HomeMy Public PortalAbout5520 GLICKMAN AVE_Electrical__ 76A6,S3-CE806 1/70
LE TRI AL PERMIT
APPLICATION FORE C C
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING /!/1
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. _
OUTLETS NO. EACH FEE
$ $ OWNER
RECEPT._ MAIL
FIRST 20 .P0 ADDRESS
LIGHT TOTAL
CITY pEL. N0.
SWITCH OVER 20 .10 '
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
OV
FIXTURES 10
ER 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRES -
SPACE HTR. AIR COND. CITY i EL. N0.
CLOTHES WASH. DISHWASH. LICENSE N0. - - CLASS
FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - I 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00
RESIDE IN, THE ABO 1) IP D RESIDENTIAL P PERTY.
� �
70 - 50 5.00 SIGNATURE Q
OF PERMIT
50 - 100 10.00 �
DISTRICT NO. CLASS I;M_IZONE_, O100 - 500 15.00 � /k PROCESSED Y
U
LLI
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES:
TUBE, OR _
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00 C
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPU RTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
I WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECT ICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
t r 7 3 .3ACV 2.3 2 D 3.0 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76AfifiEBOfi 1/70 APPLICATION FOR ELECTR16 L PERMIT
�
I i COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r
BUILDING AND SAFETY DIVISION ADDRESS ,
JOHN A. LAMBIE, COUNTY ENGINEER LOCALIT
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. F20
FEE
OWNER �
RECEPT.� SMAILFIRST 20 �® ADDRESS
LIGHT TOTAL CITY TEL. NO.
SWITCH OVER 20 f PLAN CHECK
FIRST 20 APPLICANT
LIGHTING TOTAL d '20
ADDRESS
FIXTURES � OVER 20 U(� t
APPLIANCES CITY TEL. NO..,'/', P
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL O NER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABO DESCRIBED ESIDENTIAL PRO RTY.
10 - 50 5.00 SIGNATURE CL
OF PERMIT
V
50 - 100 10.00
DIST NO. CLASS J&UP Zp100 - Soo 15.00 v s"
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: W
O sc. O_
TUBE, OR N
MARQUEE ADDITIONAL CIRCUITS 1.00 alee,P, z
SERVI CENOT OVER 600 VOLTSOR 200AMP 2.00 ituq. ��!
APPROVALS `.DATE ,f INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
c^ p
PERMIT FEE (SUB TO 2 <9 b
FIXTURES
POWER AUTHORIZED Z r® �!�)-�.•? �.�,��.
PLAN CHECK FEE (50% PERMIT FEE) Q y
UTILITY CO. NOTIFIED t 6
PERMIT ISSUING FEE 2.00 6-0 ]
FINAL 3 7"®
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 /2
JOSPEWH C. ROO AN
TOTAL FEE , ®� SUPERVISING ELECTRICAL ENGINEER.
PLAN-CHECK VALIDATION K. ' M.O. CASH PERMIT VALIDATION K. •0• CASH
ti1 13 D1 b 4,0c- DEC 1 ? 0 2 6 0,0 0- v
SEE BACK O�LICATION FO MPLETE SCHEDULE �/A