HomeMy Public PortalAbout10833 ARROWOOD ST_Electrical__ 76A663C- CES068 12/75 APPLICATION FOR ELECTRICAL PERMIT
BUILDIN ND SAFETY D lSION
FOR APPLICANT TO FILL IN
FRedenidential Bldgs.&Pools EACH N0. FEE ADDRESS 10833 ARROWOOD
Finaily Sq. Ft. $ — $ LOCALITY T E CITY
amily Sq. Ft. — NEAREST
ntial Swimming Pools CROSSST.WNEROR
FORM NAME RIEMPP THEODORE
Light, Switch & Receptacle MAI LSAME
0ADDRESSbnal CITY TEMPLE CITY Tel. No. 444-1395
PLAN CHECK
FixturesAPPLICANT
0 ADDRESS
Additional CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT TRANS HCC
Range_ Heater_ D.W. 2034 N. PECK RD.
Oven Dryer W.M. ADDRESS
Top FAU X W.H. CITY SO. EL MONTE Tel. No. 579-7982
Hood Fan 2 50 LICREGENSE OR 265094 Class. C-10 0
Disp. A.C. �
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (-
ELECTRICAL WIRING. V
Size&Type HP, KW, KVA,or KVAR LLIo_
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR N
3.5 HPpver 1 to 10 Incl. 5 00
LICENSED AS REpUIR ED By LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PRO TY.
Over 50 to 100 InCI. PERMITEE VO tom• Y�_Y__r
Over 100 SIGNATURE
Services
DISTRICT NO. OCES D BY
0-200 Amp. Under 600 V 1 (•' a
201 - 1000 Amp. Under 600 V APPROVALS DATE IN CTOR'S
Over 1000 Amp.or Over 600 V
SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
ROUGH CONDUIT
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) 7 50 UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE 7 00 NOTES
TOTALFEE L14.500
PLAN-GH EGK—V•AL-IkDATdb C-; ==4roi~o GASH PERMIT VALIDATION <K". M.O. CASH
POLICY NUMBERz � ��
76A663-CE806 9-66 Ap P oPMCAMN FOR
E �EC oR /�1 L �NU �
COUNTY OF LOS ANGELES l!- w ISLSLS ll 1.,1
DEPARTMENT OF COUNTY ENGINEER BUILDING �7 ®®
BUILDING AND SAFETY DIVISION ADDRESS 7
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
�. .-,.. NEAREST 1
FOR APPLICANT TO FILL IN CROSS ST.
REC EPT, TOTAL NO. EACH FEE
1I OUTLETS FIRST 20 $.20 $ OWNERLIGHT T - MAIL
SWITCH ADD 10 ADDRESS
OVER 20 _— +�►
TOTAL FIRST 20 .20 CITY U ��" TEL. NO.
LIGHTING 1 FIXTURES
FIXTURES )( ADD'L 10 CONTRACTOR C.
_ OVER 20
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS IS
GARB.DISP. STA.COOK CITY TEL.NO. f�
DISHWASH. AUTO.-WASH. STATE -
SPACE HTRS. STA. APPL. ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GRO ZON P E D py.
O 1 1.00
1 3 1.50 INSPECTION RECORD
s 6 2.008
8 15 2.50
15 50 3.00 }
so O 10o s.00 +.�' �•���� u
SIGNS: NO.TRANS.
NO.LAMPS O
H
SERVICE 0.600V•NOT OVER 200A 1.00 W
a
SERVICE 0.60OV•OVER 200 A. 2.00 N
z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURQ
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UN DERS LAB WORK
AND STATE THAT THE ABOVE'IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY ,THAT.I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF -
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO POWER
RESIDE IN,THE ASO V E RI D RESID L PRO
) PERT�Y.� pB \
SIGNATURE �6. UTILITY CO.NOTIFIED
r, •OF PERMITTE ,.... .. _. ._ _ FINAL
VALIDATIO SU EPpH C_rRY00GN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
.. 17008 SEP 2.2 2 D 520-
U:ILo
D.S.S.SA 25M SETS ID-47 .
APPLICATION FOR PE DEPARTMENT OF
BULyIp9AND SAFETY
COUNTY OF LOS ANGELES
WM. J. FOX CHIEF EN 1NEER ELECTRIC
a NAME DISTRICT NO. GROUPTZONE PERMIT NO.
U ADDRESS
tC
CITY/�{ TEL.NA. RECEIVED BY READY FOR DATE ISSUE
J COUNTY FIRST INSPECTION
W CERT.NO. EXPIRES
&PPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
(DESCRIPTION OF WORK ADDRESS-
PLUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS JSW. PLUGS FuiT CR04S ST.
CIRCUIT A 113 C D E F Cz I 1-I w NAME
W MAIL
b p ADDRESS
O
CITY TEL.NO.
1 APA THE LEGALPOISSESSOR OF THE ABOVE LOS
-� ANG9LMS COUNTY CERTIFICATE OFQ ALIFICATION
ELECTRICIAN.
I AIR TFL--"GAL OWNER-OF THE FROPE,RTY DESCRIBED
A-POVP.
OWNER.
CORRECTIOINS
J
- Q
z
—i E3
a
I
TOTAL ELL/-
NO.
OF OUTLET'SL $ CJ APPROOVABLS
NO. OF FIXTURES 0 $ DATE INSPEC?Qjt"S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING `
NO. 99-RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ _ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL
1
D.B.S.5A 25M SETS 113-47 "PLICATION
FOR
T►TTDIR�I�T
$i'E1PAI�tTNIE�V'I' OF BUILDING A� SAFE'I"S E�Y FL�i��U �Y'1�Y17�1' i�l i��L'II�11T11].
COUNTY OF LOS ANGELES
FOX-SdIEF 6N6 E. R
c
NAME DISTRI NO. GROUP I ZONE PERMIT73
O.
r�
Z4
« ADD2E9
U CITY TEL.NO. RECEIVED BY READY FOR DAAT�I%aDCOUNFIF:ST INSPECTIONCERT. EXPI[2ES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLYJOB
w
DESCRIPTION OF WORK ADDRESS 12 0 � � jMil 7 p
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS Isw. PLUGS I FIXT CROSS ST.
CIRCUIT A B C D E F G H I: NAME 1ILIn (f�7 E le
z MAIL f--�� ('
ADDRESS cJ
7� O, 111'05f Z)%+S 0 J
_ o CITY �`/CI S�E✓ /7 '�EL.Nd
1 AM THE LEGAL POSSESSOR OF THF_ ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
JW.ECTRICIA
L AM THE LEGAL OWNER OF'� PROP TYI3ED
"OVE
OWNER.
COMM,MONS
J
Q
L7
Lt!
O
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 $ 1 Ori UTILITY CO.NOTIFIED _
TOTAL F E v FINAL