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Home My Public Portal About9545 KENNERLY ST_Plumbing__ DBS-17 2614 SETS 12-46 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES Wm. .J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO GRO/pUP ZONE PERMIT NO. ROUGH FIXTURES COMPLETE RECEIVED BY READY FOR DATE ISSUED HEATER __ CESSPOOL SEPTIC TANK ,s/ I FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB C NAME / ADDRESS W m ADDRESS/_31'? /1 k9i lid}l e G/f-i LOCALITYXIV2 A0,14, f NEAREST a CITY TEL NOR . CROSS ST. COUNTY A CERT No EXPIRES -31-4- m NAME o W LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O / CITY L TEL.NOR, 1 AM THE LEGAL POSSES OR OF THE ABOVE LOS ANGELES COUNTY CERTIFI T OF QUALIFICAT N. PLUMBER I AM THE LEGAL OWNER OF THE OPERTY DESCRISED ABOVE. Iq > OWNER CORRECTIONS SOUTH ►a d DESCRIPTION OF WORK _BATH TUB FURNACE —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 I 1 �'"�' I f) .//,�l METERS GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES �� SEPTIC TANK CESSPOOL SEPTIC TANK SEWER II UTILITY CO.NOTIFIED TOTAL FEE I Q`� J FINAL �� / D B S 17 25M SETS 12"44 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES PLUMBING '�. WM.J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT O. G OUP ONE PERMIT O. ROUGH FIXTURES _I COMPLETE HEATER CESSPOOL SZPTICTANKR 51VED BYr: FIRST INSPECTION DA E ISSUED GAS MISCELLANEOUS READY FOR APPLICANT FILL IN HEAVILY OUTLINED *�PORQTION,ONLY JOB B NAME � � „ . f?� i� �,�„/ ADDRESStd Y ADDRESS /,-g, 416 21.�" LOCALITY C JyZi,14 e0' NEAREST .5.��.+�"//Y��f,•� r L CITY �.��'= EL No CROSS ST. !/aFf COUNTY Ir ! CERT No' EXPIRES C NAMB ,a} LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH O - CITY TEL.No. 1 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF�UAL-IIFF CC-ATTION. PLUMORR I AM&1510AL OWNER OF THE PROPERTY DESCRIBED ABOVE. y I� OWNER CORRECTIONS SOUTH - a DESCRIPTION OF WORK a ATH TUB FURNACE SHOWER -DISHWASHER G LAVATORY REFRIGERATOR ITCHEN SINK WATER SOFTENZR FLOOR SINK SAND TRAP LOP SINK FLOOR DRAIN. WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE . INSPECTOR'S NAME ♦• WATER HEATER- DENTAL LAVATORY ,ROUGH PLUMBING 6TEr+ GAS SODA FOUNTAIN 6A8 PIPING I OUTL ~ _ GAS VENT CESSPOOL TOTAL NUMBER 1OF FIXTURES SEPTIC TANK CESSPOOL_d SEPTIC TANK r !y 'CJ' SEWER ' S UTILITY CO.NOTIFIED lb / TOTAL FEE FINAL 76 A 667 - CE 817 7-6 , APPLIC 10 FOR PLUMBING PEKMIT" 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 LOCAL , FOR APPLICANT TO FILL IN (PR NT OR TYPE) - NEAREST CROSS ST NUMBER FIXTURE OR ITEM EACH FEE OWNER MAIL WATER CLOSET ' 1 SO BATH TUB 1 50 ADDRESS _ SHOWER 1 50 TEL. NO� LAVATORY 1 50 CONTRACT SINK 1 50 ADDRESS G` DISHWASHER 1 50 _ TEL. N CLOTHES WASHER 1 50 STATELIC LICENSE GLASS SWIMMING POOL RECEPTOR 1 50 DISTRICT NO GRO P�XZEP ESa�pp/f BY LAWN SPRINKLER SYSTEM 2 00 WATER HEATER 1 50 INDUSTRIAL APPROVAL (�. GAS SYSTEM OUTLETS 1 SO WASTEINSPECTION RECORD OUTLETS OVER' 5 PER SYSTEM 30 O N z Plan check fee 25% of above See reverse PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 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 _ AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST PLUMBING , ' I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - CALIFORNIA OR THAT I AM THE =OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DEG BEDL PROPERTY FINAL SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG'R OF PERMITTEE , PERMIT VALIDATION CK M o CASH PLAN CHECK VALIDATION CK M O CASH MAR 15 5 0 -3-50- v 78A887A [Cr. 817B) -4/77 \ APPLICATION FOR PLUMBING PERMIT u B�GANDFETY DIVIS16N FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING NUMBER FIXTURE OR ITEM ® FEE ADDRESS WATER CLOSET LOCAL( BATH TUB NEAREST J CROSS ST ^Z� SHOWER OWNE C,/ LAVATORY MAILt-• ��j AD RESS {d� SINK CIT TEL NO DISHWASHER CONTRA OR CLOTHES WASHER ADDRESS � SWIMMING POOL RECEPTOR CITY TEL LAWN SPRINKLER SYSTEM STATE ' LIC WATER HEATER LICENSE �j CLASS GAS SYSTEM OUTLETS DISTRICT N 6- O ROUP ONE CESISED Y � V� � _/ � OUTLETS OVER 1 CD S P YSTEM INDUSTRIAL WASTE APPROVAL „ INSPECTION RECORD LAJ Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Plan check applicant APPROVALS DATE INSPECTOR S SIGNATURE Name UNDER SLAB WORKP,,,,,, Address ROUGH,PLUMBIN I v City Tel No GAS PIPIN �j Q ) U 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT -. THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER 1 HEREBY CERTIFY TH RLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES REQUIRED BY LOS ANGEL COUNTY AND 5 TE OF CA RNIA OR THAT I AM THE GAS TEST ✓� ✓ LEGAL OWNER OF AND I TEND TO RESIDE IN HE ABOVE ESCRIBED RESIDENTIAL PROPERTY UTILITY CO NOTIFIED r SIGNATURE ( , OFPERMITTEE r FINAL �� ) PLAN CHECK VALIDATJ N� Kw B�4M ��cA PERMIT VALIDATION M O CASH ?OLICY O��r" ° 2 6 a,tiJll�+ .2g 5 D �: 6.0 � a� POUCY NUMBER.