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Home My Public Portal About4824 GLICKMAN AVE_Plumbing__ 7U667-CES17-II-W,, APPLICATION FORPfLUMBING PERMIT 1 COUNTY OF LOS ANGELES y DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DMSION BUILDING JOHN A.LAMBIE. Count Engineer ADDRESS i „�? J CASSATT D. GRIFFIN,Supt of Building _ _ LOCALITY �� " FOR APPLICANT TO FILL IN NEAREST CROSS S . , i NUMBER FIXTURE OR ITEM WATER CLOSET OWNER -I L MAIL BATH TUB ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR SINS ADDRESS DISHWASHER CITY a 4, r TEL. NO. C!-�, f LAUNDRY TUB CONTRACTOR'S - STATE REGISTRATION NO.y �j`;-> COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION WATER HEATER I "I GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD iJ APPROVALS @ $1.00 PER ITEM DPTE . INSPEC'TOR'S SIGNATURE OR FIXTURE $ UNDER SLAB WORK PERMIT $ —:jLp0 ROUGH PLUMBING TOTAL FEE GAS PIPING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING. PLUMBING FIXTURES 1. ',�,{ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST �p j� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL PROPERTY. `" n SIGNATURE E "�"�" OF PERMITTE "' '�""t, .sw,�' _ '�.n /'yt�tt FINAL ROBERTA.WOOD. OF 14 VALIDATION SUPERVISING MECHANICAL ENG'R CIC. M.O. CASH 12 3 1 DEC 22 5 A 9.0 0 • 1� f 78A667 _cE#B" ,z-sa City of Temple City p 5587 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION f ILDINGJOHN A. LAMBIE. COUNTY ENGINEER DRESS 48Qe Gliekm n COLEMAN W. JENKINS, SUPT OF BUILDINGCALITY Tem le �'+ffFOR APPLICANT TO FILL IN EARESTROSS ST. NUMBER FIXTURE OR ITEM EACH FEE Rngemead OWNER H. Rosenbohm WATER CLOSET $1.25 MAIL 1,� BATH TUB 1.25 ADDRESS Same O! 1�'� ��✓ CITY TEL. NO. SHOWER 1.25 LAVATORY 1.25 CONTRACTOR General Installation Co. SINK 1.25 ADDRESS 6558 West Blvd. DISHWASHER 1.25 CITY I,OS Angeles TEL. No. pj, 3_2541 LAUNDRY TUB 1.25 REGICONTSTRATION ON NO. C-36 151839 787COUNTY CTOR'S STATE [ CLOTHES WASHER 1.25 DISTRICT NO. GROUP ZONE P E D BYE 1 WATER HEATER 1.50 1 50 .1� \ GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL O. OUTLETS OVER 5 PER SYSTEM .300 INSPECTION,RECORD twdad3r rior--Inspection`Now--jj a c� W C H LANDAAPPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ 2 OQ UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 11 3 50 GAS PIPING BY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER G.EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST NIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO N,THE ABOVE DESCRIBED RESIDE TIAL PROPERTY. UTILITY CO.NOTIFIED URE (/,�`�RMITTEE FINAL bVALIDATION ROBE T A. W/ o6D CK. M.O. CASH SUPERVISING MECHANICAL ENG'R r, ��'""!'jil�G�✓rr� 76A667 - CE817 5/70 City of Temple City APPLICATION FOR PLUMBING RM T COUNTY OF LOS ANGELES 3 5 7 2 9 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING fNEAREST DDRESS Glickman JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W:JENKINS. SUP'T. OF BUILDING OCALITY Tem. 1 ty FOR APPLICANT TO FILL IN(PR NT OR TYPE) ROSS ST. NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 OWNER R,osenbohm MAIL BATH TUB 1.50 ADDRESS S ame SHOWER 1.50 CITY TEL. NO. LAVATORY 1.50 CONTRACTOR GENERAL INSTALLATION CO. SINK 1.50 ADDRESS 6558 WEST BLVD. DISHWASHER 1.50 CITY Los Angeles TEL. NO. PL 3-2541 CLOTHES WASHER 1.50 STATE LIC LICENSE NO. C 36 151839 CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GROUP NE PROCE ED LAWN SPRINKLER SYSTEM 2.00 ) _L-7� CC11 S WATER HEATER 1.50 1 75 INDUSTRIAL WASTE APPROVAL ` GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD u OUTLETS OVER 5 PER SYSTEM •30 Ready for Inspection Now WATER SOFTENER LuLu a- 1 z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE . TOTAL FEE 4 75 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Naive ROUGH PLUMBING Address GAS PIPING GAS VENT City, Tel. No. HOT WATER HEATER 1 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 GAS TEST PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO RESIDE IN,THE ABOVE DESCRIBED REST NTI L PROP RTY. FINAL ti 1 SIGNATURE • JACK R. ALLEP, SU ERVISIrGECHANICAL ENG'R. OF PERMITTEEPERMIT VALIDATIO M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH : r . 2 2 0 6-13 JUL 13 5 D 4.7 5,,a