HomeMy Public PortalAbout5570 GLICKMAN AVE_Electrical__ "'owERs °omPE",9A'`°"DE°L-"R"„°" � '°'81 APPLICATION FOR ELECTRICAL PERMIT
I hkeby+afflrm dvd I have a certiflpie of bxowd to serf lrm m
orea%*C06=t, of Work"' Compereatlon Insurance, or a oertttled COUNTY,OF LOS ANGELES r BUILDING AND SAFETY
cope thereof(sea 3800,Lab.C.)
^b�1Jo _ POR APPLICANT TO FILL IN Toe
ADDRFI__t_I Csrtf ed copy ra hereby.fu New Raaldentlel Bug&S Pods EACH Na FEE � 0 �
trerttfled copy b filed OLWW'
trepection 1 S 2-Famfty,SclFt. � $ T $ L.00AL.ffY '�'-!
dapaltrneet Akifri tamlN s4 rFSeT
Fieaiderttiel 9wlmnfrp Pocis OWNECROSR
8T.
Dote , FMA NMC
CERTlFK3ATi=OF M WORKERS' J fAAt
Gutletx Rea Light Sw.�L r
OOMPENSAT)C?N INSURANC✓ ADDRE88
(fids sectbn decd not be compkKod Jf the work kwolvod by the f� Rrat 20 CITY TeL No
pelmK Is tot one hundred dolia!A(=100)or ice) Total No Lim Addrtbnal ?1
CK
i,berttfy diet In the periorrnence of the Work for which this pwTn1t PLAN AN
APPUCANT
Is laggedl,, I shell not errpioy any person In say manner �b as to
beborne aub)ect to Workers'ComperWtion Laws. Llgf t Future Rent 20 DRESS
Det6 Apprlcant Total No._ ` CTrY Tel.No.
1 tt _�_, Fbred A�rplianoes Not Oval' 1 HP.
NO71 TO CANT: If, after maklfip,ttlls...Certfflo9ta of / PEFMT
ExemOtbnr you should become sub)ect to the Workers'Conpenss3ion Ren7s— Heeier_ D.V. APPUC"N
.provfaions of the Lebo[.Code, you rrxret forthwith corrpty with suoh Oven Dryer WMT ADDRESS
provfdore or tMa.pernft shall be deemed revoked. Top FAU WJ-L
LJCEMED CONTRACTORS DECLARATIOHood Fan2� OttlerN CTrY Tel.No.,
-1 hereby efftrm #fiat I am llceneed-.uadar provlebns of Chapter-9 Dfsp. Room AlrCord. T LICFNlC Ciu.a
(oortrrwctnp wltb Section 7000) of bmalon a,of thaBusiness and REG-'
Profeeelons Codb,and my 6oerme Is-k fair force and•6ffect ter,Apparatus s LWW Apokrcm Dt91Tgc.'T Na. by
Str �e S Type HP,KW,Kor K�AA 08 r
Lberm Number Lb.Clear to 1 Incl. RWAL
Contractor Deis 1 tD 10 lncL DATE 1�
. vr�rrLRr�rw
Oyer 10 to 60 Ird. R --
❑ I em exempt udder Seo. OwAr.60 to 100 Ina r
B.BP.C.for orfs reason. Over 100 N
Deter SWAoas,'Swbd_MCC 8 Panemoarde , Z
0-200 kW Under 600 V
slate 201 - 1000 Amp,Under 600 v _•. _ _, ._-.--
` Over 1000 Amp.or Over goo v
Exernptlon for Req.Malnt.Elect
t
SINGLE FAMILY *np.polw r Fble 8 Appurterranoee 2
HOME OWNER-BUILDER DECLARA7lON Slav with One Branch CtnxA
I hereby of fh that I am exempt from the Gor tractors License Law s gral>�Ckaite +�
for the foNowh4 reason(Section'7031.6,131alnees and Professions .!,J
Code):
Mlac:Condulth 8 Corlddotoro -._ _ _� -. �r w- `•I -���. .
I as o+ynet of tre property,w10 do the work ar the Mructure
offered
not fnfeoded or for sale (Section y044. Business Other(See C*.Txleta Fee �) — i 35 ,,79j
asbns
and ProfeCode). 4ftt~1�f► ''3 .75.
CONSTRUCTION I FNDtNG AGENCY f�f1
I hereby afflrm that two a conatucoon brdtnp apency for the —,Go
perlormanoe of the work for which tf-de permlt ie baled(Seo 3087, pERMfT FEE (Sub-Total)
Ctv.C7. ...__ y� .
