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
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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
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