HomeMy Public PortalAbout5104 GLICKMAN AVE_Electrical__ 7GA663-CESOS I0.99 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY /C�(o i/ y
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST. t
OWNER l 1 71 .r/�
1 T E M NUMBER EACH FEE MAIL
OUTLET • i S ADDRESS
LIGHTS RECEPT SW. / .10
LIGHTING FIXTURES 10 3� CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
� ""�
A�
ay
WATER HEATERS .50 ADDRESS /OIX W-
ELEC.SPACE HTRS. DISHWASHERS
CITY IZ 1� TEL. NO. I O �7
GARBAGE DISPOSER AUTO.-
STATE �jj
WASHERS STA.COOKING UNITS LICENSE NO. FV YlJ 'J}
MOTORS: OVER INC. H.P. DISTRICT NO. I_GROUI I Z,QNE I P CESSpED/ByY
0— 1/2 .25
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00 '
5— 15 1.50
IS— 50 2.50
50-200 5.00 ��� r k �v TL ✓
NO.TRANS.
SIGNS:
NO.LAMPS
SERVICE 0-600V 1.00 O
SERVICE OVER 600V 5.00
Misc.
WIRING PERMIT 1.00 QQ
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 09NC`(_
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. _/ A, ` 7''
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
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 !� 07�•c --s /�. UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
®F A�.IDATION ARTHUR C.VETT,
cK MSUPERVISING ELECTRICAL ENGINEER
O CASH
L 1' p 7 8 2 6 w MAR 16 2 A 9.9 5
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0708070015
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
ILEGAL ID: I FEES PAID I BUILDING ADDRESS: 1
I ON FILE I 1 5104 GLICKMAN AV
IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT:( TEMP CA 917803362 I
(ASSESSOR INFORMATION NUMBER: I 1 NEAREST CROSS STREET: GREEN 1
18585-006-030 IA1 PERMIT ISSUANCE FEE 27.75 1 THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
I IG1 OUTLETS-LGT,SW,RECP 12.00 OUT 23.40 1 1
(TENANT: IG2 LIGHTING FIXTURES 6.00 LGT 11.70 11SSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON: 1
IH2 RES GRBG DISP LT 3HP 1.00 DIS 10.95 108/07/07 SR 02/03/08 I
I IH3 RES DISHWASHR LT 3HP 1.00 DIS 10.95 1 1
10WNER: TEL. NO: IH4 RES RANGE HDS LT 3HP 1.00 HOO 10.95 1F AL DATE F BY: CODE: 1
IHILDEBRAND H;L TRS (909) 982-1869- IHS RES WASH MACH LT 3HP 1.00 WAS 10.95 1 1
12049 ALBRIGHT AV ILA 100 AMP PANELS, MCC 1.00 PAN 38.85 1 1
(UPLAND, CA I TOTAL FEES 145.50 lDE8CRIPTIO14 OF WORK I
(ELECTRICAL FOR KITCHEN, B THROOM AND SERVICE PANEL TO 125 I
I TAMP I
(APPLICANT: TEL. NO: I I 1
IJOE MARTINEZ (323) 683-5113- I I I
15003 TELEGRAPH RD. 1 ISPECIAL CONDITIONS: 1
ILOS ANGELES CA 90022 I I 1
1 I I
(CONTRACTOR: TEL. NO: I 1APPROVALS DATE INSPECTOR SIGNATURE
(ROBERT ARZATE CONSTRUCTION (323) 683-5113- 1 1 I
15003 TELEGRAPH ROAD LIC. NO 1 ITEMPORARY POWER POLE I I I
ILOS ANGELES, CA 90022 719804 B I I I 1 1
I I (UNDERGROUND CONDUIT I I
I I I I I I
(ARCHITECT OR ENGINEER: TEL. NO: I 1UFER GROUND i 1 - I
1 LIC. NO: I IROUGH CONDUIT LAII
I I I I
I 1 IROUGH WIRING I I
I I I I I I
I IMAIN WATER LINE 1 I
I IPLASTIC YIN METAL YIN 1 I
I I I UTILITY COMPANY NOTIFIEDf�'�
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I IREPORT ID: DPR265 ROUTE TO: BS0508 1 I I I
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