HomeMy Public PortalAbout5305 GLICKMAN AVE_Electrical__ 89 S-A
D DEPARTMENT OF BUILDING AND SAFETY'
1�iI'PLICATION FOR PERM r
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
Z DISTRICT NO. GROUP ZONE PERMIT NO.
Q NAME ,
ADDRESS
W CITY TEL.NO. RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
.J COUNTY �i
W CERT.NO. SQ EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIP'T'ION OF WORK ADDRESS • l r�1 c 11 e
NUMBER OF OUTLETS ON CIRCUITS LOCALITY city
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS SW. PLUGS EixT CROSS ST.
CIRCUIT A B C D E F G H K NAME ` - 1', cc
3 MAIL
ADDRESS
_ � O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRLBED
] ABOVE
OWNER.
CORRECTIONS
1 1 _
_o Z _
Z
D
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ •�`� DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ , • •"� UTILITY CO.NOTIFIED
TOTAL FEE 1 4-1-01 FINAL
COUNTY OF LOS ANGELES TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 1201110043
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 265-0488 EXT:
ILEGAL ID: FEES PAID I BUILDING ADDRESS: 1
ITR: 10558 LT: 30 I 5305 GLICKMAN AV I
I IFEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917803329
(ASSESSOR INFORMATION NUMBER: I I NEAREST CROSS STREET:
18585-003-009 1A1 PERMIT ISSUANCE FEE 27.80 I THOMAS PAGE: 597 GRID: B4 LOCALITY: TEMPLE CITY, Cl
IG1 OUTLETS-LGT,SW,RECP 6.00 OUT 11.60 1
(TENANT: IG2 LIGHTING FIXTURES 3.00 LGT 5.80 (ISSUED ON: PROCESSED BY: PLAN BY: 1
I TOTAL FEES 45.20 101/11/12 SR
1OWNER: TEL. NO: 1FI AL DATE FINAL BY: CODE: 1
ITHAIMAS SURACHAI;SIRIPUNGGAR (626) 579-9065-
15305 GLICKMAN AV I b5t�-!
�, ` !N
1
ITEMP 917803329 1 (DESCRIPTION OF WORK 141
I i 15 OUTLETS, 1 SWITCH AND 3 LIGHT FIXTURES FOR GARAGE 1
1APPLICANT: TEL. N0: 1 I
ISAME AS OWNER
I i ISPECIAL CONDITIONS: I
I
ICONTRACTOR: TEL. NO: 1APPROVALS DATE INSPECTOR SIGNATURE
ISAME AS OWNER -
LIC. NO i ITEMPORARY POWER POLE I
I 1 1UNDERGROUND CONDUIT 1 I 1
1ARCHITECT OR ENGINEER: TEL. NO: I IUFER GROUND 1 I I
LIC. NO: IROUGH CONDUIT 1
I I I
I TROUGH WIRING
1 IMAIN WATER LINE ry
1 IPLASTIC YIN METAL YIN 1 1
I I I
I i (UTILITY COMPANY NOTIFIEDI I 1
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IREPORT ID: DPR265 ROUTE TO: BS0508 1
1 _1 I