HomeMy Public PortalAbout4820 GLICKMAN AVE_Plumbing__ DBS-17 12.64 APPLICATION FOR PLUMBING PERMIT
DBS-17
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles ABUILDING
DS 4820 N• Glic]ofan
WM.J. FOX, COUNTY ENGINEER DRES }4
CASSATT D.GRIFFIN, SUPT OF BUILDING011111111 Temple 1eIDPle Ci V.I
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OWNER Rodes
DISTRICT NO. GROUP READY FOR INSPECTIONMAILT 1,,e�rE
ADDRESSp p o
INDUSTRIAL
CITY TEL. NO. WASTE APPROVAL
PLUMBER FariVl � (7P�Tat)) ��vS}tandlev Inc. INSPECTION RECORD
ADDRESS 2025 N. HOJ
CITY 91 Monte
TEL. NO. FO o1 -_- ,S -z,,7,�_�7
LICENSE NO. 11+9236
NUMBER TYPE OF FIXTURE OR ITEM FEE
i!is��✓'� lis'�? ,9��.I\°. =^�--
WATER CLOSET (TOILET)
1
BATH TUB
SHOWER
LAVATORY (WASH BASIN)
KITCHEN SINK _80. .
DISHWASHER
I -
_� LAUNDRY TUB OR TRAY
I
CLOTHES-WASHER
I
i
TOTAL NO. 5 @ 0.80 1+ 00 APPROVALS
DATE INSPECTOR'S SIGNATURE
_ GAS SYSTEM�OUTLETS @ 1.00 w
+� UNDER SLAB WORK ® 'a r��.°•�s. !
11 WATER HEATER @ 1.00 1 �� ROUGH PLUMBING
PERMIT '
S I 1 0
�0 GAS PIPING
TOTAL FEE � 00 GAS VENT v
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER IP � _1J'���>LL•t-L.'��n-�-
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGYLATING PLUMBING FIXTURES
PLUMBING. /
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST � .�"/ �_r4—,
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL 9WN ER OF THE ABOVE UTILITY CO. NOTIFIED 7-l7"�-=
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE
OF PERM ITTE4,e FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION
4 0 1 01JR MAY 23 3 7.0 0 n
BY
(�2 DEPUTY
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 P,[UMBIING P-ERM1IgTy ,
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL x0508 990601'0008
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 10992 LT: 3 BL: B g4_8_2_0��GLT�C__KM NA AV,
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: -EMs7804015- 1,
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-015-022 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
06/01/99 UT 11/28/99
OWNER: TEL. NO: FINAL DATEBY: CODE:
MAROLD COLETTA TR MAROLD FAMILY TRU (818) 444-0617- Pi
4820 GLICKMAN AV
?EMP 917804018 DESCRIPTION OF WORC
%C-HANGE-OUT-0E-WAT`-ER-HEATE
APPLICANT: TEL. NO:
MARSH PLUMBING (818) 407-1247-
7229 VARNA SPECIAL CONDITIONS:
N. HOLLYWOOD, CA
CONTRACTOR: - TEL. NO: = '' ��
MARSH PLUMBING ' •ted APPROVALS DATE INSPECTOR SIGNATURE
(818) 407-1247-
7229 VARNA AVE. LIC. NO UNDER SLAB WORK
NORTH HOLLYWOOD, CA 91605 :. 16425B/L * 1`
WATER SERVICE
/ ���. ^J �� ' ��� � '•, �'�: PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO'
GAS PIPING
— ---- ------- -- — —,� GAS VENT
� /7
•1 ji
HOT WATER HEATER
L =
PLUMBING FIXTURES
LAWN SPRINKLERS
Ciyt.w��% %' GAS TEST
UTILITY COMPANY NOTIFIED
CwV
ti lr
GRAY WATER SYSTEM
* ADDITIONAL DATA ON FILE
REPORT ID: DPR263 ROUTE TO: BS0508