HomeMy Public PortalAbout9568 KENNERLY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING
DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION
COUNTY OF LOS ANGELES BUILDING
WILLIAM J. FOX, COUNTY ENGINEER ADDRESS
FOR APPLIC NT TO FILL IN LOCALITY
BUILDING NEAREST
A '/p � � CROSS ST
ADDRESS
DISTRICT NO. GROUP ZONU PERMIT NO.
LOCALITY , q1 (/ (/ i S I x —t
NEAREST
CROSS ST l� 1u RECEIV
ED
B}Y� Ready for Inspection DA/TE(ISSUE`D
OWNER ✓ 1T J v (AA NM6� ' Tom"�Cp` 7 �� ( J J
MAILINDUSTRIAL
n O WASTE APPROVAL '
ADDRESS h � � ��, J �(/(�,p
CITYnn TEL.No _ - �3,� INSPECTION RECORD
PLUMBER �}J�� (��J 2� �'��w• .-gym Qtr-..�,
ADDRESS D I �' �d a 1 A oINN.( 0 7.I
CITY ' A�1A_AJ TEL.NO. Z
/- Q -11 r �Q
I/ ❑STATE
LICENSE N0. �¢�� 2'000NTY J
PERMIT FEES a
z_
NUMBER TYPE OF FIXTURE OR ITEM FEE
WATER CLOSET(TOILET) Q? 0 80 ; b O
1 BATH TUB @ 080
1 SHOWER @ 0.80
LAVATORY (WASH BASIN) @ 0 80
KITCHEN SINK @ 0 80 gyp/
LAUNDRY TUB OR TRAY @ 0 80 p o
SLOP SINK• @ 0 80
FLOORSINK @ 080
FLOOR DRAIN @ 080
DISHWASHER @ 0 80
DRINKING FOUNTAIN @ 080
URINAL• @ 080
GAS SYSTEM A______OUTLETS @ 1.00 (]
WATER HEATER @ 1 00 D n
IS ELLANEOUS
_V1110 Vi UAW APPROVALS
DATE INSPECTOR'SSIGNATURE
UNDER SLAB WORK
PERMIT $ 1 00 ROUGH PLUMBING
TOTAL FEE A 0'1 GAS PIPING
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI• GAS VENT
CATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE HOT WATER HEATER
TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING PLUMBING STERED PLUMBING FIXTURES
THAT I AM
AND/OR LBCENSEDIFY AS REQUIRED BY PROSEANGELES RLY (COUNTY GAS TEST �O �'y
AND STATE OF CALIFORNIA OR TH I AM THE LEGAL OWN• p -
ER OF THE ABOV DESCRIBED RE DE TIAL PROPERTY. UTILITY CO NOTIFIED Z ��
SIGNATURE r
OF PERMITTEE. ... ._ _._ ... ... ....
FINAL
76.667 DBS 17 1/53
76A667C ICE 817-A)- 11/76 °
APPLICATI®N R PLUM PERMIT
COUNTY O�ONGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS {
WATER CLOSET LOCALITY �.
BATH TUB NEAREST it
CROSS ST 6
SHOWER OWNER
LAVATORY MAIL
ADDRESS - I, ,
SINK CITY TEL NO zl6
DISHWASHER CONTRACTOR
4
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY T t)jpj TEL NO ?7
LAWN SPRINKLER SYSTEM IV I
STATE _ _ LIC
WATER HEATER LICENSE NO CLASS
GAS SYSTEM OUTLETS DISTRICT NO UP VZO10E PRO ESSED Y
OUTLETS OVER �I
5 PER SYSTEM INDUSTRIAL
WASTE APPROVAL O
INSPECTION RECORD u
c
uO
� u
{A
Plan check fee
PLUMBING PERMIT ISSUING FEE$ -
TOTAL FEE
Plan check applicant 4 - +
Name 1�69 _ I` APPROVALS DATE INSPECTOR S SIGNATURE
_ UNDER SLAB WORK
Address ROUGH PLUMBING
City J Tel No A0 7 O GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST
LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL
PROPERTY UTILITY CO NOTIFIED
SIGNATURE
OFPERMITTEE - FINAL -
PLAN CHECK VALIDATION CK mo CASH PERMIT VALIDATIONcK M of' { CASH
1"4 6 rMAR w0 5 D 1 0.
Os
' a �1� �
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1207100037
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE (626) 285-0488 EXT
ILEGAL ID I FEES PAID I BUILDING ADDRESS
ITR 19316 LT 8 I I 9568 KENNERLY ST I
I 1FEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803837 I
(ASSESSOR INFORMATION NUMBER I I NEAREST CROSS STREET I
18590-014-029 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl
1 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20
1TENANT 192 NO PERMIT OWNER-BLDR 342 20 DOL 342 20 (ISSUED ON PROCESSED BY PLAN BY I
1 1 TOTAL FEES 386 20 107/10/12 SR 1
I I I I
10WNER TEL NO 1 IF ATE F Y CODE I
1CHIU, TIM T (626) 285-5336- I I
19568 KENNERLY ST I I - I
ITEMP 917807304 DISCIZAPTI N OF WORK I
I I IC ANnE WATER LINE I
(APPLICANT TEL NO
ISAME AS OWNER - I
I _ I 1SPECIAL CONDITIONS 1
1
ICONTRACTOR TEL NO 1APPROVALS DATE INSPECTOR SIGNATURE I
1SAME AS OWNER - I
1 LIC NO 'I 1UNDER SLAB WORK 1 1 I
1 I 1 I
1 I 1WATER SER CE 1
1 I 1PLASTIC N MET YIN 1
1ARCHITECT OR ENGINEER TEL NO i
I - i 1ROUGH PLUMB I1 1
LIC NO I I I I 1
I IGAS PIPING I I
I 1 (GAS VENT I I 1
I I I I I I
I 1 IHOT WATER HEATER I I 1
I 1 I I I I
I 1 (PLUMBING FIXTURES
I ILAWN SPRINKLERS 1 I I
I I i I I I
IGAS TEST
I I I 1-1 I
1UTILITY COMPANY NOTIFIED( I
I I I •5 I I I
I J ICWV I I I
1 I 1GRAY WATER SYSTEM I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
1 IREPORT ID- DPR263 ROUTE TO BS0508 I I I I