HomeMy Public PortalAbout4825 GLICKMAN AVE_Electrical__ I76A663_CE805 5.62 APPLICATION FOR EtECTRICAL PiMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS sG
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS 5T.
RECEPT. TOTALNO. EACH FEE
OUTLETS FIRST 20 $.20
LIGHT $ MA L ER 9 V
ADD'L t0 ADDRESS
SWITCH. OVER 2O
TOTAL CITY TEL. N
LIGHTING FIRST 201 .20
FIXTURES 1-1
ADD'L OV R 20 10 ELECTRICIAN
/ 3 RANGES CLO.DRYERS WTR.HTR3. 1.00 ADDRESS
t
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE J�'� r
SPACE HTRS. STA.APP.(l/z H.P.MAX.) .50 LICENSE N0. _ v �J'
MOTORS: OVER NOT OVER H.P. DISTRICT O. GROUP Z NE PROCESSED BY
0 1 1.00 _
1 3 1.50 INSPECTION RECORD
3 8 2.00 - > 4
8 t5 2.50 /Q. a
tI c' '�,'Q..
15 50 3.00 U
d
50 100 5.00 O
F_
SIGNS: NO.TRANS- W
NO.LAMPS
D_
SERVICE 0.60OV-NOT OVER 200A 1.00 Z
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 a
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICAT ON APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES _
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PR POWER /_
SIGNATURE UTILITY CO.NOTIFIED
r: `.F A// "
OF PERMITTEE
FINAL
VALIDATION ARTHUR C. VEIT
__�K/ MO CASH SUPERVISING ELECTRICAL ENGINEER
15.40-
lyy�,
76A663-CE806 5-62
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JADDRESS
UILDING-
BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING OCALITYEARESTFOR APPLICANT TO FILL IN ROSS ST. vpw� ASU h
r RECEPT. / TOTAL NO. EACH FEE
OUTS FIRST 20 $.20 $ r� OWNER
LIGHT MAIL
ADO'L 10 ADDRESS
SWITCH./� OVER 20
I TOTAL CITY TE . NO.
LIGHTING I i �/ iF1RST20 .20
FIXTURES /� ADD'L 10 ELECTRICI c
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY EL.?CO. �/
DISHWASH. AUTO.-WASH. STAT
SPACE HTRS. STA.APP.(Va H.P.MAX.) ,50 LICENSE NO. (�
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE PROCESSED BY
O 1 1.00 I A —/ Ce-Lcv►<r✓,
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50 n-
-- O
15 50 3.00 V
50 100 5.00 ck:
O
F
SIGNS: NO.TRANS- U
NO.LAMPS UJ
CL
t� Lo
SERVICE 0.60OV-NOT OVER 200A 1.00 v Z
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
L.SCRISED
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATIONr
ROVALS DATE INSPECTOR'S SIGNATURE
TE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
LL COUNTY ORDINANCES AND STATE LAWS REGULATING - _
CAL WIRING.
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR s
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFNIA OR THAT I AM THE LE L OWNER OF THE ABOVEED RESIDENTIAL PR v.URE O.NOTIFIED
MITTEE
FINAL
17 LIDATION ARTHUR C. VEIT
(CK' MO CASH SUPERVISING ELECTRICAL ENGINEER
2 5 a vt itirz 2 6 a 1 4.10