HomeMy Public PortalAbout9551 KENNERLY ST_Plumbing__ c .
76A6 177 12.84 APPLICATION FOR PLUMBING PERMIT °
DBS
DIVISION OF BUMDING AND SAFETY 1
Deportment of County Engineer
County of Los Angeles BUILDING
WM. J. FOX. COUNTY ENGINEER ADDRESS 9951- East KAnnAri ' nr3v®
CASSATT D GRIFFIN, SUPT OR BUILDING 3
LOCALITY Tpropl Q Vitt'(2lifarnia
FOR APPLICANT TO FML IN NEAREST
CROSS ST
OWNER HERBAT hi. JONES DISCT$LCa NO GROUP ZONE /ELOR INSPECTION
MAIL 4
ADDRESS I �C
INDUSTRIAL
CITY Rosemead, CalifTEL NO WASTE APPROVAL
PLUMBER DUCE PLUMBING & HEATINGINSPECTION RECORD
ADDRESS 3232 No San Gabriel
CITYSOO San Giabriel TEL NO AT60493
LICENSE NO 104978
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET (TOILET) $
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK
DISHWASHER
LAUNDRY TUB OR TRAY
CLOTHES WASHER
TOTAL NO ® O e0 APPROVALS
DATE INSPEBTOR'S SIGNATURE
GAS SYSTEM OUTLETS @ 100
UNDER SLAB WORK
l WATER HEATER @ 1 00
ROUGH PLUMBING
PERMIT $ I l 00 GAS PIPING
TOTAL FEE GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER I C•�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES
PLUMBING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF UTILITY CO NOTIFIED
CALIFDESLORNIA
I�'OR THAT I AM THE LEGAL OWNER OF THE ABOVE
SIGAE-—D ROPER `i
I Nn-
OF PERMITTEE FINAL 2 1O
BEEN
WILLIAM J. FOX. COUNTY NGINEER VALIDATION
I ,fol 6 9 3Z8 JAN 9 3 2.0 0
BY DEPUTY
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76A667—CE 817468
APPLICATION FOR PLUMBI G PEEMfft
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 '
J
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST. / Al
NUMBER FIXTURE OR ITEM rAC FEE
OWNER Av./':::-
WATER CLOSET MAlL /BATH TUB ADDRESSSHOWER "U CITY s / TEL. NO. Jr.- /
LAVATORY 1 50 CONTRACTOR
SINK 1 50 ADDRESS
DISHWASHER 150 CITY TEL. NO.
CLOTHES WASHER 1 50 STATE LIC
LICENSE NO CLASS
SWIMMING POOL RECEPTOR 1 50 DISTr NOe GROUP Z NE PRO S BY
LAWN SPRINKLER SYSTEM 2 00 O
WATER HEATER 1 50 INDUSTRIAL 1 u
WASTE APPROVAL
GAS SYSTEM OUTLETS 1 50 INSPECTION RECORD O
OUTLETS OVER �J �Q p Gs� �J� 0
5 PER SYSTEM 30 // � G
Ue� Seo oW.
Z
Plan check fee 25% of above See reverse
PLUMBING PERN11T ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING 1 -�
Address GAS PIPING
GAS VENT e
City Tel No HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 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
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OF,AND INTEND TO
L�00-F
IDE IN.THE ABOV7,17ZAAX�ROPERTYFINAL
NATURE JACK R. ALLEN, SUPERVISCC:
ECHANICAL ENG'R
PERMITTEE
PERMIT VALIDATION M o CASH
PLAN CHECK VALIDATION CKV M O CASH
Q IzLj 0:L 9 5 D 6.5 Q�
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