HomeMy Public PortalAbout5215 GLICKMAN AVE_Electrical__ 76A663—CE806 5-62 APPLICATION FOR ELECTRICAL EMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FEAREST,
BUILDING AND SAFETY DIVISION ��
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING
FOR APPLICANT TO FILL IN t
RECEP T. TOTAL NO. EACH FEE
OUTL FIRST 20 $2O $ OWNER'
LIGHT u MAIL
ADD'L .10 ADDRESS
SWITCH. OVER 20 1
TOTA CITY TEL. NO.
LIGHTING FIRST 20 20
FIXTURES } ` ADD'L 10 ELECTRICIAN
� OVFR 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS / J
GARB.DISP. STA.COOK
CITY TEL. NO /
DISHWASH. AUTO.-WASH. STATE /J
LICENSE NO.
SPACE HTRS. STA.APP.(+/z H.P.MAX.) .50
(�
MOTORS: OVER NOTOVER H.P. DISTRICTJ�,/ GR " P ZO.ts1 PR rD BY
O 1 1.00 , /,
1 3 1.50 INSPECTION RECORD
3 8 2.00
8 15 2.50 d
1S 50 3.00
50 100 5.00 d'
O
SIGNS: NO.TRANS V
NO.LAMPS W
O_
SERVICE 0.60OV-NOT OVER 200A 1.00 N
Z
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600 55.00
MISC.
i
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 '
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATI N 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
ELECTRICAL WIRING. WIRING / ,a
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE LEGA OWNE OF H ABOVE )! '
DESCRIBED RESIDENTIAL O E Y. POWER
SIGNATURE UTILITY CO.NOTIFIED /rc�
OF PERMITTEE 7/J
FINAL
LIDATION A)`tTHVR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lilo � 0 0 2� JAN 2 2 D 1 6.4 0-
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0311240039
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 27309 LT: 27 5215 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803327
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GREEN
8585-003-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 84 LOCALITY: TEMPLE CITY
JB AC UNITS +3-10HP 1.00 AC 19.65
TENANT: TOTAL FEES 47.40 ISSUED ON: PROCESSED BY: PLAN 8Y: EXPIRES ON:
11/24/03 JK 05/22/04
OWNER: TEL. NO: FINAL D TE FINA BY:
JIMENEZ CINDY (626) 452-8616-
5215 GLICKMAN AV .2
TEMP 917803327 DE C IPTION OF WORK
El TRICAL FOR A/C
APPLICANT: TEL. NO:
FAKUMOH DICK (626) 960-9951-
580 N AZUSA AVE #5 SPECIAL CONDITIONS:
COVINA 91722
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
PRO COMFORT AIR SYSTEMS (262) 915-4876-
580 N. AZUSA AVE #5 LIC. NO TEMPORARY POWER POLE
COVINA, CALIF 91722 775437-C20
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: BS0508
•l
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 0508010022
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL ID: FEES PAID BUILDING ADDRESS:
TR: 27309 LT: 27 5215 GLICKMAN AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803327
ASSESSOR INFORMATION NUMBER: NEAREST CROSS STREET: GREEN
8585-003-013 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: 134 LOCALITY: TEMPLE CITY, C
G1 OUTLETS-LGT,SW,RECP 13.00 OUT 25.35
TENANT: G2 LIGHTING FIXTURES 9.00 LGT 17.55 ISSUED ON: PROCESSED BY: PLAN BY: EXPIRES ON:
TOTAL FEES 70.65 08/01/05 JK 01/28/06
OWNER: TEL. NO: FINAL DATE FINAL BY: CODE:
JIMENEZ CINDY C;MOORE MELISSA J (626) 452-8616-
5215 GLICKMAN AV .42
TEMP 917803327 DESCRIPTION OF WORK
ELECTRICAL FOR ADDITION
APPLICANT: TEL. NO:
SAME AS OWNER - - -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER -
LIC. NO TEMPORARY POWER POLE
UNDERGROUND CONDUIT
ARCHITECT OR ENGINEER: TEL. NO: UFER GROUND
LIC. NO: ROUGH CONDUIT
ROUGH WIRING
MAIN WATER LINE
PLASTIC YIN METAL YIN
UTILITY COMPANY NOTIFIED
REPORT ID: DPR265 ROUTE TO: 13S0508