HomeMy Public PortalAbout9123 BLACKLEY ST_Electrical__ 76A663-CE80612-65 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS cll a23 F, &,f(PALCV Sr.
JOHN A LAMBIE, COUNTY ENGINEER q,7 `C ns
0 COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY �M;04 67
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL
NO EACH FEE
OUTLETS ZO$20 $ OWNER
(FXTURES
GHT FIRST 20 v v 0 4
MAIL �// �^ l�L�C�ffLE�/ ST•
ITC ADD L 10 n ADDRESS
OVER 20 V
TOTAL FIRST 20 20 CITY 014 c,rY TEL NO AFS-,60048
HTING 1_7 FIXTURES
ADD L 10 CONTRACTOR
OVER 20
GES DRYERS WTR HTRS too ADDRESS
!ARB DIS_ STA COOK CITY TEL NO
ISH WASH AUTO-WASH STATE
!ACE HTRSSTA APPL SO LICENSE NO
'OTORS OVER NOT OVER HP DISTRICT N G P Z E PR ED B
O 1 1 oo ? C
>-
1 3 150 INSPECTION REC RD a
O
3 8 20 V
8 - 15 250- - O
15 50 300
W
a
50 100 500
SIGNS NO TRANS
NO LAMPS
SERVICE 0-600V NOT OVER 200A 100
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200 /
SUPPLEMENTARY PERMIT ISSUING FEE1 00 APPROVALS DAT! INSPECTOR'S 61aNw7uR6
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING -
WIRING 1 _
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED OS ANGELES COUNTY AS; TECALIFORNIA OR THAT E LEGAL OWNER OF APOWER
RESIDE IN THE ABO RIBED RE L O
SIGNATURE
SI NATURPERMITE UTILITY CO NOTIFIED �" - `.z•.
FINAL % s
VALIDATI� JOSEPH ROOHAN
CK MO CASH SUPERVISISI NG ELECTRICAL ENGINEER
LAC05 NOV 4 2 D
v /
76A&�3-.CE806 ,1_71 APPLICATION FOR ELECTRICAL"' PERMIT
COUNTY OF LOS ANGELES
° DEPARTMENT OF COUNTY ENGINEERBUILDING
5� BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS STIL
OUT4ETS NO EACH FEE
OWNER
P)RECEPT I (l $ $ ADDRESS K> S
FIRST 20 V 2S
LIGHT TOTAL !� CITY TEL NO
SWITCH S �- OVER 20 ,� 10 S9 0 PLAN CHECK
LIGHTING T
gfrFIRST 20 /12 25 APPLICANT
AL
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT, I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a.
1 - 10 300 RESIDE IN, THE �SCRMED RES DENTIAL PROPERTY Q
10 - 50 500 SIGNATURE
C V
OF PERMITTEE
50 - 100 1000 ,
DISTRICTNO `ASS ZON PROC
W
100 - 500 1500 a
N
SIGN GASSIGN AND ONE CIRCUIT 500 NOTES
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERV I CE OVER 600 VOL TS 0 R 200 AM P 1000
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT /
WIRING ( 7
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL 7
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION M 0 ASH
1 PO 7 5 C g N AUG 15 2 D 1 0.0 0- �
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE