HomeMy Public PortalAbout9421 BLACKLEY ST_Electrical__ A-
76 A683 �e aU6R ,0,;7 A,�}pLICATl01�1 FOR ELECTRICAL PERMIT
" Y J COU"TY QF LOS ANGELES
DEPARTWENTO¢COUNTY ENGINEER JOB 94Zj_ BI-ACKLIEY ST.
fADDRESS
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN OCALITY
New Residential Bldgs &Pools EACH NO FEEEAREST
1 &2 Family,Sq Ft ROSS ST
$ 025 _ $ WNER O S!",I'II3, POBERT
Multi family Sq Ft RM NAME
Residential Swimming Pools 2500 MAIL SADE
ADDRESS
Outlets Rec =}� Light—Sw CITY 'jaTIE (,'I'j'Y Tel No 287-3670
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 1 1 CITY Tel No
Additional 30 PERMIT
Total No APPLICANT TRANE H.C.C.
Fixed Appliances Not Over 1 HP ADDRESS 2034 N. PECK R.D.
Range_Heater_D W CITY S. EL MISM T GAel No 579-7982
Oven _DryerW M_ 25 LICENSE OR —110
Top —FAU - W H REG NUMBER Class
Hood_Fan -Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp — Room Air Cond 250 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES ARID STATE LAWS REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVARHEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR LICENSED AS
REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM >
— hyam Up 10 1 Incl 2 50 THE LEGAL OWNER OF THE BOVE DESCRIBED RESIDENTIAL PROPERTY C
.i"'Over 1 to 10 Incl 500 v
Over 10 to 50 Incl 1250 PERMITTEE O
Over 50`o 100 Inc 2500
SIGNATURE e
Over 100 4000 DISTRt
ROCPVD BY N
Services 0 200 Amp Under 600V 1250 INSPECTOR S
201 1000 Amp Under 600 V2500 DATE SIGNATURE
Over 1000 Amp or Over 600 V 5000 TEMP UNDER
Tem Power Pole&A 1000
Temp ppurtenarces
Sign with One Branch Circuit 1000 ROUGH CONDUIT
Additional Sign Branch Circuits 200 WIRING
Misc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (Sub Total) 7 50 NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE $700 14
TOTAL FEE
PLAN CHECK VALID'A�LO itlRO CASH PERMIT VALIDATION CK M 0 CASH
.5 4 4 2 D 4.5 0 ,&�j
LICY HOLDERo� •� �c� - ��K -
LIQY EPPAGtE18EXm10 CATION FPR COMPLETE SCHEDULE
Zvi, 0- -0" je'Ll
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7GA663 CE806 10.82 APPLICATION FOR ELECTRI AL_ PERM
7
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING `,
BUILDING AND SAFETY DIVISION ADDRESS 7 4i4
JOHN A LAMBIE. COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE 4
OUTLETS FIRST 20 $20 $ OWNER
LIGHT MAIL r..
SWITCH
OVER L f0 ADDRESS
LIGHTING TOTAL FIRST 20 20 CITY TEL NO
FIXTURES ADD L
OVER 20 10 ELECTRICIAN ) ((
RANGES CLO DRYERS WTR HTRS too ADDRESS
GARB DISP STA COOK ZZ
CITY�i sL�L) TEL NO v (/
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (yi H P MAX ) 50 LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NO G P Z P E D
s
O 1 1 00
1 3 ISO INSPECTION R C RD
d
3 a 200 f,,� O
a 7 5 250
15 50 300,
SO 100 5 00 ''� ""•
. d
NO TRANS
SIGNS NO LAMPS y - �^ L•
SERVICE 0-600V NOT OVER 200A —4- 100
SERVICE 0.600V OVER 200 A 200
SERVICE OVER 600V 500
MISC r
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1100,
TOTAL FEE $ 410
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
i HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
1
SIGNATURE ` UTILITY CO NOTIFIED
OF PERMITTEE ` -
FINAL
VALIDATION ARTHUR C VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LA- 2 77 9 4 JUN 14 2 D 3.4 0-