The URL can be used to link to this page

Home My Public Portal About5304 GLICKMAN AVE_Plumbing__ 76A667-CES 17 3 59 APPLICATION F R PLU ING PERMIT r COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION ADDRESS J` Ci� �L /�°%'/�9/gAt Oq JOHN A. LAMBIE, County Engineer CASSATT D. GRIFFIN, Sup't of Building LOCALITY �X FOR APPLICANT TO FILL IN NEAREST EA ESTT. CSG I ll C �C� C17 NUMBER FIXTURE OR ITEM OWNER / ,67 el Al WATER CLOSET MAIL BATH TUB ADDRESS SHOWER CITY TEL. NO. LAVATORY CONTRACTOR -FIZZ A1/� ARI N 8 SINK ADDRESS rl Ii C^!Z 4 DISHWASHER ICITY Z TELL. NO.CONTRACTOR'S STATE LAUNDRY TUB EG STRATION NO. / ! 3 COUNTY El CLOTHES WASHER DIST T NO. GROUP ZONE P CESSED,,BY/ WATER HEATER ^�• Q rL > Yu GAS SYSTEM INDUSTRIAL WASTE APPROVAL INSPECTION RECORD E O � R FIXTURE $ I I C APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT $ I 2�O UNDER SLAB WORK TOTAL FEE ROUGH PLUMBING GAS PIPING 1 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 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 DESCRIBED RESIDEN/T�A% PROPERTY. k UTILITY CO.NOTIFIED SIGNATURE PPR41?7/�/�//Gy, OF PERMITT� FINAL ®F LIDATION ROBERT A. WOOD, CK. R.O. CASH SUPERVISING MECHANICAL ENG'R j 3 .0 7 A667 APPLICATION FOR PLUMBING PERMIT DBS-17 3.55 1 DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles WM. J. FOX, COUNTY ENGINEER BUILDING _ADDRESS CASSATT D.GRIFFIN, SUPT OF BUILDING LOALITY FOR APPLICANT TO FILL IN CNEAREST CROSS ST. OWNER �I[y'� L"!/I�!/L�'7� DISTRICTVQ, GROUP OYFOR INSPECTION MAIL ADDRESS J i /C/` �A AV A V, � � �70�gNE,� �^ rp INDUSTRIAL CITY G {�p� G{!,TEL. NO 7 .73 WASTE APPROVAL PLUMBER �" - INSPECTION RECORD ADDRESS CITY J TEL. NO,;j r 2:r ." LICENSE NO. / 1 NUMBER TYPE OF FIXTURE OR ITEM FEE WATER CLOSET (TOILET) $ BATHTUB SHOWER - LAVATORY (WASH BASIN) KITCHEN SINK DISHWASHER LAUNDRY TUB OR TRAY CLOTHES WASHER I I i TOTAL NO. @ 0.80 _ APPROVALS GAS SYSTEM-OUTLETS @ 1.00 DATE INSPECTOR'S SIGNATURE UNDER SLAB WORK WATER HEATER @ 1.00 PERMIT 1 00 ROUGH PLUMBING S - _G_AS PIPING TOTAL FEE ®� GAS VENT 1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION HOT WATER HEATER AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING PLUMBING FIXTURES PLUMBING. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR GAS TEST NT7� CuR LICENSED AS REQUIRED BY LOS ANGELES COUNT AND STA E OF CALIFORNIA OR THAT I AM THE LEGAL OW F THE BOVE UTILITY CO.NOTIFIED DESCRIBED RESIDENTIAL P PERTY. SIGNATURE OF PERMITTEE FINAL WILLIAM J. FOX, COUNTY ENGINEER VALIDATION R.A.WOOD, CHIEF PLBG. INSPECTOR xos 0 MAR 2 7 3 2.0 0 n r �� •7SA667-CE#817 10-67 • - - 'APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF r-OUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING r JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS � 64- 1`LfC / L1/ COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY ��% NLC 0L FOR APPLICANT TO FILL IN (PR NT OR TYPE) NEAREST Z n CROSS ST. (( 111t /Y Oc tN'O ov&0—i NUMBER FIXTURE OR ITEM EACH FEE WATER CLOSET 1.50 `-0 OWNER T2 V MAIL �V G- t� BATH TUB 1.50 ADDRESS SHOWER 1.50 � � CITY S �� TEL. NO. Alf LAVATORY 1.50 ! � CONTRACTOR SINK 1.50 ADDRESS DISHWASHER 1.50 CITY TEL. NO. CLOTHES WASHER 1.50 STATE LIC LICENSE NO. CLASS SWIMMING POOL RECEPTOR 1.50 DISTRICT NO GRO P ZON PFZOC�,SS BY LAWN SPRINKLER SYSTEM 2.00 ! r V WATER HEATER 1.50 INDUSTRIAL WASTE APPROVAL GAS SYSTEM OUTLETS 1.50 INSPECTION RECORD ~ U OUTLETS OVER W 5 PER SYSTEM .30 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 b Address GAS PIPING GAS VENT City Tel. No. HOT WATER HEATER IH 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 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 TH I AM THE LEGAL OWNER O . ND INTEND TO RESIDE IN,THE AB E ESCRIBED SIDENTIAL R P RTY. FINAL SIGNATURE ! JACK R. ALLEN, SUPERVISIN ECHANICAL