HomeMy Public PortalAbout5104 GLICKMAN AVE_Plumbing__ 76A667-CEB'9 a-ss Job #65
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS 5104 N• Glickman Ave•
CASSATT D. GRIFFIN, Supt of Building
LOCALITY Tem le Cit
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
F2i
FIXTURE OR ITEM
OWNER J. E. Ro nstad
WATER CLOSET MAILBATH TUB ADDRESS 2636 S. Baldwin Ave.
SHOWER CITY Arcadia TEL NO. HI 6-4495
2 LAVATORY CONTRACTOR Belvedere Plumbing Co.
1 SINK ADDRESS 11900 E. Garvey Blvd.
DISHWASHER CITY El Monte TEL. NO. GI 89836
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 179568 COUNTY ❑
1 CLOTHES WASHER DISTRICT O. GROUPZONE PRO ESSED BY
1 WATER HEATER 7AA.1i �yLl .Lv
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
$1.00 PER ITEM
OR FIXTURE $ 9.00 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK "
TOTAL FEE ROUGH PLUMBING 3' ` Q
11 ��
GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT d'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER i
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFGAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE �'
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTE FINAL
�.
®P AIJDATION ROBERT A. WOOD,
cs. M.O. CASH SUPERVISING MECHANICAL ENG'R
7 14 712-0 2 5 A
11.0 0 r'.
s
e
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0708070006
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
1
ILEGAL ID: FEES PAID I BUILDING ADDRESS:ON FILE I 5104 GLICKMAN AV 1
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: ( TEMP CA 917803362
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: GREEN
18585-006-030 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, CI
107 BATHTUBS/SHOWERS 1.00 FIX 16.20 1
(TENANT: Ill CLOTHESWASHER(S) 1.00 FIX 16.20 (ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: I
I 113 DISHWASHERS) 1.00 FIX 16.20 108/07/07 SR 02/03/08 1
1 125 LAVATORIES/SINKS 2.00 FIX 32.40 1
10WNER.: TEL. NO: I TOTAL FEES 108.75 IF D TE FIN CODE:
IHILDEBRAND H;L TRS (909) 982-1869- 1 1
12049 ALBRIGHT AV I I 1
(UPLAND, CA I IDE13CRIPTION OF WORK I
IPLUMBING FOR KITCHEN & BATHROOM
I
(APPLICANT: TEL. NO: 1
IJOE MARTINEZ (323) 683-5113-
15003 TELEGRAPH RD. ISPECIAL CONDITIONS: 1
ILOS ANGELES CA 90022 1 1 1
ICONTRACTOR: TEL. NO: 1 (APPROVALS DATE INSPECTOR SIGNATURE I
IROBERT ARZATE CONSTRUCTION (323) 683-5113- 1 1
15003 TELEGRAPH ROAD LIC. NO I (UNDER SLAB WORK
ILOS ANGELES, CA 90022 719804 B I I 1 I
I 1 IWATER SERVICE 1 1 1
I 1 (PLASTIC YIN METAL YIN
(ARCHITECT OR ENGINEER: TEL. NO: 1 I 1 1
I - IROUGH PLUMBING I 1
1 LIC. NO:
1 IGAS PIPING 1
I I I
1 IGAS VENT 1
I I I
IHOT WATER HEATER 1 1
I I I
1 1 IPLUMBING FIXTURES I 1 1
1 1 ILAWN SPRINKLERS 1
I I I
1 I IGAS TEST I 1
I I I
1 1UTILITY COMPANY NOTIFIEDI I I
ICWV I I
I I IGRAY WATER SYSTEM
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
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