HomeMy Public PortalAbout5215 GLICKMAN AVE_Plumbing__ 76A667-CE. 817 5-61� ,' Z
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APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVLSION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
2 WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL.NO.
SHOWER
CONTRACTOR vailey Flumbing Co.
LAVATORY
ADDRESS 442 W. Fleetwood .
SINS
DISHWASHER
CITY enclo ra TEL. NO.
❑
LAUNDRY TUB REGISTRATION NO. `� �'�'I COUNTY
❑
CLOTHES WASHER DISTRICT NO. GROUP ZONB PROCIESSED BY
WATER HEATER / �{
GAS SYSTEM INDUSTRIAL
WASTE APPROVAL V
INSPECTION RECORD OC
0
U
W
a
N
Z
ER ITEM
CrFIXTURE $ APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ,3� ROUGH PLUMBING
GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY GAS VENT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING, HOT WATER HEATER
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES '""
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. _UTILITY CO. NOTIFIED
SIGNATURE /y �/
OF PERMITTEE j " '�''�'Y'
FINAL
,--,VALIDATION ROBERT A. WOOD
i' CK.j M.O. CASH SUPERVISING MECHANICAL ENG'R
UjL:o 7 3 3 1.0 DEC 4 5 D
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1105310003
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
ITR: 27309 LT: 27 I 5215 GLICKMAN AV 1
I _IFEE DESCRIPTION: QUANTITY: DOM: AMOUNT: ( TEMP CA 917803327
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-003-013 101 PERMIT ISSUANCE FEE 27.80 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I 164 WATER PIPNG <= 1 1/2 1.00 LIN 16.30
(TENANT: ITOTAL FEES 44.10 11SSUED ON: PROCESSED BY: PLAN BY:
1 i 105/31/11 SR
I
10WNER: TEL. NO: I IFI AL DATE FIN BY: CODE: I
1JIMENEZ CINDY
15215 GLICKMAN AV I ��� (
1TEMP 917803327 ID SCR PTION OF WORK
1 i (WATER SERVICE 1
(APPLICANT: TEL. NO:
I
IRESCUE ROOTER -
I
1475 E. ARROW HWY 1 ISPEiCIAL CONDITIONS:
1AZUSA, CA 91702
I I
I 1
ICONTRACTOR: TEL. NO: I (APPROVALS DATE INSPECTOR SIGNATURE 1
IRESCUE ROOTER (626) 858-9284- 1
1475 E ARROW HWY LIC. NO 1 (UNDER SLAB WORK I I I
1AZUSA CA 91702 765155 C36 1
I 1 WATER SERVICE ,F�
1 I PLASTIC Y/N TA$ Y/)N �� 1
(ARCHITECT OR ENGINEER: TEL. NO: I I_ 5:•.
- 1 IROUGH PLUMBING 1
LIC. NO: I
IGAS PIPING
I
I 1
I
GAS.VENT
I
1 I I
IHOT WATER HEATER
IPLUMBING FIXTURES 1 1
(LAWN SPRINKLERS 1 1
IGAS TEST 1 1
(UTILITY COMPANY NOTIFIEDI 1
1
CWV I I
IGRAY WATER SYSTEM I 1
I I I I I I
1 I I I I I
I
I I I I
1 I I I I I
I I I I
I I I I I I
IREPORT ID: DPR263 ROUTE TO: BS0508 I 1
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0508010015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 27309 LT: 27 5215 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803327
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GREEN
8585-003-013 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, C
07 BATHTUBS/SHOWERS 1.00 FIX 16.20
TENANT: 25 LAVATORIES/SINKS 1.00 FIX 16.20 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 08/01/05 JK 01/28/06
TOTAL FEES 76.35
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
JIMENEZ CINDY C;MOORE MELISSA J (626) 452-8616-
5215 GLICKMAN AV
TEMP 917803327 DESCRIPTION OF WORK
PLUMBING FOR NEW BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS: -
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
WATER SERVICE
PLASTIC YIN METAL-Y/N _
ARCHITECT OR ENGINEER: TEL. NO:
LIC. N0:
ROUGH PLUMBING
2 �
GAS PIPING
GAS VENT
HOT WATER HEATER
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0506