HomeMy Public PortalAbout9302 BLACKLEY ST_Electrical__ n
76A663 CE-806(11 78) APPLICATIO OR REC ICAL,,PERMIT
- ', . _ . ._r r ,
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS _UOt ..t._ _
New Residential Bl8gs &Pools` EACH NO FEE - ,
1 &2 Family,Sq Ft $ '025 — $ LOCALITY
Multi family Sq Ft 02 — NEAREST "
25 00
Residential Swimming PoolsCROSS ST
_ OWNER OR � y.��}� 7,
FIRM NAME W C�
Outlets Rec Light SW MAIL
First 20 50 ADDRESS
_Total No , yrsr 'Tel No
f
30 CIT y Y.
Additional
PLAN CHECK + '
APPLICANT
Lighting Fixtures First 20` , 50 ADDRESS
--- -- -- - -
Total No Additional 30 _ CITY � Tel No-
Fixed
o _
Fixed Appliances Not Over 1 HP t _ PERMIT -�' -
APPLICA T
Range_Heater_D W _
Oven_Dryer_W"M— ADDRESS ' ] _N
Top _FAU — W H _ CITY _ _ � , -,Te) No/)Sk
Hood_`Fan. _Other_ LICENSE R ( (� tea/
Disp —Room Air Cond _ 2 50 REG NUMBER �-G O� Class w
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS'CORRKT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES'AND STATE LAWS
Size&T
ype HP, KW, KVA,or KVAR 2 50 ` REGULATING ELECTRICAL WIRING 0
Up to 1 Incl I HEREBY CERTIFY T A PROPERLY RE RED'ANO/OR
Over 1 to 10 InclA S 00 LICENSED AS REQUIRED Y LOS A GELES COUNTY D STATE OF In
Over 10 to 50 Incl - 12 50 CALIFORNIA OR THAT AM TH _LEG OWNER THE ABOVE __O
Over 50 to 100 Inc
25 00 DESCRIBED RESIDENTI Y 1--
AAVd
' 4000 __ PERMIT EE
Over 100 SIGNATURE
Services - - DISTRICT NO " `- ED 'ROC
0 200 Amp Under 600 V 12 50
201 1000 Amp Under 600 V 25 00 U�
Over 1000 Amp or Over 600 V 5000 Z
Temp Power Pole&Appurtenances 1000 d fir/(f 3 y6 71 Q -
Sign with One Branch Circuit 1000 y
Addrtionol,Sign Branch Circuits 200 INSPECTION_- _ >
10 0o INFORMATION W
Misc Conduits&Conductors ON-REVERSE x
Other(See Complete Fee Schedule) r I
SIDE_ _. -. z 6;(� 8
d A
Q
#•o opo o o 2,
PERMIT FEE t ` Lt(Sub AFee) .
2 0o32-00
Z
PLAN CHECKING FEE, One Fourth Permitria _ O o 0 0 3 Q Q '
PERMIT ISSUING FEE o ' _ 0 0 9. 1 3'—7 9
TOTAL FEE ;
INSPECTION FINALS W ,t
�j / a.
date' n,A)G y ` O°S .r
768663-CE80610/72 APPLICATION FOR ELECTRICAL URMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
` BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OU LETS NO EACH FEE OWNER M
�✓�'OG/ $ $ FIRM NAME
RECEP MAIL
LIGHT 1w T AL J
FIRST 20 25 �, ��j ADDRESS
T
+� J CITY TEL NO
SWITCH ` OVER 20 JU 10 a�
PLAN CHECK
FIRST 20 25 J37APPLICANT
LIGHTING TOTA
FIXTURES 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR f APPLICANT
STA COOK DISP __)__F A U L \ ADDRESS Xj O
/
SPACE HTR AIR COND CITY TEL NO ��
CLOTHES WASH DISHWASH RLICENSE OR EG NUMBER CLASS l
FAN___lOTHER 100 Oc7 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVEIS 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Q - 1 1 00 LICENSED AS REO UIR D BY LOS ANG LES COUNTY AND STATE O�
CALIFORNIA OR THAI I AM THE L L OWNER OF THE ABOVE
1 - 1O ! 300 DESCRIPED RESID N IAL PROPERT d
O
PERMITEE U
10 — 50 500 SIGNATURE C=
O
50 — 100 1000v
DISTRICT NO ROCES D BY 1y
100 — 500 1500 �' N
/ Z
SIGN, GASSIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTO&S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 0UNDERSLAB WORK 41
i
SERVICEOVER600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES ' 'y1r, "CIL)
PLAN CHECK FEE E�• _ �� t � a�'H AA _r
PERMIT ISSUING FEE 300 0 0
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M O CASH
s
c50 �?3 a 11 2 a 24 .454 c'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE