPLICATION _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURESa0�✓ �7aS/�i7.8 .0
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - o y
PLUMBING GAS-TEST -
1• HEREBY CERTIFY .THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _ l"
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO -
RES IDE'IN THE ABOVE DESCRIBED RESIDENTIAL FROPER TY FINAL
SIGNATU R,E
OF PERMITTEE
PERMIT VALIDATION OCKM.O CASH
PLAN CHECK VALIDATION CK. M 0 CASH I
6T0 .�r FEB 5 5' 0 -
651'
76A667-CE617 12/59
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AN�DE,SAFETY L)IVISION nDD ING
q 1 E. Kennerl
JOHN A. LAM 1 COUNTY NGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Tem le C i t
FOR APPLICANT TO FILL IN caoss sr.
NUMBER FIXTURE OR ITEM OWNER S'al'e Mac Knin
WATER CLOSET
BATH TUB AADDDREss 9 14 E. Kenner 1
c1TY T em le CitV TEL• NO.AT 6-3787
SHOWER
LAVATORY CONTRACTOR ARCO PLUMBING CO.
SmTK ADDRESS 2• West Garvey Ave
DISHWASHER CITY MOntere Park' NO•CU- 3-9055
CONTRACTOR'S STATE 10
LAUNDRY TUB REGISTRATION NO. 113206-C36 COUNTY ❑
CLOTHES WASHER DISTRICTNO. GROUP ZONE PFAC4SSED BY
1 WATER HEATER
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD w
O
U
. P4
O
U
W
a
y
z
Q $1.00 PER ITEM
1'1 OR FIXTURE $ 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE 00 ROUGH PLUMBING
GAS PIPING /
I HAVE READ THIS
ANDHSTATE THAT HEEDGE ABOVEHAT IS CORRECT AND AGREEAICATION TOLCOMPLY GAS VENT
L
COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
Y CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
A OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
RESIDENT] L PROPERTY. UTILITY CO NOTIFIED
RE '�ITTE �' FINAL ' / ', U✓�
Or VALIDATION ROBERT A. WOOD.
c6. ,
M.0. CASH SUPERVISINGIMECHA�NICAL ENG'R
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