HomeMy Public PortalAbout5001 GLICKMAN AVE_Plumbing__ COUNTY OF LOS ANGEL=S TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 04062900:8;
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PiiONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAiD BUILDING ADDRESS:
ON FILE 5001 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UDM: AMOUNT: TEMP CA 917804023
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: LA RO A
8585-013-023 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCI',',!-TTY. TEMPLE CITY, C�
07 BATHTUBS/SHOWERS 1.00 Fix`. 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 60.15 06/29/04 JK 12/26/04
OWNER: TEL. NO: FINAL DAME FINAL BY: �uv CODE:
PICCIONE JOSEPa F -
9532 PENTLAND ST
TEMP 91780384' 15ESCRIPTICJN OF WORK —
KITCHEN SINS. AND BATHTUB
APPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS: i
CONTRACTOR' —� IEL. NO: - APPROVALS — DATE iNSPE:TOR SIGNATURE f
SAME AS OWNER - !
LIC. NO UNDER SLAB WORK i
WATER SERVICE I
PLASTIC Y/N METAL YIN '
ARCHITECT017_EEG2^I=ER: TEL. NO:
ROUGH JLUiiBiNG /j�
GAS PIPING----
GAS
IPINGi -
_—
HOT WATER HEATER
PLUMBING FIXTURES I I'
LAWN EPIF;KLES
GAS TEST ��—
UTILITY C0MPAN:7NOTIFIED I--
CWV
GRAY WATER SYSTEM
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(REPORT ID: DPR263 ROUTE TO: BS0508
S6A667-CE817 6-60
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BULDING
ESS
TADDR
JOHN A. LAMBIE. COUN
Y ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY ,i.FOR APPLICANT APPLICANT TO FILL IN NEAREST
CROSS ST. )
NUMBER FIXTURE OR ITEM OWNER /LGti_I�}ti--e'd-�
WATER CLOSET MAIL
f BATH TUB ADDRESS
SHOWER CITY TEL. NO.
LAVATORY CONTRACTOR
f SINK ADDRESS 'n -
DISHWASHER CITY TEL. NO.
CONTRACTOR'SSTATE
/ LAUNDRY TUB REGISTRATION NO. COUNTY [I
1 CLOTHES WASHER DISTRACT NO. GROU fZONECES BY
WATER HEATER C' �/ �/
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
a
O
U
Fi O
W
t
$1.00 PER ITEM
OR FIXTURE APPROVALS DAT '< INSPECTOR'S SIGNATURE
PERMIT $ 1 2100 UNDER SLAB WORK
TOTAL FEE 'LROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
LDESCRIBED
CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
S REQUIRED,BY LOS ANGELES COUNTY AND STATE OF GAS TEST C '
OR THAT I AM THE LEGAL OWNER OF THE ABOVE
RESIDENTIAL PROPERTY. > UTILITY CO. NOTIFIEDEITTE
FINAL
®E VALIDATION ROBERT A. WOOD,
Y.O. CAIIH SUPERVISING MECHANICAL ENG'R
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