HomeMy Public PortalAbout4904 ARDSLEY DR_Electrical__ 76A663-CEB06 4-65 APPUCAYMN FOO R R C7MCAL
COUNTY OF LOS ANGELES
DEPARTMENT-OF COUNTY ENGINEER BUILDING /Q
E�UILDINt AND SAFETY DIVISION co -ADDRESS
JOHN A. LAMBIE,.COUNTY ENGINEER
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY
,. - ;.. ..; NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
�- RECEPTACLEf N
TOTAL O. EACH FEE Q
!r I OUTLETS i FIRST 20 $.20 $ o OWNER
LIGHTADD3 J} MAIL
SWITCH OVER 2VER 20 10 ADDRESS
TOTAL I �� CITY TEL. NO.
LIGHTING 1 FIXTURES FIRST 20 .20
I. FIXTURES 1 ADD'L
OVER 20 10 CONTRACTOR Q
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK V
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
,.
` SPACE HTRS. ul�- STA.A + H.P.MAX.) � ,50 6 LICENSE NO. U 7
t,.
MOTORS: OVER NOT OVER" H.P. DISTR T�. GROUP NE I P CESSED 53Y -
O 1 1.00
1 3 1.50 Y INSPECTION RE�C�ORD A
3 8 2.00 �,3r 9/ � a. ztL.tLF 1l
8 15 2.50 F V •" - _ - -
0 �
15 50 3.00 O
50 100 5.00 LJ
m
` SIGNS: NO.TRANS O
NO.LAMPS F
" W
SERVICE 0.600V-NOT OVER 200A 1.00 N
SERVICE 0.600V-OVER 200 A. 2.00 z
SERVICE OVER 600V 5.00 i
OTHER (SEE COMPLETE FEE SCHEDULE) '
i
r
PERMIT ISSUING FEE 2.00 Q o
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ 9 APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGQ-
ELECTRICAL WIRING. WIRING (/ /�nj,f
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED
/!.�H rFiJ'it'"' ^- i
AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF,AND INTEND TO - POWER
RESIDE IN,THE ABOVE CRIBED RES IAL PROPERTY. -
SIGNATURE �� UTILITY CO.NOTIFIED ,p "✓ ./
} OF PERMITTEES 7/�,/�?
FINAL 7�
lDATION JOSEPH C ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
� +;�� .6 0 ,0- 7,-,, SSP 2 9- ? D 61.G (�
Com='
76A663-CE60 6 ti/70' APPUCQIMN FOR EC4MAL pEaR
COUNTY OF LOS ANGELES
R DEPARTMENT,OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY .DIVISION ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
. I NEAREST
FOR APPLICANT TO FILL, IN CROSS ST.
OUTLETS NO. EACH 11 FEE -
OWNER
RECEPT. $ Is MAIL '
LIGHT TOTAL
FIRST 20 / 25, Z7_ ADDRESS
CITY � TEL. N
SWITCH OVER 20 ,Ip ,
PLAIC CHECK
FIRST 20 APPLICANT -
LIGHTING .25 .�
TOTAL . ADDRESS
FIXTURES OVER 20 10
APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP •F.A.U, ADDRESS
SPACE HTR, AIR COND. CITY TEL. N0.
yy Vle, 90
CLOTHES WASH. DISHWASH. LIC NSE NO. CLASS. �/Q'
FAN OTHER I.00 i"1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
iV� CJ 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL WNER OF, A D INTEND TO �-
1 - 10 3.00 RESIDE IN, THE5OVE SC IBE RESIDE I PROPERTY. Q
10 50 5.00 SIGNATURE U
OF PERMITTE
OC
50 100 10.00 ' O
DISTRICT 0. C SS _ 291," ROCE ED BY
100 - 500 15.00 '57C7 22 a
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: 4.
�I Z
TUBE, OR _ —
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP J 3.00 v
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 10.00 .
TEMP.POWER POLE
TEMP,SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL .�
PERMIT ISSUING FEE 3.00 CJO EP C. ROOHAN
TOTAL FEE / SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. 'M.0. CASH PERMIT VALIDATIONCK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE