HomeMy Public PortalAbout5225 GLICKMAN AVE_Plumbing__ 76A667 (CE-817) - 5/73
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
MAKE CHECKS PAYABLE TO: ADDRESS S S G,LtC/Ci1+'iA ✓�.
HARVEY T. BRANDT, COUNTY ENGINEER
LOCALITY e #91—e- 0 / T
FOR APPLICANT TO FILL IN (PRINT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM @ FEE
OWNER
WATER CLOSET 1,75 ` LL ,/4 �„��• �S(Js /2 IC
MAIL
BATH TUB 1.75 ADDRESS ,� ��9Lr C'/C/yl�}/y ✓F .
r SHOWER 1.75 ! f C ITY —reAt,04 e C+�7yr. TEL. NO.-f - "
LAVATORY 1.75 CONTRACTOR
SINK 1.75 ADDRESS
DISHWASHER 1.75 CITY TEL. NO.
CLOTHES WASHER 1.75 STATE LIC
SWIMMING POOL RECEPTOR 1.75 LICENSE NO. CLASS
DISTRICT NO. GROUP FRO ESSE BY
LAWN SPRINKLER SYSTEM 1.75
WATER HEATER 1.75 INDUSTRIAL[�
WASTE APPROVAL }.
GAS SYSTEM OUTLETS 1.75 INSPECTION RECORD a
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OUTLETS OVER v
5 PER SYSTEM .30
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Plan check fee See Reverse
PLUMBING PERMIT ISSUING FEE $ 3 nn00
TOTAL FEE
APPROVALS DATE INSPECTOR S SIGNATURE
Plan check applicant UNDER SLAB WORK
NameClivi 1Z ROUGH PLUMBING
Address �..Z� ` LACK 'We. GAS PIPING
City TeN/ mac! C,) Tel. No. _ GAS VENT
HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY PLUMBING FIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO. NOTIFIED
LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, FINAL -�
SIGNATURE
OF PERMITTEE n "7_
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.0. CASH
5 J 4.75a
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76A667-CE#817 5-61 v
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS .ea 'ps'
WILLIAM A. JENSEN, SUPT OF BUILDING
LOCALITY
s
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
/
BATH TUB ADDRESS
/
SHOWER CITY TEL. NO.
y- LAVATORY CONTRACTOR Valley pl uIn i-,,-t
SINS r
ADDRESS 442 W. F1 @ , ,'-" .z
DISHWASHER
CITY Gu endo ra TEL. NO.
CONTRACTOR'S STATE 0
LAUNDRY TUB REGISTRATION NO. 2QC4COUNTY El
CLOTHES WASHER DISTRICT NO. GROUP I ZONE PRO SED BY
I WATER HEATER
GAS SYSTEM INDUSTRIAL V
WASTE APPROVAL
INSPECTION RECORD Im
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F-'
U
W
a
V1
Z
@ JItill 'PEA ITEM
OR FIXTURE $ 1, APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2100 UNDER SLAB WORK
TOTAL FEEAs-
s 3� ROUGH PLUMBING
GAS PIPING
1 HEREBY ACKNOWLEDGE THAT I 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 HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE GAS TEST
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE � fir,. �..� =r_I.l.. �:tE.#
OF PERMITTEE - FINAL
VALIDATION ROBERT A. WOOD
a.ry
M.0. CASH SUPERVISING MECHANICAL ENG'R
�� L Igo 7 8 3 1 DEC 4 5 D 1 55.3 0 �.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0309120018
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
TR: 27309 LT: 25 5225 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803327
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8585-003-011 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
47 WATER HEATER(S) 1.00 WTH 16.20
TENANT: TOTAL FEES 43.95 ISSUED ON: PROCESSED BY: PLAN BY: E P RES ON:
09/12/03 JK 03/10/04
CAMEOS; ROSE GA rylffA-Ai4l pose (626)TEL.
NO: 43- FINAL DATE FINAL Y: CODE:
5225 GLICKMAN AVE
���1 -cD3
TEMPLE CITY 91780 DESCRIPTION OF WORK
C/O WATER HEATER
APPLICANT: TEL. NO:
JAMES KINGMAN (626) 336-0091-
1841 1/2 VALLECITO SPECIAL CONDITIONS:
HACIENDA HTS CA
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
KINGMAN HEATING & AIR CONDITIONING (626) 336-0091-
1841 1/2 VALLECITO DRIVE LIC. NO UNDER SLAB WOR
HACIENDA HEIGHTS, CA 781087
WATER SERVICE
ARCHITECT OR ENGINEER: TEL. N0: PLASTIC Y/N METAL Y/N
ROUGH PLUMBING
LIC. NO:
GAS PIPING
GAS VENT
HOT WATER HEATER I J 7 .3 ! -
PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508