- W 'P71 q/'7-`'j ' WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I,hereby affirm that I.have a Certificate of consent to self 20-0026 DPW 6/87 i insure, or a certificate of Workers' Compensation Insurance, 76AG67A or a certified copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS 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 Q FEE LOCALITY WATER CLOSET NEAREST Date Appligant ' CROSS ST w � CERTIFICATE OF EXEMPTION FROM WORKERS' t BATH TUB COMPENSATION INSURANCE , d,• SHOWER OWNER if (This section need not be completed if the work involved by the permit is for one hundred dollars ($100)or less.) LAVATORY �-'� MAIL ADDRESS I certify tKat in the performance of the work.for,which this f permit is issued, I shall not employ any person'in any manner, SINK CITY \ TEL NO so as to become subject to the Workers Compensation Laws ' DISHWASHER ` CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS + NOTICE TO APPLICANT If, after making this Certificate of Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL NO with comply with such provisions or this permit shall be STATE LIC deemed revoked + WATER HEATER X31 LICENSE NO CLASS LICENSED CONTRACTORS DECLARATION / d z' DISTRICT NO PROCESSED BY I hereby affirm that I'am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS [/ i Q (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and m license is in full force and effect 5 PER SYSTEM Y FINAL VALIDATION al DATE O License Number Lic Class _ U FINAL Contractor Date BY Q 2 I am exempt under Sec W � B 8P C for this reason 0-0 CLI Plan check fee C/) Date z PLUMBING PERMIT ISSUING FEE$ / Signature TOTAL FEE SINGLE FAMILY' Plan check applicant + - HOME OWNER-BUILDER DECLARATION Name -i k- as I hereby affirm that I am exempt from the Contractor's License Law for the following reason (Section 7031 5, Business and Address �C17 :t_a1 i1_ - Professions Code) City Tel No ITEMS ® I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section 1 U-1 i-L 52 00 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY '- = _',rift I hereby affirm that there is a construction lending agency for sf1�St3� the performance of the work for which this permit is issued ° (Sec 3097, Civ C ) Lender's Name G! !t !' _ti(IL Lender's Address '1 All L' 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 authorize representatives of this County to enter upon the above-mentioned property for inspection purposes r SEE REVERSE FOR EXPLANATORY LANGUAGE Signature of Permittee D COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ,PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9071 LAS TUNAS JPL 0508 9709110001 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA PHONE: (818) 285-0488 EXT: ADDRESS:LEGAL ID: -—PEES PAID BUILDING TR: 13620 LT: 42 9545-KENNEREYI ST FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA_917803838 ASSESSOR INFORMATION NUMUR: NEAREST CROSS STREET: CLOVERLY 8590-013-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 596 GRID: J4 LOCALITY: TEMPLE CITY, C 51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.35 TOTAL FEES 44.10 ISSUED 0 B S . 09/11/97 VG 09/11/98 OWNER: TEL. NO: FINAL DATE FI BY: CODE: SWAPP ANH THI;WILLIAM J (818) 286-1052 9545 KENNERLY ST TEMP 917803838 DESCRIPTION GAS FOR FAU APPLICANT: E T & T HEATING & AIR CONDITIONING (818) 764-5643- SPECIAL CONDITIONS: CONTRACTOR: TEL. NO: O/l APPROVALS DATE INSPECTOR SIGNATURE T & T HEATING & AIR CONDITIONING (818) 764-5643- (`(JD 7937 BECK AVE. LIC. NO WOR NORTH HOLLYWOOD, .CA 91605 559097C20 OWATER SERVICE PLASTIC Y/N METAL Y/N ARCHITECT N0: � p ROUGH G LIC. N0: AS PIPING VENT �U��C 1! V 0�KS GAS HOT WATER HEATER D 0PLUMBING FIXTURES LAWN SPRINKLERS GAS TEST b1° 0 ® UTILITY COMPANY NOTIFIED cWV rvacp GRAY WATER SYSTEM REPORT ID: DPR263 ROUTE TO: BS0508