HomeMy Public PortalAbout9561 KENNERLY ST_Plumbing__ 76A607 CE817 10-60 f ` Lr' Cl 7y
APPLICATION FOR PLUMBING PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING /
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS �JIO F L
WILLIAM A JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER "iq7 Q X
WATER CLOSET bmm
BATH TUB ADDRESS
CITY � C TEL. NO.
SHOWER
LAVATORY CONTRACTOR �i-
_
SINK - ADDRESS
�3`�%��6eX) 4/;q
DISHWASHER CITY /�'(`� ,S Bpie-ZTEL. NO.NTBACTOR'S STA
LAUNDRY TUB REGISTRATION NO. 4f-6 7 COUNTY
CLOTHES WASHER DISTRICT NO. GROUP ZONE PSEED ]By
WATER HEATER 1 5 O 5, 0-9 �—� /M�6 c o V
GAS SYSTEM _ INTIUSTBIAL
WASTE APPROVAL y.
INSPECTION RECORD O
U
O
- a
- to
$1.00 PER ITEM
OR FIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
-H PERMIT Si 2100 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING �-
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING 1
PLUMBING. HOT WATER HEATER 7
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES 7,{.
LSIGNATURE_
SED AS
REQUIRED BY L03 ANGELES COUNTY AND STATE OF
ORNIA OR THAT 1 AM THE L AL OWNER OF THE ABOVE GAS TEST
RIBED REST TIAL PR ERTY UTILITY CO NOTIFIED
PERMITE
FINAL
6�TALIDATION ROBERT A. WOOD
) M O. CASH SUPERVISING MECHANICAL ENG'R
LIi)
6,2 1 O w J10 14 5 D 4.75—
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D B.S-17 25M SETS 12-45 APPLICATION FOR PERMIT
.DEP,ARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES L 1
WM. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE �PERMIT
�NO.
ROUGH FIXTURES COMPLETE Z e? ( / _
HEATER CESSPOOL SEPTIC TANK RECEIVED BY_ READY FOR DATE ISSUED
FIRST INSPECTION oa s
GAS MISCELLANEOUS . --'1"1"3
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
NAME �rfy J (- / �� f9 ADDRF-Sr
ADDRESS/./f CY ,�/� 6Q�„� !K/� L+'/f,,•/ /
LOCALITY
NEAREST
CITY TEL NO C
IL RO68 ST
COUNTY
CERT NO EXPIRES W NAME11 ' O
LOCATION OF SEPTIC TANK, OR CESSPOOL 3 gDDRES CCI
NORTH O
CITY jq 1,Clej TEL.No
IAM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICAT OF QUALIFI , T10 ar
PLUMBER
I AM THE LEGAL OWNER OF THEiRROl
ABOVE. ERTY DESCRIB D
OWNER
i
CORRECTIONS
SOUTH a
�i
/ DESCRIPTION OF WORK
BATH TUB FURNACE H
Qi
HOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
11 WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE IIN�SPeCTOR'B NZME
WATER HEATER DENTAL LAVATORY ROUGH PLUMBING
METER GAS F+ODA FOUNTAIN 6A8 PIPING
OUTL
GAS VENT I J
CESSPOOL
TOTAL NUMBE�LEPTJC
S � �y 41 SEPTIC TANK
CESSPOOI ANK SEWER
TOTAL FEE 1 UTILITY CO.NOTIFIED,
l FINAL
D S S 1"y,3M SETS 12.44 APPLICATION- FOR PERMIT
lbEPARTMENT OF BUILDING AND SAFETY;, T
-COUNTY`'OF LOS ANGELES �� e" �"
WM.J. FOX. CHIEF ENGINEER
= MAING
-NATURE OF INSTALLATION ROUR , ZONE PE MITN_. r
/
ROUGH'- FIXTURES COMPLETE -7►�(D / 1 0
i RECEIVED BY READY FOR DATE ISSUED
HEATER CESSPOOL SEPTIC TANK FIRST INSPECTION
AS I MISCELLANEOUS
APPLICANT FILL IN HEAVILY' OUTLINED PORTION ONLY ;
JOBQ NAME
ADDRESS � _
Wof
■ ADDRESSA2 aft
NEAREST
LOCALITYr /�/y�t
J
CITY/�7,Da� p��reCr ITEC No f CROSS ST. .CI v
COU
TY
CERT'No. ✓ _ EXPIRES - C NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL z MAIL '
NORTH - O ADDRESS
' CITY
I AM THE LEGAL POSSESSOR OF'THE• ABOVE ,LOS
- •• ANGELES COUNTY CERTIFICATE OF QUAL�jF4CAT10N. .
i - - PLUMBER
1 `I AM THE LEGAL OWNER'OF THE PROPERTY DESCRIBED
- 1• ABOVE.
..
to 4 OWNER
7
CORRECTIONS _
j SOUTH k
'DESCRIPTION OF'WORK a
a ATH TUB FURNACB �
HOWER` ' DISHWASHER' 0
T
LAVATORY ' REFRIGERATOR S �' w _ '
—KITCHEN SINK- - WATER BOFTENHR
LOOR SINK SAND TRAP
LOP SINK FLOOR DRAIN
WASH TRAY URINAL '
APPROVALS,,,,,, ' �
_
WATER CLOSET DRINKING FOUNTAIN. ^ DATE r'INBP[CTOR S HAM[
WATER,HEATER DENTAL LAVATORY a' ROUGH PLUMBING I•_•`
UETER GAS SODA FOUNTAIN r
OUTL EAS PIPING
GAS VENT - -
CESSPOOL ' C-
-TOTAL NUMBER OF FIXTURES SEPTIC TANK
CESSPOOL— SEPTIC TANK SEWER
L
S UTILITY CO:NOTIFIED-I /} }
TOTAL FEE" -
FINAL r _Q
76A681 t4E#817 5,63 City of Temple City H168
APPLICATION FOR PLUMBING PERMIT
COUNTY-OF LOS ANGELES
DEPARTMENT OF COUNTY,ENGINEER
BUILDING AND SAFETY DIVISION ADDDD N 9561 E. Kinnerl St
JOHN A LAMBIE, COUNTY ENGINEER
`
WILLIAM A JENSEN, Sup'r OF BUILDING LOCALITY Temple Cit
FOR APPLICANT TO FILL IN CROSS ST. Broadway Blvd.
NUMBER FIXTURE OR ITEM EACH FEE
OWNER Victor E. 8 Diane Do Afaddox
WATER CLOSET 31 25 MAIL
BATH TUB 1 25 ADDRESS Same
SHOWER 1 25 CITY I TEL. NO.
LAVATORY 125 CONTRACTOR GEAR''':" I,f3TALLATION CO.
SINK 125 ADDRESS, 65558 NEST BLVD. '
DISHWASHER 1 25 CITY L,.A , TEL. NO PL3-2541
LAUNDRY TUB 1 25 REGNI.STRAT ON NO C36 151839 COUNTY RACTOR'S STATE p
CLOTHES WASHER 1.25 DISTRICT NO GROUP ONE P C ED BY -
WATER HEATER 1.50
CL
GAS SYSTEM OUTLETS 1 50 INDUSTRIALWASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM 30 INSPECTION RECORD
1 Softener 1 50 Ready for inspection now
a
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
'PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE
ROUGH PLUMBING ,
' r
GAS PIPING 1
I D HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT /
ANSTATE 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 I AM PROPERLY R ISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LO ANGELES NT AND STATE OF
CALIFORNIA OR THAT I AN LEGAL O ER ,AND INTEND TO GAS TEST
RESIDE IN,THE ABOVE CRIBED SDE AL OPERTY UTILITY CO NOTIFIED r
SIGNATURE
OF PERMITTEE FINAL `
/— ALIDATION ROBERT WOOD
cK M o CASH SUPERVISING MECHANICAL ENG R
9 33>&r9 W�7" 5-- D
3'50 '