HomeMy Public PortalAbout4937 GLICKMAN AVE_Electrical__ 76A663-CE806 B-62 APPLICATIO FOR ELECRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FU
LDING
BUILDING AND SAFETY DIVISION RESS �� G 4 N
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING ALITY
REST 1 e w e fw1 '7 u L iY
FOR APPLICANT TO FILL IN ss sr. /�
��
TOTAL NO. EACH FEE
FIRST 20 $ �
{�
RECEPT. $ OWNER (�c� T IC R C 1
LIGHT /B OUTLETS 2d •20 O� MAIL
ADD'L 0 ADDRESS �/�,/`
"f N ST'
SWITCH. / OVER 2 G .10 a
LIGHTINGL40--i Dv R20 10 TOTAL FIRST 20I,O •20 Z '00CtTY lY �'c7U /N �� )p ON {
A TEL. NO.
FIXTURES ADD'L ELECTRICIAN
�j t � �� Gr
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS /J v' W
aa�� STA.COOK CITY 144o N k ol.) /A TEL.NO.
DISHWASH. AUTO.-WASH...-c_ OleSTATE d�
SPACE HTRS. �4FirA'PF p"T'/ H. -) 2 ,50 LICENSE NO. l / ��
MOTORS: OVER NOT OVER H.P. DISTRICT � GROUP Z NE PR SSED B
O 1 1.00 i�t t
i 3 1.50 INSPECTION RECORD
3 S 2.00
8 is 2.50
15 50 3.00
50 100 5.00 0
SIGNS: NO.TRANS- Did
NO.LAMPS O
H
SERVICE 0.60OV-NOT OVER 200A 1.00 W
CL
SERVICE 0.60OV-OVER 200 A. 2.00 N
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 O'd
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ D
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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
ELEWIRING
WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _ -
LCALIFORNIIA
ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
` OR THAT i AM E LEGAL OWNER OF HE ABOVE
CRIED RESIDENTIAL R RTY POWERNATURE UTILITY CO.NOTIFIED PERMITTEE •�
FINAL
VALIDATION ARTHUR C. VEIT
K MO CASH SUPERVISING ELECTRICAL ENGINEER
LC
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LASS TUNAS EL 0508 0407270004
BUILDING AND SAFETY / LAND DEVELOPMCNT TEMPLE CITY CA 91780
PHONE: ~6261 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 26501 LT: 04 4937 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 91780
(ASSESSOR INFORMATION NUMBER,: NEAREST CROSS STREET: LA ROSA
Al PERMIT ISSUANCE FEE 27.75 THOMAS PT,GE: GRID: LO'- LITY: TEMPLE CITY, C
01 OTHER INSPECTIONS 0.30 HOU 54.75
TENANT: TOTAL FEES 82.50 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
07/27/04 JK 01/23!05
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
MILTON, OLAF (626) 254-1580- nn
4939 GLICKMAN 7-A
(TEMPLE CITY 91780 DESCRIPTION OF WOR1K
1/2 HOUR ELECTRICAL INSPECTION TO HAVE METER TURNED BACK ON
^PPLICANT: TEL. NO:
SAME AS OWNER
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY FOUER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. N0: -! LIFER GROUND~
LIC. NO: ROUGH CONDUIT' `-
i
I ROUGE WIRIN'u --
___.r_._�.�--__-- �i*S;,TN WATER LINE- —
PLASTIC Y/N FiETAL Y/N
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508