HomeMy Public PortalAbout4945 BIRCHLAND PL_Electrical__ i
TEMPLE Q7V
APPLICATION FOR ELECTRICAL PERMIT 'I
COUNTY OF LOS ANOiLEX
DI11PARTMUNT OF COUNTY QNOIN 3M BUILDING
OUILDtNG AND SAJrVIY DIVISION ADD""
JOHN A.LAMBM COUNTY KNOTKI=
WILUAw A.JENBSN, 8Ur'TOF BUnm" "AT
FOR APPLICANT TO FILL IN KARMST
06
PBLAW FM OWNER
ITKU !NIDE! FACH FSS NAIL
OUTLETS, # # ADDRESQ
uaHTV RSOSrT. ew. 10
LIGHTING FIJ(TURE>s 10
lLI=RIINQS6 aLo.DRYS=S ELECTRICIAN
WATSR HSATSRO .DO ADDRUAM
ll=.STAaS HTM. DLQHWAOMIUM CI'T'Y N
GARfAR DISrOOSRl AUTO.. GTATK
wASIMRS STA.OOOKI"UNrTR UCEN�E NO.
woTOFM ovve INO H.P. DI CT C3 Z NE P ESSED
0 — IrS s15
a ,150 4 Ecnn OE-{ m
rt
i D
1.00
D iD
1-50 O
15 150 2.150 N w
DO 200 15.00 !
SIGNJi/ NO TRANS.
NO. LAKM
f
BERV10%O.EOOV 1.00 O O
QVICE OVER a00V 5.00
YIOC
WIRING PIKRYIT
1.00 / d
FIXTURE PMtYIT 1.00
SUPPLEMENTARY PK"rT ,DO
TOTAL.FEE #
1 HSRaY AmutOWLSDQS THAT I HAYS RSAD TWO APPLICATION APPROVALS RAn IR'S OIONATURS
AND STATS THAT THS ABO" LS OOPM=AHD AGRSS TO OOiPL.Y
wrrH ALL COUNTY ORDINAMCM AND STATS LAWS RSOULf.TING CONDUIT
E r=WCAL WIRINCL WIRING ��-
I HSRSIY OSRTIFY THAT I AY REOrRLY RSGIITKR= AND/Ok
L]aKMKD AD RSQUIRID NY LAS ANGSIIS COUNTY ARD SPATS OP FIXTURE"
CALIFORNIA OR 1 AY THS L■QA.L OW?XR Or THS ADOY1t .
Dtl3CRILISD POW"
81 GNATU RE UTILITY CO. NOTMEMT
OR Path
Fl MAL VALIDAT [YR C.VETT.
CK Mo �� SUPQIYING ELliCTRICAL EmGINI>Q!
2' 5 3 0 SEP 12 2 D 2.0 0
L _
TGAGG}c" APPLICATIO F ELECT�L PE IT �J
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER � �
BUILDING AND SAFETY DIVISION
LOCALITY `
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUT,LETs NO. FACHIFIEF
OWNER OR
r o
rjDftC
s s
RECEPT.� MAIL
LIGHT TOTAL
FIRST 20 ADDRESS
CITY TEL. NO.S
SWITCH �_ OVER 20 /. PLAN CHECK
FIRST 20 APPLICANT IoLore
LIGHTING TOTAL
OVER 20 ADDRESS
FIXTURES
RESIDENTIAL APPLIANCES CIn TEL. No,
RANGE DRYI<R_WTR. HTR._ APPLICANT O Vj ne.lf
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. N0.
CLOTHES WASH. DISHWASH. , NLrM CLASS.
FAN OTHER 1D0 I HEREBY ACKNOWLEDGE THAT I HAV[ READ THIS APPLICATION
_ AND !TATE THAT THE ABOVE I! CORRECT AND AGR[[ TO COMPLY
MOTOR! TMNl FORM[R! RATING WITH ALL COUNTY 0RDINA NCE! AND !,TATE LAW! REGULATING
IND. HFJ1T[R!, ETC. HP. EW. RVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 IAO LIC EN3KD A! REQUIRED BY LOS ANGELES COUNTY AND STAT[ OF
CALI FOR X IA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 BOO DESCRIBED RESIDENTIAL PROPERTY.
10 - 80 5.00 PERMITEESIGNATUREb0 - 100 10A0 DISTRINO OC BY
100 - E00 15M
SIGN, OASSIGN AND ONE CIRCUIT 8.00 APPROVAL! DA DWECTCF"SNINATLM
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CE NOT OVER 600 VOLTS OR 200 AMP BAO UNDERSLAB WORK
SERVICEOVER 800VOLTS OR200AMP 10 ROUGH COND T ��+
TEMP SERVICE,POLE, &APPURTENANCES &00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 9.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL -77
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CABH PERMIT V I ION M.0. CASH
y 2 6 U n APR 9 2 D 1 `],8 •
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
7eA°°A,r—' &B UV ' APPLICATION FOR ELECTRICAL'PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FR1 IN Kg
New Residential Bldgs.S'Poois EACH NO. FEE A DRESS r ' /
1 b 2-Famjly,Sq.Ft ^
b .025 - $
LOCALITY
Mulfl•family Sq.Ff. .02- — NEAR
� Rasidential Swimming PoolsOWNER OR
25.00 ST.
Outlets:Rec Light Sw.J—
First 20 .50 SS
Total No. '5—
Additional .30 pcn-y�CLEC Tel. No. _
PPLICAN7K
Lighting Flxwres First 20 •50 ADDRESS
Additional .30
Total No. CITY Tel.No.
Fixed Appl lanes Not Over 1 HPPERMIT
APPLICANT
Range_Heater_Q.W.
Oven—Dryer_W.M_ ADDRESS
Top —FAU —W.H._ CITY Tel. No.
Hood_Fari —Other LICENSE OR
Dfsp,—Room Air Cond. 2.50 REG.NUMBER Class,
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA-
Power Apparatus&Large Applloncm TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Sim S T HP, KW KVA,or KVAR COMPLY W� ALL COUNTY ORDINANCES AND STATE LAWS
Type REGULATING ELECTRICAL WIRING.
Up to 1 Ind. 2.50
I HERBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over T to 10 Ind. 5'00 LKBgKD AS REQUIRED BY LOS ANGELES COLRJTY AND STATE OF
Over 10 to 50 Ind. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc
25.00 DESCRIBED RESIDDMA1 PROPERTY.'
Over 1.00 40.00 PERMITEE
SIGNATLJ
SefYk DISTRICT NO. PR0CE3fLED BY
0-200 Amp.Under 600 V 12.50
201-1000 Amp.-Under 600 V 25:00
Over 1000 Amp,or Over 600 V 50.0.0
Temp. Power Pole&Appurtenances 10.00 `
Sign with One Branch Circuit 10.00 'G
Additional SiIjn Branch Circuits 2.00 INSPECTION y
Mj}c Conduits&Conductors 10.00 INFORMATION $2 6 4, 1 A
Other(See Complete Fee Schedule) ON REVERSE
SIDE # 000002
2 ° ° 1•(100
PERMIT FEE (Sub-Total) 0 0 0 10006 .
PLAN CHECKING FEE (One-Fourth PermR Fee) ` 0208-79 -
PERMIT
208_79 -PERMIT ISSUING FEE $7.00
TOTAL FEE 10 <>
INSPECTION FI NALE D
data, 71Z,017 d
W 6/78
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES OUILDING AJdD SAFETY
FOR AFTL WANT TO F"W ADDRESS
New Residential Bldgs.&Pools EACH NO. FEE
1 S 2-Fornlly,Sq.Ft. Y — S LOCALITY
00
Multi-famlly Sq. Pt. —
Residential Swimming Pools
Outlets.:Rec Light_T_Sw. ADDRESS I
First 20
Total No. MdRbnal CITY Tel.No
PL .
-ALINST
Lighting Fixtures First 20 ADDRESS
Total No. AddRbnol CITY Tel.No.
Fixed Appliances Not Over 1 HP
Range_Hecrter_D.W._ APPLICANT
Oven—Dryer—W.M-- ADDRESS
Top _FAU W.H._ CITY Tel.No.
Hood_Fan —Other LICENSE OR
DJsp._Room Alr Cond. REG.NUMBER Class.
t HEREBY ACKNOWLEDGE THAT.I HAVE READ THIS APPLICA-
Power Apparatus&Lar6e Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Sim b Y HP,KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS.
REGULATING ELECTRICAL WIRING.
Up to 1 Ind. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANE)/.OR
Over 1 to 10
50 In UCAL�FORRNLA OR TED AS HAT IRED MY LOS ANGE-ES COLNTY AND AM THE LEGAL OWNER OF THE ATE OF
BOVE
Over l 0 to 1 D Ind. DESCRIBED RESIQegnAL PRDPERTY.
Over 50 to 100•Inc _
Over 100 PERMITff
SIGNATURE
Servicn DISTRICT NO. JPRQ7
E
0-200 Amp.Under 600 V S 081
201-1000 Amp. Under 600 V
Over 1000 Amp:of Over 600 V
Temp. Power Pole iL Appurtenaoaes
Sign wtth One Branch Circuit
Addit{onal Sign Branch Orcutts INSPECTION 3
Mise Conduits a Conduttors INFORMATION
�
Other(See Complete Fee Sd» ON REVERSE 539.6Adulel SIDE
Wo o'o;o 0 2
2 1500
PERMIT FEE lSubTotall '0 0 01 5 0 0 is
P1_AN CHECKING FE5 (One-Fourth Permtt.Fee)
`F 0711 -79
PERMFT ISSUING FEE
TOTAL FEF `f
INSPECTI FINALED
i date, By