HomeMy Public PortalAbout4846 GLICKMAN AVE_Electrical__ 7tA663-CE806 10 72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRF10 V rBUILDING AND,SAFETY DIVISION � 'TYT ,.�--
F APPLICANT TO FILL IN STOUTLETS N0. EACH FEE77 R
FIRM NAME
RECEPT. $ $ MAIL er .�..�i .-, ,ri.J f• T
LIGHT TOTAL
FIRST 20 '25 ADDRESS CI TY` r -
( ��� •. `�,,.�.� � TEL. NO.
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
� -
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRY EP. IT
WTR: HTR._ APPLICANT ,>• ,.n �� -
. `
STA. COOK DI SP. F.A.U. �'•' +
ADDRESS .,,.,,• 4.-....% �< ,r r• ;�; _F
SPACE HTR. AIR COND. CITY'S TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR r�. J ; ,.•�,, r CLASS. ,,; f+..,�
REG. NUMBER r
FAN OTHER 1.00 1 HEHEBY ACKNOWLEDGE.THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR r
0 — 1 1 001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF/HE *BOVE CD
1 — 10 300 t- DESCRICED RESIDENT!q!L PROPERTY. p V
J W
PERMITEE r'r _
10 — 50 5.00 SIGNATURE - '� u..
50 — 100 10.00
DISTRICT N0. PROCESSED BY
100 — 500 15.00 _"� O
SIGN. GAS ...,,.�. ..-� ,.. �
SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR',§„�IGNATURE H
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP, POWER POLE
SERVICEN6TOVER600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SER'VICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT• SYSTEM 3.00 FIXTURES
IF
UTHORIZED
CO. NOTIFIED
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
8-
76A6bCE806 3-64 APPLICA ONeOR ELECICAL PERMI
4, 4
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING y
BUILDING AND SAFETY DIVISION ADDRESS C'1',C l ICS /e4 A/
JOHN A. LAMBIE, COUNTY ENGINEER -�
WILLIAM A.JENSEN, SUP / Y'T OF BUILDING LOCALITY 1Lf I16 Cs ! T YST
G 1-
FOR APPLICANT TO FILL IN [CROSS ST. e Led e �� IU.,,5 A V
RECEPT... G�•.�� TOTAL NO. EACH FEE
OUT ET
FIRST 20 �7� $20 $ Q� OWNER I N)G e- A v 1y 6
LIGHT ��j/ �[ MAIL Q fes-f U
SWITCH. / OVER ADO'L
.10 Q ADDREss o LS`�� 6' s, P-1 A Aj
LIGHTING TOTAL FIRST 20 /� .20 2e, CITY / !M P4 C Ci I TEL.NO.
FIXTURES }� ADD'L 1O ELECTRICIAN /'t /� L Al c I k is
OV R LO y �J
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS /�ti W 4 /W L) S
ARB.Dlar?1 SrA�CO JC '2m^ CITY /� AJ I^ C 41/ TEL. NO.
DIBHWASM. AUTO.-WASH. / STATE j �I f
SPACE HTRS. _BTA.APP.(lA H.P.M .50 �� LICENSE NO. / 1 /v�
iv
MOTORS: OVER NOT OVER M.P. DIST IC =. GP ZONE P ESSED BY
O 1 1.00
I 3 1.50 INSPECTION RECORD >_
D_
3 e 2.00 O
V
S 15 2.50 -29 t - 04
Is so 3.00
LL
50 100 5.00 �� _� uJ
CL
SIGNS: NO.TRANS
NO.LAMPS
SERVICE O.600V•NOT OVER 200A 1.00 LSE
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER SOOV 5.00
MISC.
Z
PERMIT ISSUING FEE 2.00 _ Z
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 c7
u ( C cc, ((1,'(5
TOTAL FEE $ 1 t R ov i w. S AwG�- a r 0
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECT 'a SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 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 P ERTr. POWER
OF PERMITTEE - d- UTILITY CO.NOTIFIED In
i.
FINAL
DATION ARTHUR C. VEIT
EIEC
CK O CASH SUPERVISING ELECTRICAL ENGINEER
4 1 0 2 E SEP 2 3 2 D 17.60-