HomeMy Public PortalAbout4905 GLICKMAN AVE_Electrical__ fir` ,, �` � � �� -� �
� 76A663-CE806 1,70 APPLICATIONt � CTR
IAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING i
BUILDING,AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER
RECEPT._ MAIL i
FIRST 20 PO ADDRESS d.� ✓t�-
LIGHT TOTAL CITY" TEL. NO�y'/`(� CJ
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGFIRST 20 20 APPLICANT
TOTAL ADDRESS
FIXTURES OVER 20 10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE N CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING W ITH 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
0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE OESCRIPED RESIDENTIAL PROPERTY.
SIGNATURE It
10 - 50 5.00 OF PERMITTEE -
50 - 100 10.00
DISTRICT NO. CLASS GROUP ZONE PROCESS BY OC
100 - 500 15.00 9 ,� U
Lu
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: CL
TUBE, OR I N
MARQUEE ADDITIONAL CIRCUITS 1.00 ?
SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
3 y 7 � - WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 ;`r
FINAL r
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 pO 7d ,
JOS PH C. ROOHAN
TOTAL FEE '3 ? SUPERVISING ELECTRICAL ENGIN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 � cm
7049 NOV 17 2 D 3.00-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /
76A663-CE806 B-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS r,S �'/ G E
JOHN A. LAMBIE, COUNTY ENGINEER �J
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY (r
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Z
RECEPT: : TOTAL NO. EACH FEE
O00
UTLETS FIRST 20 i 20 S �� OWNER
LIGHT MAIL
A DD'L .10 ADDRESS 4
SWITCH. OVER 20 _
TOTAL CITY TEL.N0.
LIGHTING FIRST 20 20
FIXTURES } _ ADD'L 10 ELECTRICIAN
L-7-1 OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH.#O AUTO.-WASH..` STATE
SPACE HTRS. STA.APP.(1/.H.P.MAX.) .50 P-D LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE P O S BY
O , 1.00
1 3 1.50 INSPECTION RECORD
3 S 2.00 }'
8 15 2.50
15 50 3.00CL
,
50 100 5.00 0
SIGNS: NO.TRANS-
NO.LAMPS C
O
V
SERVICE 0-600V-NOT OVER 200A 1.00 W
SERVICE 0-60OV-OVER 200 A. 2.00 d
N
SERVICE OVER 600V 5.00 ~� ?
Misc.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ,� „"'�� *„
a '
TOTAL FEE ' .
IHEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS DATE INSPE OR'B BIGNA URE`
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
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 I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER .-
SIGNATURE UTILITY CO.NOTIFIED _
OF PERMITTEE
FINAL
VALIDATIQAf—\ ARTHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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