-PLAN CHECKING ECNG FEE 00I*-W01 $I 7/89
LendWa Name PERMIT ISSUWG FEE '•' O 4913 1 An 8134
Lenders Address
I oertffy that I have read thio application and state that the above TO: kl_Rte_
Monnatior Is correct. I'agree to oorrpry with all County ordVarbes 3 57L5
and' State laws regulating Electrical Mrfnp, end hereby authortze
ropreeentatfvm,of thb County to enter upon thea
property for'Ingpectlon purpose& SEE REVERBE FOR EXDLANArORY LANGUAGE
m Penntttee
NbRKF�fS'coMPErfsATloN DECLAFWTIOtJ 7W63 10/91 APPLICATION FOR ELECTRICAL PERMIT
I•her�'afftrrn that I hese a certpicffie of oorteeht to seff h mre, f
« oerttflcate of Workers' compensation llmrancq or a oertNted COUNTY OF.LOS ANGELES BUILDING AND SAFETY IL14
inbred(Sob.380b,Leh C:) y
P05cy Na-T�CNTIMW FOR APR-PC NT TO FILL N &� Li
F-1ettifled Ccopy A Hereby furnished. New Residerrtfal Bidpa_3 Polo EACFF NO: �
LOCALITY
PlJt
Gwttfled 'copy le flied. with the,county bU6dlna Inspection t 2-FamBy,S4 EG $ =r $
dKertfisnf. Mufd-femW sq.F- �e .
. _ apos5 sr.
Rea}deariel'SwFnmYp Aoo+9 " ' WER oR .
- CEkTFrArE OF EXEA1PT10N,FR0M WOAKE � ►�,
CrOMPEN3AF10N1NSLh3ANCE'. Outlets-neo, LSpftt 3w.
?�Di3F1E88
M,ds i d sot ice,compf6ted tl thr.Wak frrvofwd•py tt» Fhat 20 -�r
prrrrnR.lp 4br one hundred db4ra($Too)pr to _� 7otai Na Adtlftbr�f
I osr* thaf'In blepwfofmanoe.of the work for whloh thb pomit _ . , �
HEGK
b lQoued, I.shall not 'rnploy any paroon In any men net 80en tp
beoorne'eul$ a to the.V1&sr erd Gamper Lawn ' Lighting Rxturee Flrat 20- ADDR7 $S
Total No. Add}tlor�l - CFY•
tFlxsd Am"Not Over 1 HID
N.',' APPL1cANr: If, aiYeS meklrp
Fxampt t,y h�ulid peoon 9-b)oot Rhe— Heater_ Dw.
prowfeiorte o1 the Lbbof,Code, yaT" (gr�oomfkt with such 6veri 'Dryer .T AQDRESS
prbYWQnsrQr pw71 R pftell toq doWw d rb4ofaed Top — �Atl _ W.K T' Cff'Y• Tel.Na.
4ic faSEQ OC,1 ACTO43 DEGI�N , . Hood — Fan _ -ot'+er_ LCF�OR ,
I hereby affirm that I-am )fcwr under provieiote of .Chapter Q Dfap. T Room Alr Cone. HEA MBER
(oNTowdrp w'ltft Sebdon 7000) of DMsbn 3.'&the Bu4nan and M clol&
Profeeeioie Code and irry flctirtee F&In fel fortis eft effbat' Power Apparatus.� Large Appffargee. D18TwCT }¢-
Size S.Type HP,KW,K%Ok,or K'Ak.H Cs Q
Lioenee Number. Lb-Cieea .'up to 1 ina NAL - (�
_ over 1 to.40 Incl. - DATE
Qootractx ' ' Data Over TO to 6Q tnd.
Fl
❑ I am exempt under Sea Over 60 to 100.Lna
BAPfor thb reason — --Over 100
C
Servbes,8wt d.,MCC d PanelboerdQ' Z
Defer
0-200 knp.Udder 800 V.
8iiv3.hire 201 :TOOQ Amp.Under 600 V
Over 1000 Amp.a Over 800.v
❑ Exemption for RN.Maint Ebgt _ .
SINGLE FAiYiILY J -11 rrp.Power Foie&gppurterienbee 2
HOME OWNER-BUILDER D(CLAR/{f{ON One Brnnott Ohouit M�
I heraW rm that I am exempt from the ContracWs Ucerlbe Law sign wfU> �+�•
for the
lollowft reaeon (Secrion 7031.6, Buelneae and.Proteeai m - pddrdorgd SAW Ciroutts
cAdai 3307 18.00 .
I;es owner cf the property,will do the work erxf thQ�h-U urs MFoc conduftn t'i C«tduotors _ 1ITEMS
Other(see Voc' ko Fee 3ohedi _ ,��.��
.
Is rbt Intended o anered r« eaie (Sacrist 7044,i3uefr>eas 4�
and Profeaeio9s Cone). , AL
PECK
cON3TgLcTION LENDRJG AGENcy .1$.00
I.homey �f" that.there Ia a corratruotton iendlrp eperisy for the ( .0
perbmwmce of the wori�for v&kh this permit to Issued CSea 3087, PERMIT FEE' (Sub-Total) _
Cfv.c). .PLAN 0HEC4,01`4G FEE a 1 7/ I$9.
