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Home My Public Portal About9570 KENNERLY ST_Plumbing__ 76A667; Ice etie) -a/T7 ' APPLICATION FOR PLUMBING PERMIT v BUILDINeN ET�DIVIN FOR APPLICANT TO FILL IN IPRINT OR TYPE) BUILDING NUMBER I FIXTURE OR ITEM ® FEE ADDRESS WATER CLOSET LOCALITY BATHTUB NEAREST CROSS ST SHOWER WNER LAVATORY AIL ADDRESS SINK CITY TEL N22� 6/ DISHWASHER CONTRACTOR CLOTHES WASHER ADDRESS SWIMMING POOL RECEPTOR CITY TEL NO LAWN SPRINKLER SYSTEM STATE v LIC WATER HEATER LICENSE NO CLASS GAS SYSTEM OUTLETS DI CT NO UP ZONE PR�ESSEDc7OUTLETS OVER CD 5 PER SYSTEM INDUSTRIAL V WASTE APPROVAL INSPECTION RECORD CD U z Plan check fee PLUMBING PERMIT ISSUING FEE$ TOTAL FEE Pion check applicant Name I APPROVALS DATE INSPECTOR S SIGNATURE o �-; UNDER SLAB WORK Address _ t?A h ,) ROUGH PLUMBING C ity D Tel No ;L& GAS PIPING EREBY ACKN WLEDGE THAT I HAV READ THIS APPLICATION AND STATE GAS VENT ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES E LAWS REGULATING PLUMBING HOT WATER HEATER EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THEGAS TESTNER OF AND INTEND TO RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL UTILITYCO NOTIFIEDRE !MITTEE FINAL OA,(111 PLAN CHECK VALIDATION CK M o c H PERMIT VALIDATION CK M o CASH 1 5 5-C-MA i 20 516.0 G ®='t' DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES �/% BUILDING /6 / WILLIAM J. FOX, COUNTY ENQINEER ADDRESS �--- FOR APPLI NT TO FILL IN LOCALITY BUILDINGIl� NEAREST ' D,� ADDRESS x CROSS ST LOCALITY DISTRICT N0. GROUP I ZONE ) PERMIT NO. NEAREST 9C%3 CROSS ST �pI RECE,I�V�ED�j BY Ready for Inspection DATE ISSUED OWNER MAIL (V INDUSTRIAL ADDRES l WASTE APPROVAL CITY (1 I STEL.NO u - 4- /S�� INSPECTION RECORD PLUMBER * 4 0h ADDR 3 V 1 Q A,( " A r Q llS / CITY WAAkk") TEL NO ❑STATE LICENSE NO. I q ID I 8-COUNTY J PERMIT FEES a _Z NUMBER TYPE OF FIXTURE OR ITEM FEE1313 L WATER CLOSET(TOILET) @ 080 = 1/ I BATH TUB @ 080 D ° SHOWER @ 0.80 �II LAVATORY(WASH BASIN) @ 0 80 p KITCHEN SINK @ 0 80 LAUNDRY TUB OR TRAY @ 0 80 SLOP SINK @ 0 80 FLOOR SINK @ 0 80 FLOOR DRAIN @ 080 DISHWASHER @ 0 80 DRINKING FOUNTAIN @ 080 URINAL @ 080 GAS SYSTEM - -OUTLETS @ 1.00 U WATER HEATER @ 1 00 MISCELLANEOUS VIAL U)(W u-) u6 APPROVALS DATE I NSPECTOR'S SIGNATURE UNDER SLAB WORK / , PERMIT $ I 00 ROUGH PLUMBING ,��/sA�-y" � TOTAL FEE GAS PIPING d 1 HEREBY ACKNOWLEDGE THAT I 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 PLUMBING FIXTURES 1 . w 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED �p AND/OR LICENSED AS REQUIRED BY S ANGELES COUNTY GAS TEST I �P AND STATE OF CALIFORNIA OR THA I AM THE LEGAL OWN. 22 U ER OF THE ABOV D CRIBED RES ENT AL PROPERTY. UTILITY CO.NOTIFIED �l SIGNATURE L—. _.0 — — _-- �._. OF PERMITTEE-. FINAL V 76A667 DBS 17 1/53 r /12 76A667 (CE-817) - 5/73 APPLICATION F PLUM G PERMIT COUNTY OF LOS ANGELES _ •x DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING MAKE CHECKS PAYABLE TO 1 I)• �A'DDRESS p KENNERL'EY ' r HARVEY T. BRANDT, COUNTY ENGINEER LOCALITY TEP1iEEL CITY FOR APPLICANT TO FILL IN (PRINT OR TYPE) CROSS ST CLUVLRLY, NUMBER FIXTURE OR ITEM @ FEE �� .DOWNER MR LINGLE i WATER CLOSET 1,75 ` BATH TUB 1 75 ADDRESS 970 KENN�iLEY � SHOWER 1 75 CITY TEMPLE 'CITY TEL' NO'28 �O LAVATORY 1,75 CONTRACTOR,J&D PLUMBING ' CO.; SINK 1 75 ADDRESS44 SO. SAN GABRIEL' BLVD,. DISHWASHER 1.75 clTv 'SAN GABREICL -1 :'r,r r TEL NO CLOTHES WASHER 1.75 STATE LIC i ti> SWIMMING POOL RECEPTOR 1 75 LICENSE,NO CLASS'RC. 6 DISTRI T NO GROUP ryE OCESSED BY LAWN SPRINKLER SYSTEM 1.75 V rq' ') WATER HEATER 1.75 INDUSTRIAL •lr� WASTE APPROVAL }. 1 GAS SYSTEM OUTLETS 1.75p 1 INSPECTION RECORD OUTLETS OVER ' 5 PER SYSTEM .30 " I O F- J7 W d Plan check fee See Reverse PLUMBING PERMIT ISSUING FEE $ 3 00 TOTAL FEE 6 0 APPROVALS DATE INSPECTOR 4 SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING , City Tel NO GAS VENT HOT WATER HEATER ^ I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES ��- , WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING GAS TEST I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO NOTIFIED ' LICENSED AS REQUIRED BY LOS ANGELES COUNTYD STATE OF CALI FORNIA OR THAT I AM THE LEGAL OWNER OF, D INTEND TO _ RESIDE IN THE ABOVE DESCRIBED'RESIDENTIAL PRO RTY , FINAL SIGNATURE OF PERMITTEEg;4A / ..� PER T VALIDATION 'CK M CASH PLAN CHECK VALIDATION CK M 0 CASH 4 57 i '1 29 1 D ®` ' WORKERS'COMPENSATION DECLARATION 76A667A I hereby affirm that I have a -certificate of consent to self CE 617 (2-90) APPLICATION FOR PLUMBING PERMIT insure, or a certificate of Wo&kers"Com p4nsat ion Insurance,or a certified copy thereof(Sec 3800,Lab C) COUNTY OF LOS ANGELES 7-' BUILDING AND SAFETY i e—C-4 o icy o o n Certified copy is hereby furnished FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ` ADDRESS Certified copy is filed with the county buil inspection NUMBER FIXTURE OR ITEM • FEE LOCALITY E � rl ar a �7��/— WATER CLOSET f Date Applicant NEAREST BATH TUB CROSS ST CERTIFICATE OF EXEMPTION FROM WORKERS' LAVATORY > COMPENSATION INSURANCE SHOWER OWNER MAIL (This section need not be completed if the work involved ADDRESS } by the permit is for one hundred dollars ($100) or less.) SINKtL CITY TEL N s 0 1 certify that in the performance of the work for which this DISHWASHERU permit is issued, I shall not employ any person in any manner CONTRACTOR 0 so as to become subject to the Workers' Compensation Laws CLOTHES WASHER � ADDRESS /• �—y O Date ApplicantSWIMMING POOL RECEPTOR CIT TEL N U NOTICE TO APPLICANT If, after making this Certificate of /" LU Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM S ATE LIC / � Compensation provisions of the Labor Code, you must forth- LICENSE NO CLASS' Z with comply with such provisions or this permit shall be WATER HEATER deemed revoked GAS SYSTEM / OUTLETS DISTRICT, NOPRO ESS&D BY LICENSED CONTRACTORS DECLARATION OUTLETS OVER �vd I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000) of Division 3 of the Busi- FINALjr�� J VALIDATION ness and Professions Code, and my license is in full force and DATE J r effect Ile �j FINAL License Number Lic Class Contracto %0�� Date �Q I am exempt from the licensing requirements as I am a Plan Check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ acting in my professional capacity (Section 7051, Bus- iness and Professions Code) TOTAL FEE Lic or Reg No Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name _ AZ 100 J I hereby affirm that I am exempt from the Contractor's Address l License Law for the following reason (Section 7031 5, Busi- ness and Professions Code) ❑ 1, as owner of the property, am exclusively contracting # o o o o o 5 with licensed contractors to construct the project (Section 7044, Business and Professions Code) 2 0 0 1 3 0 0 CONSTRUCTION LENDING AGENCY - .0 0 0 1 3,0 0 v I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 0 76 0`2—8 1 issued (Sec 3097,Civ C) Lender's Name Lender's Address I certify t I have re application and state that the above infor on co ect 1� gree to comply with all County ordinanc and St I ws re ulating Plumbing, and hereby SEE REVERSE FOR EXPLANATORY LANGUAGE authori a repre n ve of t is County to enter upon the ove- entione r ert for nspection purposes Signa ure o Permittee Date _ COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1207310003 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID FEES PAID I BUILDING ADDRESS ITR 19316 LT 7 I 9570 KENNERLY ST I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917803837 (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET TEMPLE CITY 18590-014-028 101 PERMIT ISSUANCE FEE 27 80 I THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl 121 HOSE BIBB(S) 4 00 FIX 64 80 ITENANT 125 LAVATORIES/SINKS 1 00 FIX - 16 20 (ISSUED ON PROCESSED BY PLAN BY I 151 LOW PRS GAS 5 OUTLET 1 00 SYS 16 20 107/31/12 SR 1 I 160 DWV REPAIR OR ALTER 1 00 SYS 16 20 1 1 1OWNER TEL NO 163 WATER PIPING BR/FIX 9 00 FIX 61 20 IFI AL DATE FIN Y CODE 1 ILY; BE (626) 287-8982- 164 WATER PIPNG <= 1 1/2 1 00 LIN 16 20 19570 KENNERLY ST I TOTAL FEES 218 60 ITEMP 917803837 1 IDtSCRIPTION OF WORK ICOPPER PIPE REPLACEMENT FOR 2 BATHRMS, LAUNDRY RM & KITCHEN 1 I I 1AND MAIN LINE REPLACEMENT 1" LINE TO METER 1 1APPLICANT TEL NO 1 I 1SAME AS OWNER I 1SPECIAL CONDITIONS ` I ICONTRACTOR TEL NO 1 1AP� DATE INSPECTOR SIGNATURE 1 SAME AS OWNER - I LIC NO I 1UNDER SLAB WORK II 1 IWATER SERVICE 1 1 1 IPLASTIC Y/N METAL Y/N I I (ARCHITECT OR ENGINEER TEL NO I1 I - I IROUGH PLUMBING LIC NO I I IGAS PIPING 1 I IGAS VENT 1 I IHOT WATER HEATER I 1 I IPLUMBING FIXTURES I 1 ILAWN SPRINKLERS I 1 1 I IGAS TEST I I 1UTILITY COMPANY NOTIFIEDI I I I ICWV I " IGRAY WATER SYSTEM 1 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 I I I I