HomeMy Public PortalAbout9330 BLACKLEY ST_Electrical__ 76A364 - CE818 - 3-69 APPLICATION FOR PERMIT
HEATING - VENTILATING - AIR CONDITIONING
COUNTY OF LOS ANGELES BUILDING
DEPARTMENT OF COUNTY ENGINEER ADDRESS '
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS,SUPERINTENDENT OF BUILDING NEAREST
I CROSS ST.
FOR APPLICANT TO FILL IN
OWNER
(PRINT OR TYPE ONLY)
MAIL
NO. TYPE OF APPLIANCE OR EQUIPMENT FEE ADDRESS
ABSORPTION SYSTEM, BTU CITY TEL. NO.
AIR HANDLING UNIT, CFM CONTRACTOR
ADDRESS 7
BOILER, HORSEPOWER
CITY TEL. NO.
COMPRESSOR, HORSEPOWER STATE LIC,
LICENSE NO. CLASS
VENTILATION SYSTEM DISTRICT NO. GROUP ZONE PROCESSED BY
EVAPORATIVE COOLER
FURNACE: FAU GRAVITY
FLOOR BTU INSPECTION RECORD
HEATER: SUSPENDED UNIT
n_
WALL O
u
L'
Q
oc
NEW—ADDITION—
Lu PERMIT $ 3 00
L
ALTER--REPAIR_ TOTAL FEE $
PLAN CHECK APPLICANT
NAME
ADDRESS
ITY TEL. N0.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL ORDINANCES AND LAWS REGULATING HEATING,VENTI- APPROVALS DATE INSPECTOR'S SIGNATURE
LATING, AIR CONDITIONING.
IHEREBY CERTIFY THAT I AM NOT ACTING IN VIOLATION OF ROUGH
CHAPTER 9, DIVISION 3, OF THE BUSINESS AND PROFESSIONAL FINAL
CODE OF THE STATE OF CALIFORNIA.
SIGNATURE JACK R. ALLEN, SUPERVISING MECHANICAL ENG-R.
OF PERMITTEE
PERMIT VALIDATION �CK. M.O. CASH
PLAN CHECK VALIDATION
^I �� 1 4 1
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76AS63 CE806 10.62 APPLICATION FOR ELECTRICAL PE MIT_
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILD'NG
N
BUILDING AND SAFETY DIVISION ADDRESS 401
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY
NEAREST )
FOR APPLICANT TO FILL IN
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 6 $20
�`� $ OWNER
LIGHT l MAIL
ADD ADDRESS
SWITCH�� OVER H2O 10
LIGHTING TOTAL FIRST 20 20 &7 CITY TEL NO
FIXTURES ADD L ELECTRICIAN
OVER 20 tO
RANGES CLO DRYERS WTR HTRS too ADDRESS
GARB DISP STA COOK �y� �y f
CITY TEL NO CFS
DISHWASH AUTO WASH STATE q///- •� �y �r
SPACE HTRS STA APP (yp H P MA ) 50 J LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NO G O P ZONE PR CUSSED BY
o t 100 i
1 s 150 1 INSPECTION RE^CO'Rn
3 8 200
8 15 250 //��{np /jl�r �y V
15 50 3 00 0
50 100 Soo
SIGNS NO TRANS
NO LAMPS
f•
SERVICE 0 600V NOT OVER 200A too
SERVICE O 600V OVER 200 A 200 Eg
SERVICE OVER 600V Soo
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE $
LDESCRIBED
BY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
TE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT ♦ A/1
LL COUNTY ORDINANCES AND STATE LAWS REGULATING / }�/f 1
CAL WIRING WIRING !/ i'f "*' �_ i
EBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR / /1 ,� l
D AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES /��h�O U
NIA OR THAT 1 AM THE_LEGAL OWNER OF THE ABOVE v tI (,,/ Q Qi ". �"`^s'- ✓�
ED RESIDENTIAL PROPERTY POWER
URE A UTILITY CO NOTIFIED
MITTEE
FINAL �Y//�.d1 l (/F ✓
LIDATION ARTHUFeC VETT U'
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
1,
0 s t,f,Y 19 2 0 14.0 v
76`663A-CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALIT y33 C&1,7 c l S
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACHI FEE _
$ $ OWNER �� /U Z � �O
RECEPT MAIL r
LIGHT TOTAL T
FIRST 20 ADDRESS
OVER 20 CITY / �� l L- C, T TEL NO
SWITCH PLAN CHECK
LIGHTING TOTAL FIRST 20 APPLICANT
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMITi1�L
RANGE DRYER_WTR HTR APPLICANT - C �
STA COOK DISP F A U ADDRESS �G/7� YVI� 'I// ✓( V�
SPACE HTR AIR COND CITY L� C �'��� TEL NO
CLOTHES WASH DISHWASH LICENSE NO 3//��Q CLASS
FAN OTHER IHEREBY 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 9 TYPE OVER TO Q�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR U
0 — I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF LV
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO p-
1 — lO RESIDE IN, THE ABOVE DESCRIPED RESIDENTIAL PROPERTY ce.)
