HomeMy Public PortalAbout6023 BARTLETT AVE_Electrical__ 76AS63-CE806-9-57 APPLICATION FOR ELECTRIC PERMIT 4
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING -'
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. c: i
PERMIT FEES
I T E M INUMBERI EACH FEE OWNER
OUTLETS: $ $ MAIL
LIGHTS / RECEPT. SW. .1O - ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50
ADDRESS
ELEC.SPACE HTRS. DISHWASHERS _
GARBAGE DISPOSERS AUTO.- CITY -i - " "" TEL.NO.-
WASHERS STA.COOKING UNITS ,25 STATE
LICENSE NO.
MOTORS: OVER INC. H.P.
DISTRICT NO. GROUP ZONE READY FOR INSPECTION
0 — 1/2 .2S
1 '
1/2 — 2 .50
2 — s Loo
INSPECTION RECORD
5 — 15 1.50
15 — So 2.50
50— 200 5.00
SIGNS: NO.TRANS. ,
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 f"
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S /...- APPROVALS
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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
I 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 PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE -
FINAL
YALIDATION ARTHUR C.VEIT.
ra mo CASH SUPERVISING ELECTRICAL ENGINEER
M
.
78AG63-CEBOO 38 '
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NO. EACH FEE
f f OWNER
RECEIPT.- MAIL
LIGHT TOTAL
FIRST 20 •20 ADDRESS
CITY TEL.
SWITCH OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 •20 APPLICANT
FIXTURES } OVER 20 .10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_D13P. _F.A.U. CONTRACTOR
SPACE HTR AIR COND.� ADDRE CJ
CLOTHES WASH. DISHWASH. CITY .N .
FAN_OTHER 1.00 LICENSE N0. CLA .16
goo
MOTORS,TRANSFORMERS RATING I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AXD
STATE THAT THE ABOVE IS CORRECT AHD AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HERESY CERTIFY THAT I AM PROPERLY REG STERED AND/Oil
LICENSEDAG REQUIRED ■Y LOS AMSELES U AND BT*TE OF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE L F AND INTEND TO
RESIDE IN, THE ABOVE DEGCRIS REST ROPIRTY. O
10 - so 5.00 V
SIGNATURE pC
50 - 100 10.00 OF PERMITTEE O
100 - 500 5MDI.TRI� GR xoN E o
SIGN,GAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER BOO VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPLRTENAJOES 3.00 APPROVALS DATE IISPIECTOR'G SIOIATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED i L}
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELEC L ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. N.O. CASH
LAr,2 0 3 3G SSP 2 9 2 A 5.0 0 N �
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE