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HomeMy Public PortalAbout5922 BARTLETT AVE_Electrical__ 76A663-CEE06 IO/_A APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DECARTMENT OF COUNTY ENGINEERS UILDING AND SAFETY DIVISION LOCALITY L G/ NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS F[K OWNER RNAR RECEPT- 7 FIRM MAIL Q LIGHT TOT L FIRST 20 ADORE33 9WITC OVER 20 r 10 0 CITY f TEL. N0. PLAN CHECK LIGHTINGTpTAL 1 VE .10 FIRST 20 APPLICANT FIXTURES )} OR 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PEIT RANGE DRYER_WTR. HTR. APPLICANT L G STA. COOK DISP.4F.A.U.-YL ADDRESS Q iRx--// SPACE HTR. AIR COND. CITY IV, Ac.4 04?1,4 TEL. NO. CLOTHES WASH.___ 013HWASH./ R M 7/ CLASS. FAH—/—OTHEl1140 I HEREBY ACKNOWL[DGR THAT I HAVE READ THIS APPLICATION AMD STAT[ THAT THE ABOVE I! CORRECT AND AGR[[ TO COMPLY MOTOR! TRANSFORM ERS MTIXG WITH ALL COUNTY ORDI MA NC[S AND (TAT[ LAWS REGULATING IND. HEATERS, [TC. HP. KW. KVA. ELECTRICAL WIRING. SIZE G 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 STAT[ OF CALIFORNIA OR THAT I AM THIS L[SAL OWNER OF THE ABOV[ 1 - 10 3A0 D[GC,RIB[D RESIDENTIAL P P[RTY. IDERM1 EE 10 - 80 5.00 91GNA7URE SO - 100 10.00 DISTRICT NO. PROCES!�D BY �+�I 100 - 800 16.00 1 SIGN, GAS SIGN AND ONE CIRCUIT 0.00 APPROVALS DAT[ SWATLUW TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOTOVER600AO VOLTS SUNDERSLABWORK SERVICEOVER 600 VOLTS OR 200 AMP 10 ROUGH CONDUIT TEMPSERVI CE,POLE, &APPURTENANCES 0.00 WIRING TEMP LIGHT OR RECEPT. SYSTEM 5.00 FIXTURES POWER AUTHORIZED UTILITY CO. NOTIFIED FINAL I PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VUA ION M.O. CASH 1 95 A 2 3.55 - SEE BACK OF APPLICATION FOR COMPLETE BCHEDUL[ """' R` ' '"°"' APPLICATION FOR ELECTRICAL PERMIT r-OUNTY OF LOS ANGELES TNN DEPARTMENT OF COUNTY ENGINEER �9zZ BUILDING AND 8 DIV N FOR IGANTTO FILL New Residential Bldgs.&Pools ' EACH NO. 7FEE S .025 — $1 8 2-Family,Sq. Ft Multi-family Sq. Ft. — FIRM NAME Resldential Swimming Pools 25•010 MAILS Z AD Outlets:Rec Light_Sw. CITYD T.I.No. Z First 20 60 PLANE CK Total No. Additional •30 APPLICAN7 ADDRESS Lighting Fixtures First 20 .60 CITY Tel. No. Total No. Additional •30 PERMIT APPLICA Fixed Appliances Not Over 1 HP ADDRESS Range—Heater—D.W.— CITY Tel. No. Oven_Dryer W.M_ LICE OR Top —FAU �W.H. REG.NUMBER (]asa 2 4 Hood_Fan Other- I HEREBY AdorowLEDGE THAT I HAVE READ THIS APPLICATION AND STATE D sp. Room Air Cond. 250 / THAT THE ADOVE t5 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND-STATE LAMS REGIA.ATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP, KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGWERED AND/OR LICBJSED AS REORED BY LOS ANGCowry AND STATE CIF CALIFORNIA OR THAT I AM Up to 1 Incl. 250 THE UELB LEGAL OWNER OF THE ABOVE DESCRIBED RESIDBiRIAL PROPE]rTY. ff Over 1 to 101nd. 6•� Over 10 to 50 Ind. 12-50 PERAUTTEE o Over 50 to 100 Inc 25.00 SIGNATURE CD Over 100 40.00 DISTRICT PROC ED BY Se ryices IWWO RR 0-200 Amp.Under 600 V 1250 APPROVALS DATE ISIGPNATOA 201-1000 Amp.Under 600 V 25.00 Over 1000 Amp.or Over 600 V `50.00 TEMP.POWER POLE Temp. Power Pole S Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT 200 tFRIN Additional Sign Branch Circuits Mix Conduits&Conductors 10.00 Other(See Complete Fee Schedule) UTHORIZED O.NOTIFIED r PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $7.00 0 TOTAL FEE 1� PLAN CHKK VALIDAT}ON CK_ A 0. CASH HERMIT VALIDATION ci_cK ) AO. CASH e $ s �rnse � a 14.150AM SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 79A"3 a` '°'" 10'77 APPLICATION FOR ELECTRICAL PER COUNTY OF LOS ANGELES }pg DEPARTMENT OF COUNTY ENGINEER ADDRESS B1JULDING D SAF ON A FQR APPLICANT TO Fa1I LOCALITY New Residential Bldgs.&Pools EACH NO. FEE NEAR ST.. TA 1 &2-Family,Sq. Ft. $ 025 — S WN P OR Multi-family Sq. Ft. .02 — FIRM NAME Residential Swimming Pools 26'0 MAILADDRESS — _ Outlets:Rec4C=,Light Sw. CITY Tel.No.)-/L(4 First 20 .50 1 do PLAN CHECK Total No. Add-dionol .30 APPLICANT vU ADDRESS Lighting F-uctures First 20 .50 1Z CITY Tel. No. Total No. Additional •30 PERMIT FIXed Appliances Not Over 1 HP ADDRESS Range—Heater_D.W. CITYjRC Tel.No. ✓/h Oven _Dryer_W.M_ LIREG.CEN E R Top —FAU —W.H._ NUMBER (lass-C_- Hood_Fan _Other- 1 HERBY A XN%OV&EDGE WT I HAVE READ nus APPLICATION AND STATE Disp. - Room Air Cond. 2'� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WnH ALL COUNTY ORDIN- ANCES AND STATE LAWS RLGULATI NG ELECTR CAL WI RI NG- Power Apparatus&Large Appliar ces Size&Type HP,KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGLSTERED AND/OR L10EISED AS 2.60 REWIRED BY LOS ANGELES COUNTY AND STkTE OF CALIFORNIA OR THAT I AM Up 10 1 Incl. THE LE(->�AL OWNER E DESC1t1 t3ED RSI Over 1 to 101rx1. 6.00 8 Over 10 to 50 Incl. 12.60 PStMITTEE Over 50 to 100 Inc 25.00 SIGNATURE 9 1� - Over 100 40.00 DISTRICT NO. ED BY es Z Se ry ic 0-200 Amp.Under 600 V 12.60 APPROVALS DATE I OV. 201-1000 Amp.Under 600 V 26. OQ Over 1000 Amp.or Over 600 V 60.00 TEMP. POWER POLE UNDERSLAB WORK Temp. Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT 2.00 WIRING Additional Sign Branch Circuits Mlsc.Conduits&Conductors 10.00 FIXTURES Other(See Complete fee Schedule) POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES PLAN CHECKING FEE (C4-pe-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE D ?LAN CHECK VALIDAT}ON CK Wo. CASH PStMrT VALIDATION cK Mo. CASH 7 7 8 ,N 6 2 A 2 Z.0 0 . I EEE BACK OF APPLICATION FOR COMPLZTE SCHEDULE GP r