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Home My Public Portal About9580 KENNERLY ST_Plumbing__ DEPARTMENT OF COUNTY ENGINEER PLUMBING 1 DIVISION OF BUILDING AND SAFETY PERMIT APPLICATION COUNTY OF LOS ANGELES BUILDING 5 /� WILLIAM J. FOX, COUNTY ENGINEER ADDRESS FOR APPLIPAINT TO FILL IN LOCALITY NEAREST BUILDING I ( / CROSS ST d^ V ADDRESS d DISTRICT N0. GP �ZONE PERMIT LOCALITY NEAREST CROSS ST / AA �� //I�/1I+ /RECEIVED nB�Y, Ready for Inspection DATE ISSUED OWNER (nv�X ww1�[ n V.A r ; MAIL �I 4 WASTE APPROVAL DUSTRIAL ADDRESS �j ( ) l i6LC.6//f CITY V(r � LAdA/ TEL.NO Su.. -,Q ��I, INSPECTION RECORD PLUMBER n W t ADDRES I d I" S O . /I 11 CITY PA4/I.A4U� TEL.N0. / STATE LICENSE NO. I (e I M-60UNTY J PERMIT FEES a z NUMBER TYPE OF FIXTURE OR ITEM FEE L WATER CLOSET(TOILET) @ 080 ; ) h 0 BATHTUB @ 080 go 'O('j6 SHOWER @ 0.80 R L LAVATORY(WASH BASIN) @ 0 80 ��jj'0 KITCHEN SINK @ 0 80 /) VnJ� LAUNDRY TUB OR TRAY @ 0 80 90 SLOP SINK @ 0 80 FLOOR SINK @ 080 FLOOR DRAIN @ 080 DISHWASHER @ 0 80 DRINKING FOUNTAIN @ 080 URINAL — @ 080 GAS SYSTEM_ . _OUTLETS @ 1.00 Oa WATER HEATER @ 1 00 d MISCEL4ANEOU3! APPROVALS DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK / A '// PERMIT $ 1 00 ROUGH PLUMBING TOTAL FEE )U GAS PIPING I HEREBY 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 PLUMBING FIXTURES I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY S ANGELES COUNTY GAS TEST f A AND STATE OF CALIFORNIA OR THAT M THE LEGAL OWN- ER OF THE ABOVDES RIBED RESI IAL PROPERTY. UTILITY CO.NOTIFIED t/ SIGNATURE OF PERMITTEE .. _. ... ....... FINAL 76A667 DBS 17 1/53 �- II ' WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I IrQb astirga,tfot I have a certificate of consent to self 78A887A i insure, 1•a c6rlificate of Workers' Compensation Insurance, CE 817(REV.8/88) or a certifi,d copy thereof (Sec 3800, Lab C ) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No Company Certified copy is hereby furnished ' r FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING D Certified copy is filed with the county building inspec- ADDRESS iV tion department NUMBER FIXTURE OR ITEM @ FEE LOCALITY WATER CLOSET DateAppli4ant IJ NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB CROSS ST COMPENSATION INSURANCE SHOWER OWNER (This section need not be completed If the work Involved by the permit Is for one hundred dollars($100)or less.) LAVATORY D MAIL i �� ADDRESS I certify that in the performance of the work for which this permit is,issued, I shall not employ any person in any manner - SINK CITY / ew �' TEL NO is so as to become subject to the'Workers'Compensation Laws DISHWASHER CONTRACTOR ajv Date J pplicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT If, after making this Certif to of AA SWIMMING POOL RECEPTOR Exemption, you should become subject to the Workers' Compensation provisions of the Labor Code, you must forth- CITY TEL NO LAWN SPRINKLER SYSTEM with comply with such provisions or this permit shall be