HomeMy Public PortalAbout5113 GLICKMAN AVE_Plumbing__ 7GA667A (�Cy6 81713) -19/77
APPLICATION FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM ® FEE ADDRESS
WATER CLOSET LOCALITY Temple Cit
NEAREST
BATH TUB CROSS ST. L`0UJ(?A E ► R
SHOWER OWNER Glasser Seymour
LAVATORY MAIL
ADDRES113 Glickman Ave.
SINK CITY Temple City TEL.NO. 7
DISHWASHER CONTRACTOR
Trane
CLOTHES WASHER ADDRESS 2034 N. Peck
SWIMMING POOL RECEPTOR
CITY South El Monte TEL.No. 5797982
LAWN SPRINKLER SYSTEM STATE 265094 LIC. c-20
WATER HEATER LICENSE NO. CLASS
1 GAS SYSTEM 1 OUTLETS 3 00 DISTRICT NO. GROUP I ZONE PROCESSED BY }
OUTLETS OVER , 40paiwe— O
5 PER SYSTEM INDUSTRIAL V
WASTE APPROVAL
INSPECTION RECORD C:)
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Plan check fee
PLUMBING PERMIT ISSUING FEE$ 7. 00
TOTALFEE 10 00
Plan check applicant
APPROVALS DATE INSPECTOR'S SIGNATURE
Name
UNDER SLAB WORK
Address ROUGH PLUMBING
City Tel.No. GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE GAS VENT
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
AND STATE LAWS REGULATING PLUMBING. HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS PLUMBING FIXTURES
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE GAS TEST -
LEGAL OWNER OF,AND INTEND TO RESIDE IN THE ABOVE DESCRIBED R TIAL
PROPERTY. UTILITY CO.NOTIFIED
SIGNATURE ro _
OF PERMITTEE f FINAL Awl
PLAN CHECK VALIDATION CK. N. . CASH PERMIT VALIDATION _ 3 M.O. CASH
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76A667 fCE-817)-4/72
APPLICATION OR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER t
BUILDING AND SAFETY DIVISION
MAKE CHECKS PAYABLE TO: BUILDING
<:
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY 2
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
WATER CLOSET 1.75 OWNER
MAIL r
BATH TUB 1.75 ADDRESS L
SHOWER 1,75 CITY TEL. NO.
LAVATORY 1.75 h CONTRACTOR
SINK 1.75 f ADDRESS
DISHWASHER 1.75 CITYC, TEL. NO..
CLOTHES WASHER 1.75 STATE LIC
C
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS
DIST$JCT NO. GROUP NE FR ESSED BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL
WASTE APPROVAL 0a.,
GAS SYSTEM OUTLETS 1.75 )
NSPECT( N REC RD C
OUTLETS OVER
5 PER SYSTEM .30 O
W
N
Z
Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 00
TOTAL FEE
APPROVALS QAJE I*PFCT4R 5 SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
City Tel. No. GAS VENT
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION HOT WATER HEATER
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. GAS TEST
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANG TY AND STATE OF
CALIFORNIA OR THAT LEG F AND INTEND T
RESIDE IN THE AB DES D RESIDENTIA PERTY. FINAL
SIGNATURE
OF PERMITTEE
IPERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION cK. M.' . CASH
_P 0 3613 APR 3C 5 D 15.25-
`76AW7;A9M9 � 211
APPLICATION FOR P UMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County Engineer ADDRESS 5113 Glickman
CASSATT D. GRIFFIN, Supt of Building LOCALITY
Temple t
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM
2 WATER CLOSET
OWNER Joe E. Rognstad
MAIL
1 BATH TUB ADDRESS 2636 South Baldwin Ave`.'
Z SHOWER
CITY Arcadia TEL. NO. HI 6-4495
LAVATORY CONTRACTOR Belvedere Plumling Co.
1 SINS ADDRESS 11900 E. Garvey Ave.
DISHWASHER CITY El Monte TEL. NO. CU 3-1691
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. 179568 COUNTY ❑
1 CLOTHES WASHER DISTRICT NO. GROUP ZONE PRO ESSED BY
1 WATER HEATER
1 GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
t INSPECTION RECORD
19 '� fa0 $1.00 PER ITEM
v
OR FIXTURE $ 10.00
10 OR VALS TE INSPECTOR'S SIGNATURE
PERMIT $ P.1 00 UNDER B WORK
TOTAL FEE 12 M ROUGH PLUMBING
G vV GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT 'I'WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. HOT WATER HEATER
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE LIP 0
DESCRIBED RESIDENTI PROPERTY. "I UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITT ` p X�--j -0/ze-A—/
FINAL
OF VALIDATION ROBERT A. WOOD,
Cg, M.0. CASH SUPERVISING MECHANICAL.ENG'R
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