HomeMy Public PortalAbout9521 KENNERLY ST_Plumbing__ 76A667 - CE877 5/70
APPLI ATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES ell
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS SUP T OF BUILDING LOCALITY --�
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST. �O 1
NUMBER FIXTURE OR ITEM 115ACH FEE
OWNER
WATER CLOSET 1 50
MAIL
BATH TUB 1 50 ADDRESS
SHOWER 1.50 CITY �v TEL NOaf'- _:5,T/
LAVATORY1 S 0 �� CONTRACTOR '
SINK 1 50 ADDRESS D Z �+ _ � �-�
DISHWASHER 1 50 CITY � ---TEL. NO o
CLOTHES WASHER 50 STATE LIC
LICENSE NO �� CLASS
SWIMMING POOL RECEPTOR A50 DISTRICT NO GRO PONE PRO SSE BY
LAWN SPRINKLER SYSTEM 2 0 UC./ /�
WATER HEATER 1 50 INDUSTRIAL "
WASTE APPROVAL A
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD ISllt
OUTLETS OVER
5 PER SYSTEM 30 / O
Plan check fee 25% of above See reverse
PLUMBING PERMIT ISSUING FEE 8 00
TOTAL FEE SD
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO 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 I AM PROPERLY REGISTERED AND�OR UTILITY CO NOTIFIED
LICE NSED, 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 P RTY FINAL
SIGNATURE JACK R. ALLEN, SUPERVISIN CHANICAL ENG'R
t OF PERMITTEE -�
PERMIT VALIDATION CK M o CASH
PLAN CHECK VALIDATION CK M o CASH
' ?�('r9 4 3'3'!3 MAR 6 5 b 6.5 0 �'
f J
D B S-17 25M SETS 6-46 APPLICATION FOR PERMIT
gDW4WMENT OF BUILDING AND SAFETY v
COUNTY OF LOS ANGELES PLUMBING
WM.J. FOX.CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT .
ROUGH FIXTURES I� COMPLETE � y
� 677
I
-HEATER CESSPOOL SEPTIC TANK READY FOR
RECEIVED BY DATE SSUED^
FIRST INSPECTION /
As• MISCELLANEOUS t t j �"�' d ��2' r�C �C
APPLICANT FILL IN HEAVILY OUTLINED/ �PO(R�TIOON p ONLY
It NA00' ADDRESS I / / C .P7�^�1 dJA/1/Y9��.P-J i✓t��7�
m L. A ^cQr� Y QOCALtTYr '.,E-i�e'
NEAREST
4 CITY TEMPLE CITYzLM3F. ClOssST.
COUNTY �,'✓ �1
CERT.No. EXPIRES WC NAME S( d �i°5'�, r �� +'"f 'A
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/I QUAL-IFICATIOoN. }}
I PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
N
D
? V/
OWNER
-1 CORRECTIONS
SOUTH J
DESCRIPTION OF WORK z
BATH TUB FURNACE a
a
SHOWER DISHWASHER 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 GAS PIPING
OUTL - ,
GAS VENT
< CESSPOOL
� TOTAL N�OFES 1gEPTiC TANKpp,CESSPOTANK f-'�J� SEWER "`/ �
$�- UTILITY CO.NOTIFIED
TOTAL FEE
FINAL
D E 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 DISTRICT NO GROUP , ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL SEPTIC TANK RECFEIVED BY READY FOR _ DATE ISSUED
FIRST INSPECTION
�r J �r
GAS MISCELLANEOUS
ME
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
C
NAM E�Q g S�40/7 �d f k C I-'o ADDRESS lyenil6ply
ADDRESS /319 �V, LOCALITY /r
D ivy NEAREST V
OJ. CITY G TEL Noar4 y CROS8 ST.
COUNTY
CERT.No EXPIRES halNAME-
Z MAIL
LOCATION OF SEPTIC TANK, OR CESSPOOL /
�
3 ADDRESS
NORTH O �n
CITY GJS TEL No #4
Ii
THff LEGAL POSSESSOR OF THE ABOVE LOS
ELES COUNT
ANGY CERTIF�p E OF gUALIFICA ION.
PLUMB]&
I AM THE LEGAL OWNER OF TH ROPERTY DESC MFaWn
ABOVE.
OWNER
CORRECTIONS
SOUTH ra
' d
DESCRIPTION OF WORK
BATH TUB FURNACE H
R:
,II SHOWER DISHWASHER
�L.LAVATORY REFRIGERATOR
1 KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S
IN9PHCTOR'8 NAME
' WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I 1 (i I 112 1 ��
METER OUTL SODA FOUNTAIN OAS PIPING 110 , I
GAS VENT I+
f CESSPOOL
TOTAL NUMBER OF FIXTURES y SEPTIC TANK
•�
CESSPOOL SEPTIC TANK SEWER
1 S UTILITY CO.NOTIFIED
TOTAL FEE1
FINAL U'p�-'sc