HomeMy Public PortalAbout5041 GLICKMAN AVE_Electrical__ ' f .
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ��������
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN M DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN —
RECEIVED BY READY FOR DATE ISSI.E:D
ADDRESS _ - FIRST INSPECTION I /
CITY TEL--ND. '
COUNTY LICENSE NO. - EXPIRES -_"- BUILDING
PERMIT FEES ADDRESS _ — -
- FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS ~ NEAREST
CROSS BT.
RECEPTACLES
WALL SWITCHES ' OWNER
TOTAL OUTLETS y,, 5C $ MAIL - -
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 wW�
_ CITY I<!`�•� TEL NO. _
FIXTURES 5
--- 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LO
NUMBER _ HL'R5EY_POWER FEE ANGELES COUNTLICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
_ %2 6 LESS $ .25 SIGNATURE OF
_ V2 2 .50 PERMITTEE
2 s 1.00 INSPECTION RECORD
- 5 15 1.50
is 50 2.50
---- -- 50 200 5.00 /y, �.-. `•;C� [,,•v.� .a...r 's.;lo!-
200 500 10.00
500 1000 15.00
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG-)
MOVED MOTORS (75% OF GRID.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: ._ - DATt INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES _ $1.00 WIRING
SUPPLEMENTARY - .50 FIXTURES
POWER
6�
F
TOTAL FEE 9i'
UTILITY CO.NOTIFIED •- �...�,
FINAL f' ..�'• �.:; K7i
i6A663 DBS#5A 4-52
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOR, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN �' f y > t 13' y 4 -1 / 7'pz o
ADDRESS RECEIVED BY READY FOR DATE ISSUED
�.. r FIRST INSPECTION C
CITY TEL. NO 1 t /f .,J-Z Z -
COUNTY LICENSE NO.,12 EXPIRES e-le BUILDING -- ,
PERMIT FEES ADDRESS y
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS
ST
WALL SWITCHES OWNER
TOTAL OUTLETS 5C $ .ry MAIL
G
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES 5
MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUM IP HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PROPE DESCRIBED ABOVE.
1/2 a LESS $ .25
SIGNATURE OF
1/2 2 .50 PERMITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 50o 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00 a
M.G. GET/FRED. CHANGER-HP it
WELDERS: AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT DATE INSPECTOR'S NAME
WIRING $1.00 0(2 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE $ , UTILITY CO. NOTIFIED
FINAL
76A G69 DNS# SA. 4-52 I ✓ ter.