HomeMy Public PortalAbout4832 GLICKMAN AVE_Plumbing__ �c:nl COUNTY OF LOS ANGELES
APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY L u B '
WILLIAM J. FOX, County Engineer
NG 1
DISTRICTDIETRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN o
PLUMBER REC ED Y READY FOR DA E I UED
A FIRST INSPECTION
ADDRESS _ G
BUILDI
CITY% TEL No. Q ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES —CROS 9 9T. y
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER T
MAIL
WATER CLOSET(TOILET) @ 0.50 ADDRESS o
BATH TUB @, 0.50 CITY TEL. No. —0
SHOWER @ 0.50 I IiEREB ACKNOWLE E 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
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 13.50 ANGELES COUNTY LICENSE, OR i AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEM OUTLETS @ 0.50
8113NATURE OF
WATER HEATER @ 0.50 PERMITTEE
SLOP SINK @ 0.50 INSPECTION TlEC-OkAD
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 0.50
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50
HOUSE SEWER @ 0.50 Z
MISCELLANEOUS 9
0
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL @ 1,00 CESSPOOL
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
PERMIT t.oD GAS TEST
UTILITY CO.NOTIFIED
TOTAL FEE i FINAL
76A667 DBS.$17 6-52
` COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0310060006
• BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
BK: 44 PG: 82 PC: 1 4832 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917804018
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LOWER AZUSA
8585-015-077 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B5 LOCALITY: TEMPLE CITY
11 CLOTHESWASHER(S) 1.00 FIX 16.20
TENANT: 21 HOSE BIBB(S) 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
47 WATER HEATER(S) 1.00 WTH 16.20 10/06/03 JK 04/03/04
51 LOW PRS GAS 5 OUTLET 1.00 SYS 16.20 141,
OWNER: TEL. NO: TOTAL FEES 92.55 FINA ATE FINAL BY: CODE:
MINH H LE & NHU HUONG PHAM (626) 401-2797-
4832 GLICKMAN AV
TEMPLE CITY 19780 YSCRI IO OF WORK
PLUMBING FOR PATIO ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
" PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. N0: -
ROUGH PLUMBING
LIC. N0:
GAS PIPING --
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
\ LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATEF SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508