HomeMy Public PortalAbout5305 GLICKMAN AVE_Plumbing__ D.B.S.17 25M SETS 12.44 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY PLUMBING 1
COUNTY OF LOS ANGELES
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
ROUGH FIXTURES COMPLETE
HEATER CESSPOOL I-I SEPTIC TANK /. Sy READY FOR FIRST INSPECTION ATE ISSUED
GAS MISCELLANEOUS -
APPLICANT
FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
E NAME i C. .. 7P;�^.11.L P jjIAM CO. ADDRESS j,{j(/G{•
f ADDRESS 123 No. Cloverly Ave LOCALITY
NEAREST
IL_jI CITY TEMPLE CITYj�NC 1,TR- CROSS ST.
COUNTY
CERT.No. EXPIRES NAME
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
3 ADDRESS
NORTH O
CITY TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
~` PLUMBER
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
r ABOVE.
W >
M
OWNER
CORRECTIONS
i
SOUTH
a
DESCRIPTION OF WORK �� z
BATH TUB FURNACE �- ~
C7
SHOWER DISHWASHER O
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'&NAY[
---WATER HEATER DENTAL LAVATORY I I
ROUGH PLUMBING
METER GAS SODA FOUNTAIN
OUTL GAS PIPING I 1
I
GAS VENT
CESSPOOL '6—
TOTAL NUMBER OF FIXTURES I SEPTIC TANK
CESSPOOL—. SEPTIC TANK �' SEWER ( I
S �+ _UTILITY CO.NOTIFIED
I TOTAL FEE I
FINAL
D.B.S. 17 25M,FT, 12.44 APPLICATION FOR PERMIT
DEPA*RI'MENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES PLUMBING
Wm. J. FOX. CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMIT NO. ,
ROUGH X FIXTURES COMPLETE
V READY FOR DATE ISSUED RECEIVED BY
HEATER X CESSPOOL —I SEPTIC TANK � FIRST INSPECTION
GAS X MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
z NAME (eerie Clark Plumbing ADDRESS 541 South Glickman Ave .
W
ADDRESS 1010 F"a qt Garvey LOCALITY Tem4,) e, City, C 31 lam'• _
JMEAREST
.IL
J CITY El Monte TEL. No. �� �.%�QJ -CROSS ST.
COUNTY
CERT.NO. '30.5,'0-D" EXPIREsFeb • I46 III
NAME Hartshorn, hk. J. Broc
LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL
NORTH 3: _ ADDRESS n
L.
N. Larchmot
CITY L• �_0 TEL.No.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION
f
' a PLUMSUR
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE.
1A3 �i OWNER
CORRECTIONS
SOUTH
DESCRIPTION OF WORK
1 BATH TUB FURNACE ►-i
C7
SHOWER DISHWASHER
LAVATORY REFRIGERATOR
KITCHEN SINK WATER SOFTENER
FLOOR SINK SAND TRAP
SLOP SINK FLOOR DRAIN
1 WASH TRAY URINAL APPROVALS
WATER CLOSET DRINKING FOUNTAIN DATE INS P CTOR'S HAMS
--�I WATER HEATER DENTAL LAVATORY
ROUGH PLUMBING
METER GAB SODA FOUNTAIN C,AS PIPING
OUTL _ �^
GAS VENT I
_CESSPOOL
TOTAL NUMBER OF FIXTURES _SEPTIC TANK
L9CESSPOOL—_______SEPTIC
ASSISSISSIS TANKSEWER
s po
UTILITY CO.NOTIFIED
TOTAL FEE I
FINAL
76A667-CE#817 5/63 H6387 City of Temple City
APPLICATION FOR PLUMBING PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS 5305 Glickman Ave.
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
Te le City
FOR APPLICANT TO FILL IN NEAR SST. La ROSS
NUMBER FIXTURE OR ITEM EACH FEE OWNER
James Grayson
WATER CLOSET $1.25 MAIL
BATH TUB 1.25 ADDRESS Same
SHOWER 1.25 CITY TEL. NO.
LAVATORY 1.25 CONTRACTOR General Installation Co.
SINK 1.25 ADDRESS 6558 West Blvd.
DISHWASHER 1.25 CITY Los Angeles TEL. NO. PL 3_2541
CONTRACTOR'S ATE
LAUNDRY TUB 1.25 REGISTRATION NO. C-36 151839 787 COUNTY
CLOTHES WASHER 1.25 DISTRI T NO. GROHiL. ZONE P SSED BY
WATER HEATER 1.50 ^,:
r
GAS SYSTEM OUTLETS 1.50 INDUSTRIAL
WASTE APPROVAL 0
OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V
water softener 1 0 Ready for Inspection Now O
V
LU
CL
N
Z
APPROVALS DATE INSPECTOR'S SIGNATURE
PERMIT $ 2 00 UNDER SLAB WORK
ROUGH PLUMBING
TOTAL FEE 1 1.50 GAS PIPING
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY _
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 GAS TEST
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO
RESIDE IN,THE ABOVE DESCRIBED RESIDE�Lyf;AP �,-J UTILITY CO. NOTIFIED
SIGNATURE
OF PERMITTEE - s
FINAL t—:- -% �. �.... fo--
C✓ ALIDATION ROBERT A. WOOD
CK. M.O. CASH SUPERVISING MECHANICAL ENG'R
Ido4635 JAIII20 5 D 3.50
1