HomeMy Public PortalAbout5334 GLICKMAN AVE_Plumbing__ 76A667-CE817-11-57
APPLICATION FOR PLUMBING PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, County. Engineer ADDRESS
CASSATT D. GRIFFIN, Sup t of Building LOCALITY ,
FOR APPLICANT TO FILL IN NEAREST `pJ
CROSS ST. 7 1/
NUMBER FIXTURE OR ITEM
OWNER
WATER CLOSET � MAIL � �C
BATH TUB ADDRESS / S/ —7--3 e-C
SHOWER CITY �� c T -F— TEL. NO.
•7� LAVATORY CONTRACTOR F$' fW'u'",i.1,
SINK ADDRESS 11518 LAM'--a f.`: . - Gi 3-17b1
Fit momft, CALIF.
DISHWASHER CITY TEL. NO.
LAUNDRY TUB CONTRACTOR'S STATE Iff
REGISTRATION NO. COUNTY 01
f CLOTHES WASHER DISTRI T NO. GROUP 140NE REW FOR INSPECTION
f WATER HEATER
/ GAS SYSTEM INDUSTRIAL
WASTE APPROVAL
INSPECTION RECORD
Lw
i h.: a (" Y,✓ 'C'i+>'_
APPROVALS
$1.00 PER ITEM $ C DATE INSPECTOR'S SIGNATURE
OR FIXTURE
UNDER SLAB WORK
PERMIT S 00 ROUGH PLUMBING
TOTAL FEE GAS PIPING
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION GAS VENT •J
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY HOT WATER HEATER
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
PLUMBING. PLUMBING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR GAS TEST
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE UTILITY CO.NOTIFIED
DESCRIBED RESIDENTIA PROPERTY.
SIGNATURE
OFPERMITTE ' '- L FINAL
ROBERT A.WOOD.
Or VALIDATION SUPERVISING MECHANICAL ENG'R
CK.
M.0. CASH
11 0019rn 3 5 A
._'1 L'�L L +.
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0209300002
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 10558 LT: 35 UN: .002 5334 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803328
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8585-004-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
TENANT: 25 LAVATORIES/SINKS 2.00 FIX 32.40 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
45 WATER CLOSET/URINAL 1.00 FIX 16.20 09/30/02 JK 03/29/03
TOTAL FEES 108.75
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
YEN;STEVE (626) 443-0322-
5334 GLICKMAN AV
TEMP 917803328 DESCRIPTION OF WORK
FINALIZE PERMIT#0010030028
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 Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO: -
- ' ROUGH PLUMBING
LIC. N0: --��-
GAS'PIPING
- - GAS VENT
HOT WATER HEATER
- PLUMBING FIXTURES
LAWN SPRINKLERS
GAS TEST
- 1
UTILITY COMPANY NOTIFIED
CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 0010030028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 10558 LT: 35 UN: .002 5334 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803328
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: OLIVE
8585-004-027 01 PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY
07 BATHTUBS/SHOWERS 2.00 FIX 32.40
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 10/03/00 UT 04/02/01
TOTAL FEES 92.55
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
YEN;STEVE (626) 443-0322- `
5334 GLICKMAN AV
TEMP 917803328 DESC TIO OF WORK
PLUMB NG FOR BATHROOM
APPLICANT: TEL. NO:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO UNDER SLAB WORK
P
WATER SERVICE
r PLASTIC Y/N METAL Y/N
ARCHITECT OR ENGINEER: TEL. NO:
ROUGH PLUMBING
LIC. NO:. �' 'Nillilll
GAS r -1GAS VENTNG
j�
U L�11 ��� HOT WATER HEATER
�� 1 PLUMBING FIXTURES
-/7 0- LAWN LAWN SPRINKLERS
LGG Ca GAS TEST
�12D 0 UTILITY COMPANY NOTIFIED
11 15�ot CWV
GRAY WATER SYSTEM
REPORT ID: DPR263 ROUTE TO: BS0508