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Home My Public Portal About4826 GLICKMAN AVE_Plumbing__I - 76AW7-=17-II-57 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING JOHN A. LAMBIE, County Engineer ADDRESS CASSATT D. GRIFFIN, Supt of Building LOCALITY FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM CROSS ST.„ WATER C OWNER MAIL ADDRESS CITY ; TEL NO. CONTRACTOR —91 SINK ADDRESS DISHWASHER CITY TEL. NO. s ter” CONVMCTOR'S STA rY LAUNDRY TUB REGISTRATION NO. !� w ` 'u, COUNTY ❑ CLOTHES WASHER DISTRICT k!! GROUP NE READY FOR INSPECTION WATER HEATER _:�? +(/ GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD Z .9 APPROVALS $L00 PER ITEM ! DATE INSPECTOR'S SIGNATURE OR FDCTURE $ UNDER SLAB WORK PERMIT $ 00 ROUGH PLUMBING TOTAL FEE ; p GAS PIPING I 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 I 9 IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST 3p CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIA ROPERTY. _ Aa SIGNATURE E FINAL OF PERMITT ROBERT A.WOOD. Or VALIDATION SUPERVISING MECHANICAL ENG'R CK. M.O. CASH 123000 DEC 22 5 A 9.00 M k �C . J- COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer PLUMBING � � � � ' � � j DIVISION OF BUILDING & SAFETY r WILLIAM J. FOX, County Engineer FOR APPLICANT TDISTRIC I1p: GROUP ZONE PER IT . L N a I PLUMBER IVED BY READY FOR DATIO IED FIRST INSPECTION ADDRESS BUILDING CITY n NO. ADDRESS ' A COUNTY LOCALITY LICENSE NO. EXPIRES CROSS ST. " P MIT FEES NUMBER TqPr OF FIXTURE OR ITEM FEE OWNER ) _ V i MAIL —31-7 /(w/ ,? WATER CLOSET(TOILET) @ 0 E.50 S ADDR / BATH TUB @ 0.50 TEL. No. SHOWER @ 0.50 I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE 19 CORRECT - AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. P, 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 V ANGELES COUNTY LICENSE, OR 1 AM THE LEG L OWNER /"� OF THE RESIDENTIAL PERI DES BE VE. GAS SYSTEM OUTLETS C� 0.50 �0(j 8113NATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK @ 0.50 INSPECTION RECO FLOOR SINK @ 0.50 _ FLOOR DRAIN @ O.SD DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 .Vl tit" O�t�/ L'-�.I. A � URINAL- @ 0.50 Q HOUSE SEWER @ 0.50 \ �, .��-�� r_s / • � Z MISCELLANEOUS f''�' )�.� r; e- _ 'L.3'10_� APPROVALS DATE INSPECTOR'S NAME 0 ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1,00 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER 1d-""'= PERMIT 1.00 Gas TEST I - UTILITY CO.NOTIFIED �' O TTAL FEE FINAL 76A667 DBS#17 6-52 A D.B.S.17 25M SETS 10-47 APPLICATION FOR PERMIT DEPARTMENT OF EUILDING AND SAFETY ��'�� ' COUNTY OF LOS ANGELES `» Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. G OUP o PERMIT NO. ROUGH FIXTURESCOMPLETE _ J HEATER CESSPOOL H SEPTIC TANK RX EIVED YY READY FOR DATZ ISGUED FIRST INSPECTION _ GAS MISCELLANEOUS Z APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY JOB / E NAME ADDRESS W m ADDRESS LOCALITY F DNEAREST .J CITY TEL.No. CROSS ST. IL COUNTY CERT.No. EXPIRES C NAME LOCATION OF SEPTIC TANK, OR CESSPOOL 3 MAIL DDRESS NORTH O CITY TEL.NO, I AM THE LEGAL PO08MSSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. rq 3 OWNER CORRECTIONS e-- SOUTH /SOUTH J DESCRIPTION OF WORK z BATH TUB FURNACE SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I I METER-GAS SODA FOUNTAIN OUTL 6A8 PIPING s GAS VENT I T CESSPOOL TOTAL NUMBER OF FIXTURES 2 SEPTIC TANK .14 CESSPOOL-----SEPTIC TANK D o SEWER UTILITY CO.NOTIFIED TOTAL FEE FINAL 76A667 17;5-49 ® APPLICATION FOR PERMIT OF BUILDING AND SAFETY PLUMBING 1 COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO. PLUMBER RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ADDRESS BUILDING CITY TEL. NO. ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES t NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET (TOILET) Q 0.50 $ ADDRESS BATHTUB @ 0.50 CITY -- } i TEL. NO. SHOWER @ 0.50 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND KITCHENSINK @ 0.50 STATE LAWS REGULATING PLUMBING. I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER ' _ OF THE RESIDENTI PROPERTY DESCRIB ABOVE. GAS SYSTEMUTLETS @ 0.50 SIGNATURE OF WATER HEATER @ 0.50 PERMITTE - SLOP SINK @ 0.50 INSPECTION RE RD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 _ URINAL @ 0.50 ..1 HOUSESEWER @ 0.50 Q MISCELLANEOUS I (� 0.' 0 APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOLIV J� SEPTIC TANK: SEPTIC TANK I DRAIN ( ) PIT ( ) Q 1.00 SEWER PERMIT . 1.00 GAS TEST TOTAL FEE $ UTILITY CO. NOTIFIED �~ FINAL 76 A 667 - CE 817 7-69 'Temple City B38088 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES Q 9 DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING 48 Glickman JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY Temple City FOR APPLICANT TO FILL IN PR NT OR TYPE) NEAREST CROSS ST. La Rosa NUMBER FIXTURE OR ITEM EACH FEE OWNER H. Rosenbloom WATER CLOSET 1.50 MAIL BATH TUB 1.50 ADDRESS 4828 Glickman SHOWER 1.50 CITY Temple City TEL. NO- 443"7603 LAVATORY 1.50 CONTRACTOR General Installation Co. SINK 1.50 ADDRESS 6558 West Blvd. DISHWASHER 1.50 CITY Los Angeles O TEL. NO. PL 3-2541 CLOTHES WASHER 1.50 STATE LICENSE NO. C-36 151839 LIC CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. GP ZO E P O S BY LAWN SPRINKLER SYSTEM 2.00 C��-o-^(7 1 WATER HEATER 1.50 l 50 INDUSTRIAL WASTE APPROVAL Q GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD u OUTLETS OVER .30 Ready h for Inspection Now O 5 PER SYSTEM WATER SOFTENER ri W C- N Z Plan check fee 25% of above. See reverse. PLUMBING PERMIT ISSUING FEE 8 2 00 TOTAL FEE 3,50 APPROVALS DATE INSPECTOR'S SIGNATURE Plan check applicant UNDER SLAB WORK Name ROUGH PLUMBING Address GAS PIPING GAS VENT City Tel. NO. HOT.WATER HEATER I HEREBY ACKNOWLEDGE THAT 1 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. I HEREBY CERTIFY THAT I 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 RFNT FINAL SIGNATURE JACK R. ALLEN, SUP RVISIN E�CHANICAL ENG-R. OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDATION CK. M.O. CASH 4 0 0 OCR-" int,,; 9 5 a 3.5 0