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Home My Public Portal About5337 GLICKMAN AVE_Plumbing__ D.B.S.-17 25M SETS 12-4o APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY e8UNTY OF LOS ANGELES PLUMBING 1 Wm. J. FOX, CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP Z NE PERMIT NO. ROUGH _ __FIXTURES COMPLETE I_ _HEATER _ CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED __ nV FIRST INSPECTION GAS MISCELLANEOUS ✓J _ APPLICANT FILL IN Hy,4VILY OUTLINED PORTION ONLY w NAME r d !.. ADDRESS 161-5 W m ADDRE LOCALITY r - NEAREST IL CITY %h: .L + TEL.N D CROSS ST. COUNTY CERT.NO. ,-' EXPIRES I CL NAME W LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH 0 CITY TEL.No. IAM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION. PLUMBER I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED �pABOVE. W ! — i OWNER CORRECTIONS SOUTH a Q DESCRIPTION OF WORK - -- z _BATH TUB FURNACE SHOWER DISHWASHER -LAVATORY -REFRIGERATOR KITCHEN SINK WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK --_FLOOR DRAIN l WASH TRAY -- URINAL ( APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME WATER HEATER _ _DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL GAS PIPING I r GAS VENT CESSPOOL TOTAL NUMBER OF FIXTURES SEPTIC TANK CESSPOOI SEPTIC TANK SEWER UTILITY CO.NOTIFIED TOTAL FEE it FINAL I 76AS67 OBS 17 11-50 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY PLUMBING �� ' COUNTY OF LOS ANGELES F WILLIAM J. FOX, CHIEF ENGINEER DISTRICT O. IR111 I PERMIT NO- FOR APPLICANT TO FILL IN PLUMBER REPIVVED BY READY FOR DATE ISSUED mg - m o.= emp e. I '¢ FIRST INSPECTION 2�/—6-2- 2- ADDRESS J BUILDING CITY CITYTICIALW4, ADDRESS COUNTY LOCALITY LICENSE NO. EXPIRES • NEAREST CROSS ST. i PERMIT FEES `� OWNER NUMBER TYPE OF FIXTURE OR ITEM FEE MAIL WATER CLOSET(TOILET) @ 0.50 $ ADDRESS eyifr�� {''4* BATH TUB @ 0.50 CITY TEL. No. SHOWER @ O.SO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS LAVATORY (WASH BASIN) @ 0.50 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES KITCHEN SINK @ 0.50 AND STATE LAWS REGULATING PLUMBING. 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS LAUNDRY TUB OR TRAY @ 0.50 ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE. GAS SYSTEM OUTLETS @ 0.50 - SIGNATURE OF WATER HEATER @ 0.50 PERMITTEE SLOP SINK @ 0.50 INSPECTION RECORD FLOOR SINK @ 0.50 �O O FLOOR DRAIN @ 0.50 DISHWASHER @ 0.50 DRINKING FOUNTAIN @ 0.50 URINAL @ 0.50 Q HOUSESEWER @ 0.50 ? — E3 MISCELLANEOUS r { Y APPROVALS DATE INSPECTOR'S NAME ROUGH PLUMBING GAS PIPING GAS VENT CESSPOOL @ 1.430 CESSPOOL SEPTIC TANK: SEPTIC TANK DRAIN ( ) PIT ( ) @ 1.00 SEWER PERMIT . . . . . . I 1.00 GAS TEST UTILITY CO.NOTIFIED F TOTAL FEE $ INAL D.B.S.-17 25M SETS 12-45 APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES �Lu�B��G Wm. J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUPI ZONE PERMIT NO. ROUGH FIXTURES i COMPLETE ` HEATER CESSPOOL SEPTIC TANK RECEIVED BY READY FOR DATE ISSUED FIRST INSPECTION ` GAS MISCELLANEOUS APPLICANT FILL IN HEAVILY OUTLINECD PORTION ONLY p� JOB Ir NAME w �'� 1 ADDRESS `/ /�-+ :,..,.� (,.,,.-,L,.•' '/2> f7 W m ADDRESS LOCALITY E 'e NEAREST' a _CITY '-c-" I"( TEL.No. CROSS ST. COUNTY CERT.NO. EXPIRES IIIt NAME LSV�E r s�=R. LOCATION OF SEPTIC TANK, OR CESSPOOL Z MAIL 3 ADDRESS NORTH U 'i 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 ABOVE. _ oz,� :� OWNER CORRECTIONS SOUTH d DESCRIPTION OF WORK BATH TUB FURNACE � SHOWER DISHWASHER 0 LAVATORY REFRIGERATOR KITCHEN BINK —WATER SOFTENER FLOOR SINK SAND TRAP SLOP SINK FLOOR DRAIN WASH TRAY URINAL APPROVALS WATER CLOSET DRINKING FOUNTAIN DATE INSPECTOR'S NAME_ WATER HEATER DENTAL LAVATORY ROUGH PLUMBING METER GAS SODA FOUNTAIN OUTL GAS PIPING GAS VENT CESSPOOL I TOTAL NUMBER OF FIXTURES /– f SEPTIC TANK CESSPOOL SEPTIC TANK - SEWER TOTAL FEE UTILITY CO.NOTIFIED I FINAL I I 79AG67 -CE*817 12-64 City of Temple City � �� 154 APPLICATION FOR PLUMBING PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION FNEAREST G JOHN A. LAMBIE, COUNTY ENGINEER S 5337 Glickman COLEMAN W. JENKINS, SUP'T OF BUILDING TY Temple City FOR APPLICANT TO FILL IN T. Olive & Baldwin NUMBER FIXTURE OR ITEM EACH FEE OWNER Carpenter WATER CLOSET $1.25 MAIL BATH TUB 1.25 ADDRESS Same CITY TEL. NO. SHOWER 1.25 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 (�,-36 151839 787 STATE LAUNDRY TUB 1.25 REGISTRATION NO. — COUNTY CLOTHES WASHER 1.25 DISTRIC�NO. GR�.UP /ZNE PROCESSED BY 1 WATER HEATER 1.50 1 50 // 1 GAS SYSTEM OUTLETS 1.50 INDUSTRIAL WASTE APPROVAL a0 OUTLETS OVER 5 PER SYSTEM .30 INSPECTION RECORD V Ready for Inspection Now W 0. N Z APPROVALS DATE INSPECTOR'S SIGNATURE PERMIT S 2 00 UNDER SLAB WORK ROUGH PLUMBING TOTAL FEE 3GAS PIPING LLBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION GAS VENT TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY LL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER G. EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST NIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO N,THE ABOVE DESCRIBED RESIDAL OP UTILITY CO. NOTIFIED URERMITTEE FINAL C�YALIDATION ROBERT A. WOOD cK. M.O. CASH SUPERVISING MECHANICAL ENG'R Q LNUO 7 0 3 7 -FEB 8 5 D 3_50- ' WORKERS'COMPENSATION DECLARATION APPLICATION FOR PLUMBING PERMIT I hereby affirm that'1•Have a certificate of consent to self 20-0026 DPW 6/87 insure, or a certificate of Workers' Compensation Insurance, 76A667A .% or 6,acertified copy thereof (Sec. 3800, Lab. C.) COUNTY OF LOS ANGELES DEPT. OF PUBLIC WORKS Policy No. Company Certified copy is hereby furnished. ❑ FOR APPLICANT TO FILL IN(PRINT OR TYPE) BUILDING h_) Certified copy is filed with the county building inspec- ADDRESS /�� L�(1� ✓� tion department. NUMBER FIXTURE OR ITEM @ FEE J nn LOCALITY , Date Applicant WATER CLOSET / 6 NEAREST CERTIFICATE OF EXEMPTION FROM WORKERS' BATH TUB / 7-50 CROSS ST. COMPENSATION INSURANCE SHOWER `1 OWNER a. Qi Gr p (This section need not be completed if the work involved by � o` the permit is for one hundred dollars($100)or less.) LAVATORY 60- MAIL ADDRESS I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner SINK CITY 2 �, TEL. NO. so as to become subject to the Workers'Compensation Laws. DISHWASHER CONTRACTOR Date Applicant CLOTHES WASHER ADDRESS NOTICE TO APPLICANT: If, after making this Certificate of /1 Exemption, you should become subject to the Workers' SWIMMING POOL RECEPTOR Compensation provisions of the Labor Code, you must forth- LAWN SPRINKLER SYSTEM CITY TEL. NO. with comply with such provisions or this permit shall be STATE IC. deemed revoked. WATER HEATER LICENSE NO. C SS LICENSED CONTRACTORS DECLARATION DISTRICT NO. k ,d g- ESSED BY I hereby affirm that I am licensed under provisions of Chapter 9 GAS SYSTEM OUTLETS /`1 (commencing with Section 7000) of Division 3 of the Business OUTLETS OVER and Professions Code,and my license is in full force and effect. 