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Home My Public Portal About5013 GLICKMAN AVE_Plumbing__ D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES pL��G 7 Wm. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GR5�UPJ ZONE PERMIT NO. ROUGH _ FIXTURES COMPLETE HEATERECEIVED Y READY FOR DATE ISSU D R CESSPOOL 1-1 SEPTIC TANK ._1 � FIRST INSPECTION / F' GAS M ISCELLANEOUS ' 0 ! � APPLICANT��((FILLIN HEAVILY OUTLINED PORTION ONLY _NAME GENE �rIAK, INC ADDRESS oSV1 Al 1010 E. GARVEY 2 ADDRESS -p, MONTE��kFf„, LOCALITY oZ- D (((( NEAREST CITY TEL.NO.{i,/!1. "''�.."'�T" CROSS ST. 'I IL COUNTY -_ - / CERT.NO. Q EXPIRES w NAME i—Q LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL � 3 ADDRESS NORTH 0 CITY ,; TEL.NO. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFIC TION. 4 PLUMBER 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. i OWNER CORRECTIONS 1 SOUTH -- DESCRIPTION OF WORK - z BATH TUB — FURNACE - - /-TSHOWER DISHWASHER 0 �l -LAVATORY "" REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN f WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN • DATE INSP CTOR'B NAME —L WATER HEATER - DENTAL LAVATORY ROUGH PLUMBING I I "f '- L-�METER_-_fGAS ._..,. SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL- SEPTIC TANK SEWER 1 � TOTAL FEE ' JD UTILITY CO.NOTIFIED _ ✓ ✓ I FINAL , p. I .N' tom,,•-...• 76A667 OBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER PLUMBING 1 FOR APPLICANT TO FILL IN DISTRICTNO. GROUP ZONE P PLUMBERJ READY FOR RECEIVED ®Y DATE 136UE0 FIRST INSPECTION ADDRESS ( i BUILDING CITYTEL. No. ADDRESS ^O � COUNTY LOCALITY LICENSE NO. EXPIRES NEAREST PERMIT FEES CROSS ST. NUMBER TYPE OF FIXTURE OR ITEM FEE OWNER MAIL WATER CLOSET(TOILET) 0.50 s ADDRESS BATH TUB @ 0.50 CITY TEL. NO. SHOWER @ O.SD I HEREBY ACKNOWLEDGE THAT 1 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 1 POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 BIGNATU RE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK @ O.So INSPECTION RECORD FLOOR SINK @ 0.50 FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 J Q HOUSE SEWER @ 0.50 Z MISCELLANEOUS O O APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.00 CESSPOOL `� t Y�Y'v SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00I SEWER PERMIT . . . . . . 1.00 GAS TEST UTILITY CO.NOTIFIED TOTAL FEE S FINAL D.B.S.-17 25M SETS 12-45 n APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY 1 COUNTY OF LOS ANGELES PLUMBING1 Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPi ZONE PERMIT NO. 7 _ 1-1J `. /7/ RECEIVED ROUGH FIXTURES COMPLETE � NEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED: FIRST INSPECTION GAS MISCELLANEOUS APPLICANT FILL INC. HEAVILY OUTLINED PORTION ONLY JOB r NAME GENE CLARK, NC _ ADDRESS �� / 1-( ,L/ r 1010 E. GARVEY 0 ADDRESS T !.�,r. IF _ LOCALITYNEAREST t✓ ` f d CITY TEL.No. CROSS ST. COUNTY ,G >5 EXPIRES w i_NAME /' CERT.No. N _ /j_" - LOCATION OF SEPTIC TANK, OR CESSPOOL 3 ADDRESS _ F p NORTH 4 - CITY A TEL.NO. 1 AM THE LEGAL POSSESSOR OF THE AMOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIF)CIATION. PLUM BIER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED ABOVE. A> OWNER CORRECTIONS I SOUTH DESCRIPTION OF WORD ATH TUB FURNACE (j SHOWER DISHWASHER a" Q LAVATORY REFRIGERATOR KITCHEN BINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS _-WATER CLOSET DRINKING FOUNTAIN + DATE INSPECTOR'S NAMa WATER HEATER DENTAL LAVATORY ROUGH PLUMBING I !I METER GAS SODA FOUNTAIN GAS PIPING I I - OUTL GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOL SEPTIC TANK ) SEWER UTILITY CO.NOTIFIED TOTAL FEE f� FINAL 1 76A667-CE817-8-57 U� A/0ly1e5 APPLICATION FOR PLUMBING PERMIT 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING _ BUILDING AND SAFETY DIVISION ADDRESS D J�� JOHN A. LAMBIE, COUNTY ENGINEER CASSATT D. GRIFFIN, SUPT OF BUILDING LOCALITY T�f� �� ✓�, T FOR APPLICANT TO FILL IN NEAREST NUMBER FIXTURE OR ITEM GROSS ST.OWNER WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL.NO. LAVATORY CONTRACTOR�pe�T// /�S�i�_Z�(/G SINK ADDRESS DISHWASHER CITY S,0, .X1 leTEL.NO. 4/--On e.J r LAUNDRY TUB CONTRACTOR'SSTATE REGISTRATION NO.I E y-3 SC COUNTY ❑ CLOTHES WASHER DISTRICT NO. GROUP ZONE READY FOR INSPECTION WATER HEATER Jl f GAS SYSTEM INDUSTRIAL �T WASTE APPROVAL INSPECTION RECORD L) ' 2 APPROVALS $1.00 PER ITEM DATE INSPECTOR'S SIGNATURE OR FIXTURE $ Qp UNDER SLAB WORK PERMIT S 00 ROUGH PLUMBING � GAS PIPING -�-t TOTAL FEE .3o GAS VENT I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST .�- LICENSED AS REQUIRED BYL S ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AIN E.LEGAL OW R OF T E ABOVE UTILITY CO. NOTIFIED DESCRIBED RESIDENTIAL R Ryf,1 SIGNATURE `'C OF PERM ITT EE L FINAL ROBERT A. WOOD, CP)-, VALIDATION SUPERVISING MECHANICAL ENG'R CASH 5 6 9- OCT 7 5 A 3.0 0 1 1