Lerdeez Name
PERWT ISSUING FEE .5871' 1 AM 8232
LoncWs Address,
I certl(Y thgi I have read,U46 appilw5cin and state that the above T04�L FEE
lo'torrrtatlon fs Q""e I spree to oompfy wIth ell County ordfranoea
and State "'MquWng.Electrlcel whq, and hereby euthortxQ
repreeerrtgtivee of tilts Camty tp enter upon the above-mentioned
property for Irmpeotion prirpoees
a. SEE REVERSE FOR.EXPL4IUg04tY LANGUAGE
solatu�of Permmee
I\
COUNTY OF LOS ANGELES APPLICATION FOR PERMT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION OF BUILDING & SAFETY
W=AM 1. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZON PERMIT NO.
ELECTRICIAN - h 2' o t
ADDRESS -I.—Le 10 20 N L L%F RECEIVED BY READY FOR DATE ISSUED
^^ ^ I FIRST INSPECTION
CITY Iqq`e - Q ( ry TEL. NO. O U(0 Z
COUNTY LICENSE NO. k ( J EXPIRES drle" ^ AB ULD'DDRESNG
S
PER KU FEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS
NEAREST
RECEPTACLES RO88 T. Y
WALL SWITCHES OWNER LLG liG 5 C
TOTAL OUTLETS 5C $ 17- 05MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25
r 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 CIRCUIT'S
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
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
New MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERT DESCRIBED ABOVE.
8 LESS $ .25 l' ,,/,,+
- 1 SIGNATURE OF _9 ,�. 1.�.�A•f.dr dt'oI!,�.�t
I/z 2 .50 PERMITTE
2 s
s 15 1.50 INSPECTIO RECORD
_ oe..
j 15 50 2.50
I 50 200 5.00
fI1 200 500 10.00 J
s
soo l000 +s.00 a
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 ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1,00 gr't�' CONDUIT
FIXTURES $1.00 . WIRING
SUPPLEMENTARY .50 FIXTURES
t POWER f
TOTAL FEE $ 9 :> UTILITY CO. NOTIFIED
FINAL �
76A 669 DBS# 6A. 4-52
I
76 6153
DBS-5A DBS-5A 12-54 APPLICATION FOR ELECTRIC PERMIT ^1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
County of Los Angeles BUILDING
WM. J. FOX, COUNTY ENGINEER _ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING ,
MMJ
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST
NCROSS ST.
UMBER EACH FEE
LIGHT OUTLETS OWNER
RECEPTACLES MAIL
WALL SWITCHES ADDRESS
TOTAL OUTLETS .5t $ CITY TEL. NO.
ELEC. RANGES 25ELECTRICIAN •f` r�!,1✓
ELEC. HEATERS 25 ADDRESS`'
KW EA
CITY ..�.,_ TEL. N v
FIXTURES 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS
NUMBER OF RECEPTACLE CIRCUITS
DISTRICT NO. GROUP ONE I READY FOR INSPECTION
1--• ,,,.
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
T
f
'1 1
��, ✓}LESS $ .25 ,.;A—
I/2 2 .50
2 5
! 5 15 1.50
_ 15 50 2.50
50 200 5.00
misc.
NO. SIGNS NO. TRANS.
NO. SIGNS NO LAMPS
FOR EACH PERMIT:
WIRING $1._00_
FIXTURES 11.00
SUPPLEMENTARY 50
$ APPROVALS
TOTAL FEE DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND, AGREE TO COMPLY - e
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PR_OPEICTY. UTILITY CO.NOTIFIED
SIGNATURE �'� f
OF PERMITTEE �7 FINAL �_r,_
WILLIAM J. FOX, C NTY ENGINEER VAL I5N8 J u, AUG 1 2 2 1 .2 5 rn
By
O �j-� r I � �. ,iJl DEPUTY
76A663-CE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGss
BUILDING AND SAFETY DIVISION ADDRESS J /U is
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cRoss ST.
RECEPT, TOTAL NO. EACH FEE - )
OUTLETS FIRST 20 $20 $ OWNER /G/-� �P
LIGHT MAILESS 47 %G /1�,,
ADD'L iD ADDRESS .
SWITCH. OVER 2O �s WI�� �/
dooj
TOTAL CITY 71-I-X .a`c// TEL. NO.
LIGHTING FIRST 20 .20
FIXTURES ADD'L1-1 j
OVER 20 •10 ELECTRICIAN
RANGES LO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.I'/H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST CT GROUP ZONE P SSED BY
O 1 1.00 -�
1 3 1.50 INSPECTION REC RD
3 8 2.00 J /,
8 15 2.50 -.
15 50 3.00 �1 1 �
CL
50 100 5.00 O, - .,+°'._,., „>;++.,rw ,+k,{•� 1 U
SIGNS: NO.TRANS -
NO.LAMPS O
t{
SERVICE 0.60OV-NOT OVER 200A 1.00 V
W
a
SERVICE 0.600V-OVER 200 A. 2.00 to
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00
TOTAL FEE i
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 CONDUIT
WITH ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWN R OF THE ABOVE
DESCRIBED RESIDENT PROPERTY. POWER
SIGNATURE � .d/_. i UTILITY CO.NOTIFIED ,I
OF PERMITTE s"�''r�/
ME FINAL
LIDATION ARTHUR C. VEIT
cc�
MO CASH SUPERVISING ELECTRICAL ENGINEER