5 PER SYSTEM FINAL (� ALIDATION DATE 1/ 0. License Number Lic. Class (� FINAL _ Contractor Date BY ®= ❑ I am exempt under Sec. 0 W' B.BP.C. for this reason Date: Plan.check fee ® PLUMBING PERMIT ISSUING FEE$ Signature TOTAL FEE Plan check applicant SINGLE FAMILY =9 HOME OWNER-BUILDER DECLARATION Name I I hereby affirm that I am exempt from the Contractor's License I1`CT° r Law for the following reason (Section 7031.5, Business and Address L407 -us°5I I Professions Code): City Tel. No. m HENS I, as owner of the property, will do the work and the structure is not intended or offered for sale (Section TOTAL 50 .50 7044, Business and Professions Code). CONSTRUCTION LENDING AGENCY CHECK SIJry °5¢' I hereby affirm that there is a construction lending agency for CHANGE °I j l the performance of the work for which this permit is issued (Sec. 3097,Civ. C.). Lender's Name 0000-000 001 ft 21`9!l Lender's Address 1 AN 3 1: I certify that I have read this application and state that the above information is correct.,)agree to comply with all County ordinances and State laws regulating Plumbing, and hereby authorize representatives of this County to enter upon the above- ntioned'property for inspection perp ses. / SEE REVERSE FOR EXPLANATORY LANGUAGE i at re ofi re of Permi a Dat COUNTY OF LOS ANGELES TEMPLE CITY # 0508 PLUMBING PERMIT DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS PL 0508 1202060014 BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780 PHONE: (626) 285-0488 EXT: (LEGAL ID: FEES PAID BUILDING ADDRESS: 1 ITR: 10558 UN: .004 5337 GLICKMAN AV 1 I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803330 (ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET: LANDSEER 18585-002-019 101 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl 113 DISHWASHER(S) 1.00 FIX 16.30 (TENANT: 125 LAVATORIES/SINKS 1.00 FIX 16.30 (ISSUED ON: PROCESSED BY: PLAN BY: 1 I TOTAL FEES 60.40 102/06/12 SR 1 (OWNER: TEL. NO: 1 IF NAL DATE FIN Y: CODE: 1 IAL, ADRIAN (626) 476-5999- 1 1 15337 GLICKMAN AVE. 1 I ITEMPLE CITY CA 91780 1 IDESCR PTION OF WORK 1 I 1 JPRPLACE DISHWASHER AND SINK FOR KITCHEN REMODEL (APPLICANT: TEL. NO: ILIU, MICHAEL (213) 928-7746- 1 I I 12550 W. MAIN STREET 1 ISPECIAL CONDITIONS: 1 IALHAMBRA CA 91801 I 1 1CONTRACTOR: TEL. NO: (APPROVALS DATE INSPECTOR SIGNATURE 1 IPALACE CONSTRUCTION INC. (626) 552-1655- 1 1 I 117078 COLIMA ROAD #317 LIC. NO 1 (UNDER SLAB WORK I I I HACIENDA HEIGHTS, CA 91745 383572B * 1 1 I WATER SERVICE I 1PLASTIC YIN METAL YIN' (ARCHITECT OR ENGINEER: TEL. NO: I I ILAM, GARY (626) 588-8615- 1 [ROUGH PLUMBING 1 II 12550 W. MAIN ST., #211 LIC. NO: I I "1 I 4/v 1 IALHAMBRA, CA 91801 NONE 1 IGAS PIPING I I I IGAS VENT I I I I I IHOT WATER HEATER I I I I I I IPLUMBING FIXTURES I I I I I ILAWN SPRINKLERS I I I I IGAS TEST I I I I I I I (UTILITY COMPANY NOTIFIED( I I I 1CWv I I I I I I I IGRAY WATER SYSTEM I I I I I I I I I I I I I I I I I I I I I I I I I I* ADDITIONAL DATA ON FILE I I I I IREPORT ID: DPR263 ROUTE TO: BS0508 1 I I I I I I I I