HomeMy Public PortalAbout5005 GLICKMAN AVE_Plumbing__ 79,4067 17 5-60 0 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
PLUMBER 3w- lvedere nlumbin!7 C-) RECEIVED BY READY FOR DATE ISSUED
( , FIRST INSPECTION � v._;
ADDRESS
lac S. calm We. .
BUILDING
CITY Alhambra TEL. NO. -?T95n?5 ADDRESS 5003 Glickman
COUNTYle�n ` Zn TP1?1 1.p City
LICENSE NO. 1 � EXPIRES 6/i" '5l LOCALITY
NEAREST
PERMIT FEES CROSS ST. y
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER ,,arhart
MAIL
Z WATER CLOSET (TOILET) @ 0.501$ 1_ 50 ADDRESS
l I BATH TUB @ 0.50 I I 50 CITY TEL. NO.
SHOWER @ 0.50I I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
LAVATORY (WASH BASIN) @ 0.501 rin APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND
AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND
1 STATE LAWS REGULATING PLUMBING.
KITCHEN SINK @ 0.50� ri
Z I LAUNDRY TUB OR TRAY @ 0.50 1 9 I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
GAS SYSTEMA OUTLETS @ 0.50 I I- 0 SIGNATURE OF /7 1
�.I WATER HEATER @ 0.501 o PERMITTEE
1 SLOPSINK @ 0.501 INSPECTION RECORD
FLOOR SINK @ O.50
I
FLOOR DRAIN @ 0.501
DISHWASHER @ 0.501
DRINKING FOUNTAIN @ 0.501 I LAg A%Ae-f
URINAL @ 0.501. (:.,3.4m 9 '-r— 0 C
1 HOUSE SEWER @ 0.50 Z
_ !e....... ,..,
MISCELLANEOUS D
o
i I1
1 APPROVALS
DATE INSPECTOR'S NAME
r7GAS
PLUMBING
PING
NT
CESSPOOL @ 1.00 OL
SEPTIC TANK: SEITANK
DRAIN ( ) PIT ( ) @ 1.00 SEWER
GAS TEST
PERh91T I 1,00 T"
UTILITY CO. NOTIFIED
TOTAL FEE 1 (�
$ 1r 5" FINAL `
y 1;,
76A667 D8B 17 11-60 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT GROUP I ZONE PERMIT NO.
PLUMBER .2. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
ADDRESS
BUILDING
CITY TEL No. ADDRESS
COUNTY LOCALITY
LICENSE NO. EXPIRES
NEAREST
PERMIT FEES CROSS ST.
NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER
MAIL
WATER CLOSET(TOILET) @ 0.50 $ ADDRESS
BATH TUB @ 0.50 CITY 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
KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING.
I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER 1
OF THE RESIDENTIAL PROPERTY DESCRIBED. ABOVE.
GAS SYSTEM OUTLETS @ O.SO / l `
SIGNATURE OF
WATER HEATER @ 0.50 PERMITTE a S�
SLOP SINK @ 0.50 INSPECTION RECOR
FLOOR SINK @ 0.50
FLOOR DRAIN @ 0.50
DISHWASHER @ 13.5131 1
DRINKING FOUNTAIN @ 0.50
URINAL @ 0.50 Q
HOUSE SEWER @ 0.50 1 Jr6l _Z
MISCELLANEOUS m
Q'
O
APPROVALS
DATE INSPECTOR'S NAME
ROUGH PLUMBING
GAS PIPING
GAS VENT
CESSPOOL '---'
CESSPOOL @ 1.00 vv
SEPTIC TANK: SEPTIC TANK
DRAIN ( ) PIT ( ) CCD 1.00 I SEWER
PERMIT I t.Do GAS TEST
® UTILITY CO. NOTIFIED
TOTAL FEE $
FINAL
D.B.S.-17 25M SETS 6-46 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING
COUNTY OF LOS ANGELES
Wm.J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER RECEIVED BY READY FOR DATE ISSUED
CESSPOOL SEPTIC TANK FIRST INSPECTION
AS- MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
K NAMEM• C. NOTTINGHAM CO. ADDRESS
A11RES9123 No. Cloverly Avera• LOCALITY
"I CITY TEMPLE CITYTpG& ,n- NEAREST
p, � _ CROSS ST.
COUNTY
CERT.No. EXPIRES M NAME
W
LOCATION OF SEPTIC TANK, OR CESSPOOL = MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
IAM THE LEGAL POSSESSOR OF THE ABOVE LOG
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
PLUMBER
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
p ABOVE.
W 'R
i'
3 OWNER
CORRECTIONS
SOUTH
J
DESCRIPTION OF WORK z
BATH TUB FURNACE
SHOWER DISHWASHER D
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
METER-GAS *SODA FOUNTAIN GAS PIPING
OUTL l
GAS VENT I f
CESSPOOL
TOTAL NUMBER OF FIXTURES SEPTIC TANK
L
CESSPOOSEPTIC TANK SEWER
TOTAL FEE
UTILITY CO.NOTIFIED
i
FINAL