HomeMy Public PortalAbout5231 GLICKMAN AVE_Plumbing__ 76A667-CE#'1'617 5-61
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FBUILDIN71GJOHN A. LAMBIE. COUNTY ENGINEER WILLIAM A. JENSEN, SUPT OF BUILDING FOR APPLICANT TO FILL IN
NUMBER FIXTURE OR ITEM OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
CITY TEL NO.
/ SHOWER
CONTRACTOR vailey Plumbing Co
LAVATORY ADDRESS 442 W. Fleetwood p
l .
SINS
DISHWASHER CITY GlendoraTEL. NO. Ed
CONTRACTOR'S STATE
LAUNDRY TUB REGISTRATION NO. Q j j 1 COUNTY ❑
CLOTHES WASHER DISTRICT NO. GROUP ZONE P SEED BY
WATER HEATER O
GAS SYSTEM
INDUSTRIAL
WASTE APPROVAL V
INSPECTION RECORD im
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U
W
d
H
Z
@PER ITEM
FIXTURE $ 13 30 APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
TOTAL FEE ROUGH PLUMBING
GAS PIPING k
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY GAS VENT
WITHALL COUNTY ORDINANCES AND STATE LAW8 REGULATING HOT WATER HEATER
PLUMBING.
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 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
SIGNATURE ,�P.F`�`,r fw LflrE,i Vii•; ;` ,,s
OF PERMITTEE FINAL
VALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
O763UQlo� DEC 4 5 D 1. 5.30- i
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76.4 667 -�C E 817 7-69
APPLICATION FOR PLUMBING PERMI !
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDINGADDRESS s CY'L l C I'I�
JOHN A. LAMBIE. COUNTY ENGINEER
A7 N
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY TLZ^
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM EACH FEE � f
WATER CLOSET 1.50 OWNER 4_-,417— Q L
MAIL
BATH TUB 1.50 ADDRESS S' l
SHOWER 1.50 CITY TEL NO.'�,f, 91-�/
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO..;v&,
CLOTHES WASHER 1.50 STATE LIC
LICENSE NO. ,�.s Jd C CLASS LA
SWIMMING POOL RECEPTOR 1.50 D.S�ICT NO. GR ZONE
LAWN SPRINKLER SYSTEM 2.00 5 1
WATER HEATER 1.50 INDUSTRIAL V OI
WASTE APPRO
1 GAS SYSTEM ,x. OUTLETS 1.50 I SPECTION RECORD u
OUTLETS OVER Z
5 PER SYSTEM .30
O
G.W
N
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE Q
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City 1'e I. No. HOT WATER HEATER
I HEREBY ACKNOWLEDGE THAT 1 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 (,7
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR UTILITY CO.NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINALn6LI
SIGNATURE ' JACK R. ALLEN, SUPERVISING CHANICAL ENG'R.
OF PERMITTE
PERMIT VALIDATION CK. M.O. CASH
PLAN CHECK VALIDATION CK. M.O. CASH IV
r + , b 3 2 6cc—:' AUG1 4 5 3.50—
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76 A 667 - GE 817 7-69
APPLICATION FOR PLUMB G PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING y
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST
CROSS ST.
NUMBER FIXTURE OR ITEM rAC FEE
OWNER
WATER CLOSET MAIL
BATH TUB ADDRESS
SHOWER CITYTEL. NO.
LAVATORY 1.50 CONTRACTOR
SINK 1.50 ADDRESS
DISHWASHER 1.50 CITY TEL. NO,
o
CLOTHES WASHER 1.50 STATE ^ n LIC
LICENSE NO. CLASS
SWIMMING POOL RECEPTOR 1.50 DISTRICT NO. G OUP ZONESSED BY
LAWN SPRINKLER SYSTEM 2.00 S,. _
- )..-
WATER
WATER HEATER 1.50 INDUSTRIAL O
WASTE APPROVAL U
GAS SYSTEM OUTLETS 1.50 --7 INSPECTION RECORD Z
55 PTRETS SYSTEMR .30 /3 /Q ,�/✓7� ".��Pet)� VA L_.t�L�. O
C/ •,'golS�.f9� t t"' r., I �7. Pd7�,G12...�-r'J W
N
Z
Plan check fee 25% of above. See reverse.
PLUMBING PERMIT ISSUING FEE 8 2 00
TOTAL FEE
APPROVALS DATE INSPECTOR'S SIGNATURE
Plan Check applicant UNDER SLAB WORK
Name ROUGH PLUMBING
Address GAS PIPING
GAS VENT
City Tel. No. 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 e
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING GAS TEST d
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIOR UTILITY CO. NOTIFIED
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. FINAL
SIGNATURE �'" - _ �/ F' JACK R. ALLEN, SUPERVISING HANICAL ENG'R.
OF PERMITTEE
PERMIT VALIDATION cK.' o. CASH
PLAN CHECK VALIDATION CK. M.O. CASH
1 t r_ 6 1 UG 4 5 D 5.00-