HomeMy Public PortalAbout5101 GLICKMAN AVE_Plumbing__ 76A667-CE817-8-58 Job 586 '
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES "� F4 t4
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS
CASSATT D. GRIFFIN, Supt of Building LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
EARECROSS sT . !?al dwin Ave.
NUMBER FIXTURE OR ITEM
OWNER Adstad
2 WATER CLOSET MAIL
1 BATH TUB ADDRESS
SHOWER CITY TEL. NO.
2 LAVATORY CONTRACTOR Belvedere Plumbing Co.
1 SINK ADDRESS 11900 E. Garvey Blvd.
DISHWASHER CITY El Monte TEL. NO. GI 89836
CONTRACTOR'S STATE ❑
1 LAUNDRY TUB REGISTRATION NO. 1795j8 COUNTY
1 CLOTHES WASHER DISTRICT NO. GROUP ZONE P OCESSED BY
1 WATER HEATER 1_ -I
1 INDUSTRIAL
GAS SYSTEM WASTE APPROVAL
INSPECTION RECORD
APPROVALS
ZQ ITEM
OR F FIXTURE $ Q D O
DATE INSPE TOR'S SIGNATURE
UNDER SLAB WORK L
PERMIT $ ROUGH PLUMBING --
TOTAL FEE 00GAS 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 Ae,I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TESTLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED !,_• - 1e"
DESCRIBED RESIDENT AL PROPERTY. /t
SIGNATURE ! FINAL
OF PERM ITTEE L'
ROBERT A.WOOD.
®F VALIDATION SUPERVISING MECHANICAL ENG'R
0.-
M.0. CASH
'�'> 8064L '10v2_ 4 5 A 1 2.0 0 M
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1303140028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
I ON FILE I I 5101 GLICKMAN AV I
I IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917803325 I
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GREEN I
18585-006-026 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY CAI
I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 I
(TENANT: 125 LAVATORIES/SINKS 2.00 FIX 32.40 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I 145 WATER CLOSET/URINAL 2.00 FIX 32.40 103/14/13 SR I
147 WATER HEATER(S) 1.00 WTH 16.20 I I
(OWNER: TEL. NO: I TOTAL FEES 125.00 IFI 4 TE FINAL BY: CODE: I
VANALSTEIN, CHAD - I I I
15101 GLICKMAN AV 1 1 1
ITEMP 917803325 I IDESCRIPTION OP WORK I
I I IBATHTUB/SHOWER, TWO LAVATOR S, TWO WATER CLOSETS AND I
I I IWATER HEATER I
1APPLICANT: TEL. NO: I I I
1HERNANDEZ, FRANCISCO (626) 232-9865- I I I
112700 ELLIOTT AVE I ISPECIAL CONDITIONS: I
IEL MONTE CA 91732 I I 1
I I I I
ICONTRACTOR: TEL. NO: 1 1APPROVALS DATE INSPECTOR SIGNATURE I
IFH CONSTRUCTION (626) 232-9865-- I 1 1
112700 ELLIOTT AVE SP 25 - LIC. NO I 1UNDER SLAB WORK I 1 1
1EL MONTE CA 91732 968550 1 1
1 1 1WATER SERVICE 1 1 1
1 1 1PLASTIC YIN METAL YIN 1 1 1
1ARCHITECT OR ENGINEER: TEL. NO: I 1�
I - I IROUGH PLUMBING 1
LIC. NO: I
I I IGAS PIPING
I
I _ I 1GAS VENT I 1 1
I I I
I I 1HOT WATER HEATER I I 1
I 1- I I I
I 1 1PLUMBING FIXTURES 1 I 1
ILAWN SPRINKLERS 1 I I
I I I
I 1 IGAS TEST I I 1
I I I
(UTILITY COMPANY NOTIFIE51 I I
I I ICWV I I I
1 1 IGRAY WATER SYSTEM 1 I I
I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I I I I I I
I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I
I I I I I I