ENG'R. OF PERMITTEE PERMIT VALIDATION CK. M.O. CASH PLAN CHECK VALIDAT N CK. M.O. CASH Lf ,3 2 1 �&16 5 D A�owsll WORKERS'COMPENSATION DECLARATION CE 81 s»A APPLICATION FOR PLUMBING PERMIT I hereby affirm that I have a' certificate of consentCE to self (z-so) insure, or a certificate of Workers'Compensation Insurance,or .a ce tifieco there f Sec.3800, ab.C. Po lJo.L ,- COUNTY OF LOS ANGELES BUILDING AND SAFETY �' pang ertified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING ADDRESS 1 Certi 'e c py Is filedwith he c un y ing'nspectCn NUMBER FIXTURE OR ITEM i FEE War n . LOCALITY \ WATER CLOSET e Applicant \ NEAREST ' BATH TUB CROSS'ST. CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER LAVATORY MAI L (This section need not be completed if the work involved ADDRESS l_ , } by the permit is for one hundred dollars ($100) or less.) SINK0- CITY T O I certify that in the performance of the work for which this DISHWASHERU permit is issued, I shall not em loy rson in any manner CONTRACTOR cc so a o b dC e subject to a or ers' C nsa 'o Laws. CLOTHES WASHER O ADDRES DaApplican SWIMMING POOL RECEPTORLU f� NOTICE TO APPLICANT:'If, after making this Certificate of CIT TEL. a- Exemption, you should become -subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. z Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLAS with comply with such provisions or this permit shall be WATER HEATER deemed revoked. GAS SYSTEM OUTLETS DISTRI T RJO PROCESSED BY LICENSED CONTRACTORS DECLARATION ` OUTLETS OVER 1 I hereby affirm that I am licensed under provisions of Chapter L 5 PER SYSTEM "G 9 (commencing with Section 7000) of Division 3 of the Busi- FINAL r_•� ness and Professions Code, and my license is in full force and DATE VALIDATION effect. �- AL License Nu r BY ic.Class - BY Con cto & e .� am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ Con in my professional capacity (Section 7051, Bus- iness and Professions Code) TOTAL FEE d � l Lic.or Reg.No. Date Plan check applicant C HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section.7031.5, Busi- City Tel.No. ness and Professions Code): 1 3 1,4 A I, as owner of the property, am exclusively contracting 7 ,o•o 0 0 0 5 with licensed contractors to construct the project (Section 7044,Business and Professions Code). 2 ° ° 1 3. 00 CONSTRUCTION LENDING AGENCY 0 0 0 1 3 0(7 v I hereby affirm that there is a construction lending agency for the performance of the work for which this permit is 2 3 issued(Sec. 3097,Civ.C.). Lender's Name Lender's Address } I certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE ordinances and State laws regulating Plumbing, and hereby arUTT1,1411rize rept tives of this County to enter upon the aove- entio ed pr erty for inspection pu r re ofPermittee Date 1 WORKERS'COMPENSATION DECLARATION 76A667A I hereby affirm that I have a certificate of consept to self CE 617 (2-80) APPLICATION FOR PLUMBING PERMIT . insure,or a certificate of Workers'Compensation Insurance,or a certified copy thereof(Sec.3800,Lab.C.) COUNTY OF LOS ANGELES BUILDING AND SAFETY Policy No. Company `, ,. Certified copy is hereby furnished. FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING Certified co NUMBER FIXTURE OR ITEM • FEE ADDRESS �Q G4.Q�Kj1 copy i,filed with the county building inspection v department. WATER CLOSET LOCALITY ��L' •�— L`� Date Applicant NEAREST BATH TUB CROSS ST. (v Q L,J tci4 el<md"( 1 CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION INSURANCE SHOWER OWNER C (This section need not be completed if the work involved LAVATORY MAI L ADDRESS � S -1�/ 1t c J by the permit is for one hundred dollars ($100) or less.) dw SINK CITY t TEL.NO ,.,' I certify that in the performance of the work for which this DISHWASHERU permit is issued, I shall not employ any