HomeMy Public PortalAbout10786 BLACKLEY ST_Electrical__ 76A663-CE806 8/63 APPLICATION FOR ELECTRICAL PERMIT;7___
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING !/
BUILDING AND SAFETY DIVISION ADDRESS el
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY s
NEARESTlj
FOR APPLICANT TO FILL IN cRoss sT. _ �G 4L.�O'y
RECEPT. TOTAL NO. I EACH FEE
OUTLETS FIRST 20 $20 IS OWNER
LIGHT MAIL
ADD'L f0 ADDRESS
SWITCH. ___TAL OVER 20
TON�L{
LIGHTING FIRST 20 20 CITY TE
FIXTURES } ADO'L ELECTRICIAN
OVER 20 .10
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK '
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(y=H.P.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P.
1. DISTRICT
GP ZONE
O 1.00
3 PR E
1.50 INSPECTION RECORD
3 8 2.00_ per,
8 15 2.50 0
15 50 3.00
O
50 100 5.00
SIGNS: NO.TRANS N
NO.LAMPS
Z
SERVICE 0-60OV•NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOSANGELES"COUNTY 'AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER /
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL '3�Z S'
VALIDATIOARTHUR C. VEI
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
76A663-CE806 9-66 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER d.f
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT,9._1 TOTAL NO, EACH FEE
JIS OUTLETS $.20 $ 0� OWNER
LIGHT FIRST 20 MAIL
SWITCHZpf ADD'Li1 1O /�1l ADDRESS
OVER 20 V .7 CJ
1 TOTAL FIRST 20 .20
LI /�D CITY TEL. NO.
LIGHTING l FIXTURES -Y - -
FXTURES Jr ADD L1O CONTRA TOR
OVER 20
RANGES DRYERS WTR HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK r
/ O CITYde
TEL. NO.
DISH WASH. AUTO.-WASH. / STATE �/�
SPACE HTRS. STA. APPL. / .rj0 / D LICENSE NO. \� %5
MOTORS: OVER NOT OVER H P. DISTRICT N - P P D
O 1 1.00
I 3 1.50 INSPECTION kkiCIRD
3 B 2 00
8 15 2.50
15 50 3.00
50 100 5.00 f `An C �>/^�/y(�p��j�!
SIGNS: NO.LAMPS �c- �O- iJF� O
_ H
SERVICEO.600V-NOT OVER 200A 1.00 W
CL
SERVICE 0-60OV-OVER 200 A. 2.00 In
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 SIGNATURE
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT _
L
COUNTY ORDINANCES AND STATE LAWS REGULATING / rJ
L WIRING. WIRING
Y CERTIFY TH I AM PROPERLY REGISTERED AND/OR FIXTURES
AS REQUIRE B LOS ANGE E5 COUNT AND STATE OF
IA OR THAT AM HE LEGAL O N AND INTEND TO POWER
,THE ABOV DE CRIb&D RE 1 PROPERTY.
RE UTILITY CO.NOTIFIED A
ITTE FINAL '"7 �,t / -
LIDATION JOSEPH C. ROOHAN
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
lJ1L';'0 9 1 2 2 JUN 16 2 D 8.50-