STATE LIC deemed revoked WATER HEATER LICENSE NO CLASS 'LICENSED CONTRACTORS DECLARATION • - DISTRICT NO R ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAA S SYSTEM OUTLETS — t (commencing with Section 7000) of'Division 3 of the Business OUTLETS OVER (J o and Professions Code, and my license is in full force and effect 5 PER SYSTEM FINAL VAGI TION O DATEd License Number Lic Class Z cc FI b Contractor Date B ~ C3 W 1 am exempt under SecIL B 8P C for this reason Plan check fee Date PLUMBING PERMIT ISSUING FEE$ Signature -. TOTAL FEE 9k 6 ;276Q4'A Plan check applicant SINGLE FAMILY o HOME OWNER-BUILDER DECLARATION Name # o'o 0 0 5 I hereby affirm that I am exempt from the Contractor's LicenseAddress (�o a 2 5 0 Law for the following reason (Section 7031 5, Business and Prof ssions Code), . City Tel No , o•o -_2 a 5 0 c=i I, as owner of the property, will do the work and the $ 0 5 m$7 structure is not intended or offered for sale (Section 7044, Business and Professions Code) CONSTRUCTION LENDING AGENCY I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is issued (Sec 3097, Civ C ) Lender's Nome Lender's Address 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 ' _ - SEE REVERSE FOR EXPLANATORY LANGUAGE w ignature of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0906040007 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE (626) 285-0488 EXT ILEGAL ID I FEES PAID I BUILDING ADDRESS 1 ITR 19316 LT 6 I 1 9580 KENNERLY ST I IFEE DESCRIPTION QUANTITY UOM AMOUNT I TEMP CA 917603837 I (ASSESSOR INFORMATION NUMBER I NEAREST CROSS STREET I 18590-014-027 101 PERMIT ISSUANCE FEE 27 75 THOMAS PAGE 597 GRID A4 LOCALITY TEMPLE CITY, Cl 1 107 BATHTUBS/SHOWERS 1 00 FIX 16 20 1 ITENANT 125 LAVATORIES/SINKS 1 00 FIX 16 20 11SSUED ON PROCESSED BY PLAN BY EXPIRES ON I I 145 WATER CLOSET/URINAL 1 00 FIX 16 20 106/04/09 SR 12/01/09 1 1 1 TOTAL FEES 76 35 1 1 10WNER TEL NO I IF AL DATE FI AL BY CODE 1 IPHU, NANCY (626) 287-3814- 1 1 I 19580 KENNERLY ST I 1 3 I ITEMP 917803837 1 1 ESCRIPTI N OF WORK 1 I I IPLUMBING FOR BATHROOM REMODEL 1 I I I I (APPLICANT TEL NO I I I ILAI (626) 288-2651- I I 1 18748 VALLEY BLVD #K i ISPECIAL CONDITIONS 1 IROSEMEAD, CA 91770 I I 1 I I I I I I I I ICONTRACTOR TEL NO I (APPROVALS DATE INSPECTOR SIGNATURE I IPHU, ANDY (626) 287-3814- 1 1 FI . IHOA T N PHU LIC NO I (UNDER SLAB WORK 1 19580 KENNERLY STREET NONE I I 1 I I ITEMPLE CITY, CA 91780 I IWATER SERVICE If kj I I I IPLASTIC YIN METAL YIN I 1 I 1ARCHITECT OR ENGINEER TEL NO I I I I - I IROUGH PLUMBING 1 I 1 LIC NO I I I I I IGAS PIPING I I I I I I I IGAS VENT I I I I I I I I IHOT WATER HEATER I I I I I I I I IPLUM13ING FIXTURES I I I I I I I I I I 1 1LAWN SPRINKLERS I I I I I I I I I I 1 IGAS TEST I I I I 1 1-1 I I 1UTILITY COMPANY NOTIFIEDI I I I I ICWV I I I I I I I I I I I IGRAY 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 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 I I I 1 IREPORT ID DPR263 ROUTE TO BS0508 I I 1 I I I I I I