person in y manner CONTRACTOR O�y��/ 6 V1 t-19 ` so as to becom ubject to th orkers' Comp s t on Laws. CLOTHES WASHER ADDRESS Date A/ 2 �Applicant A SWIMMING POOL RECEPTOR 0 NOTICE TO APPLICANT: If, after Cking this Certificate of CITY TEL. NO. 111 Exemption, you should become subject to the Workers' LAWN SPRINKLER SYSTEM STATE LIC. fa. Compensation provisions of the Labor Code, you must forth- LICENSE NO. CLASS Cn with comply with such provisions or this permit shall be WATER HEATER deemed revoked. DISTRICT NO. PRO ESSED BY GAS SYSTEM OUTLETS LICENSED CONTRACTORS DECLARATION OUTLETS OVER .Q � U� I hereby affirm that I am licensed under provisions of Chapter 5 PER SYSTEM 9 (commencing with Section 7000)of Division 3 of the Busi- r _ 1 FINAL VALIDATION Hess and Professions Code, and my license is in full force and f� � DATE effect. Wo , FINAL License Number Lie.Class. BY Contractor Date I am exempt from the licensing requirements as I am a Plan check fee licensed architect or a registered professional engineer PLUMBING PERMIT ISSUING FEE$ "7 02 acting in my professional capacity (Section 7051, Bus- iness and Professions Code). TOTAL FEE �Y, Lie.or Reg.No. Date Plan check applicant HOME OWNER-BUILDER DECLARATION Name I hereby affirm that I am exempt from the Contractor's Address License Law for the following reason (Section 7031.5, Busi- City Tel.No. ness and Professions Code): � 1 6 4,7 A I, as owner of the property, am exclusively contracting with licensed contractors to construct the project # 0 0 0 0 o5 (Section 7044,Business and Professions Code): CONSTRUCTION LENDING AGENCY 2 -.b 1 0.00 I hereby affirm that there is a construction lending agency o 0 0 1 Q for the performance of the work for which this permit is issued(Sec.3097,Civ.C.). 0,2.2-81 Lender's Name Lender's Address I certify that I have read this application and state that the above information is correct.I agree to comply with all County SEE REVERSE FOR EXPLANATORY LANGUAGE or ' antes and State laws regulating Plumbing, and hereby a h ize representatives o his County to enter upon the a ov mentioned property r inspection purposes. Signal a of Permittee Date COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0804290014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: LEGAL ID: - FEES PAID BUILDING ADDRESS: 1TR: 10558 LT: 31 1 5304 GLICKMAN AV (FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: 1 TEMP CA 917803328 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: OLIVE 18585-004-023 101 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl I 107 BATHTUBS/SHOWERS 1.00 FIX 16.20 TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.20 JISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 145 WATER CLOSET/URINAL 1.00 FIX 16.20 104/29/08 SR 10/26/08 TOTAL FEES 76.35 1 OWNER: TEL. NO: I IF NAL DAT FINAL^^BY: CODE: ITHOMAS DARYL G (626) 579-9065- I I ` W 15304 GLICKMAN91780332 AV (DESCRIPTION OF WORK (TEMP 917803328 I IPLUMBING FOR NEW BATHROOM 1 I I (APPLICANT: TEL. NO: I WU (626) 912-3289- I 1 118403 VILLA CLARA ST I ISPECIAL CONDITIONS: I IROWLAND HEIGHTS 1 ICONTRACTOR: TEL. NO: 1 I 1 APPROVALS DATE INSPECTOR SIGNATURE ITHAMAS SURACHAI (626) 579-9065- 1 1 1 15305 GLICKMAN AVENUE LIC. NO 1 1UNDER SLAB WORK I I 1 ITEMPLE CITY, CA 91780 NONE (WATER SERVICE 1 1 1 IPLASTIC YIN METAL YIN 1 I (ARCHITECT OR ENGINEER: TEL. NO: 1 I I I 1WU, STEVE C Y (626) 912-3289- I IROUGH PLUMBING 116403 VILLA CLARA ST. LIC. NO: 1 1 i� IROWLAND HEIGHTS, CA 91748 26073 C 1 1GA$ PIPING (GAP VENT I I 1HOT WATER HEATER I I I 1PLUMBING FIXTURES 1 1 ILAWN SPRINKLERS 1 1 1 1 1GAS TEST 1 1 1UTILITY COMPANY NOTIFIEDI jCWV I I IGRAY WATER SYSTEM I 1 I I 1 I I I I I 1 1 I I I I 1 I I I I I 1 I I I I I I I I I I I 1 I I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 I 1 1 1 I I I