SIGNATURE
10 - 50 OF PERMITTEE1_��.d ` G'�Ltr
50 - 100
DISTRICT NO �CIASS ZONE OCE S D BY
100 — 500
SIGN GAS SIGN AND ONE CIRCUIT NOTES
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER600 VOLTS OR200AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AM P
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE FINAL 1,-.Z-71/
-
PERMIT ISSUING FEE ,
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH P R IT VALIDATION M o CASH
cK
40 1 22 2 9.0 O
EI
76A663A^CE806A 4/72 APPLICATION FOR ELECTRICAL PERMIT lJ
COUNTY OF LOS ANGELES �/
DEPARTMENT OF COUNTY ENGINEER Aoo IN (� C �� C/C �� Sr
BUILDING AND SAFETY DIVISION
LOCALITY ( �r✓��/�� C r IT
FOR APPLICANT TO FILL IN NEAREST
CROSS ST to,.(i X�q
OUTLETS NO EACH FEE
$ $ OWNER
RECEPT FIRST 20 ADDRESS
LIGHT MAIL v
TTOTAL ?
OVER 20 CITY 767,, (1;7XTEL NO
SWITCH,[ PLAN CHECK
LIGHTINGTOTAL ` FIRST 20 APPLICANT
FIXTURES
OVER 20 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 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C.7
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO G
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR F...;
O - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF t
LLA
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O-
1 - 10 RESIDE IN, THE ABOVE DESCRIPED RESIDENTIAL PROPERTY PROPERTY (/l
SIGNATURE
10 - 50 OF PERMITTEE (n
50 - 100
DISTRICTNO LASS ZONE PROCESSED BY
100 - 500 0 —I �
SIGN GAS SIGN AND ONE CIRCUIT NOTES
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVI CE NOT OVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM
ROUGH CONDIUT
WIRING / Z3A /.,�
FIXTURES
POWER AUTHORIZED
PERMIT,FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL /
PERMIT ISSUING FEE 1.
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONM o c >
CASH
7 1 :5-OCT i 2 d 1 V.9 U v��
76A663A-CE806A 4%72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
JNEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER
RECEPT.''�S $ $ OC MAIL
'-T- FIRST 20 ADDRESS
LIGHT TOTAL
CITY TEL. NO.
SWITCHOVER 20
PLAN CHECK
LIGHTING FIRST 20 APPLICANT
TOTAL
FIXTURES . OVER 20
ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYERWTR. HTR._ APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
I
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS, d
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION U
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY yJ
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -✓I
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. LL-
ETC.
& TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ,¢
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 0=1 - lO RESIDE N, THE ABOVE OESCRIP.ED RESIDENTIAL PROPERTY. Oa
10 - 50 SIGNATURE
OF PERMITTEE u.l
f-
50 - 100
DISTRICTNO. CLASS ZONE PROCESSED BY
100 - 500 �, '�
SIGN, GAS SIGN AND ONE CIRCUIT NOTES: J
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE
TOTAL FEE ,_,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION Y M.0. crSW
76A663-CES06 1/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS AAIGEL.ES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
1.
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO, EACH FEE
5 $ OWNER
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 20 ADDRESS -
SWITCH OVER 20 10 CITY TEL. NO.
PLAN CHECK
LIGHTING 1TOTAL I
FIRST 20 20 APPLICANT
FIXTURES
J}
OVER 20 ADDRESS
.10
APPLIANCES CITY TEL. NO.
RANGE ORYERWTR. HTR. PERMITAPPLICANT -
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. -L.... f-•'1L'` r CLASS.
FAN OTHER 1.00 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 p,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Q
0 - 1 100 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF V
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UJI
SIGNATURE LL.
10 - 50 5.00 OF PERMITTEE }
50 - 100 10.00
DISTRICT NO. �CLASS GROUP ZONE PROCESSED BY Q
100 - 500 1500
a
SIGN, GAS SIGNAND ONE CIRCUIT 3.00 NOTES: W
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50', PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 ,
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSEPH C. ROOHAN
TOTAL FEE f SUPERVISING ELECTRICAL ENGINEER,
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE