HomeMy Public PortalAbout9429 BLACKLEY ST_Electrical__ 76A661d E806 `68 F R�ELE TRIC L PERMI
APPLICATION C� C c�V
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER �p
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCAL Y
NEAREST
FOR APPLICANT TO FILL IN CROSS ST .rJ�Q
NO EACH FEE C
$ $ OWNER
FFIXTURES
MAIL
TOTAL FIRST 20 20 ADDR
OVER 20 10 TEL NO
PLAN CHECK
TOTAL FIRST 20 20 APPLICANT
OVER 20 10 ADDRESS
RANGE_DRYER—WTR HTR — CITY T L NO
STA COOK_DISP F A U _ COi� d O
SPACE HTR AIR CONE) ADDRE
CLOTHES WASH _DISHWASH CI TEL N Q
FAN_OTHER / 1 00 LICEN E CLAS
MOTORS TRANSFORMERS RATING /
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND TE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF INTD TO
10 - SO 5 00 RESIDE IN THE ABOVE DESCRIPED RES] TI PRO RTY
` SIGNATURE V
50 - 100 10 00 OF PERMITTEE
CC
100 - 500 15 00 DIST$1CT N GRO PROCYZD BY G�
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 Q W
TUBE OR G.
MARQUEE ADDITIONAL CIRCUITS 1 00 N
NOTES Z
SERVICE-NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
' UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 Q'8 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE 3 JOSEPH C ROOHAN
SUPERVISING ELEC CAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CASH
1 4294 k 15 z a 3.00
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A663jCE 606(6/78)
APPLICATION F ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB X9429 BLACKLEY
Fedensidential Bldgs &Pools EACH, NO FEE , ADDRESS
Family,Sol Ft $ 025 — $ LOCALITY
family So Ft - 02 — NEAREST
ential Swimming Pools 2500 CROSS ST ✓Ll�^-�
g OWNER OR
FIRM NAME
Rec Light Sw MAIL ���qq��
First 20 50 ADDRESS
No Additional 30 CITY Tel No
PLAN
APPLICANT
Fixtures First 20 50 ADDRESS
Additional 30No CITY Tel No
ppliances Not Over 1 HP PERMIT
APPLICANTTRAM C'
e_Heater_D W ADDRESS 20 } Q. PECK
_Dryer_W M —
Top —FAU �_ W H 2.50 CITY S. EL MLNM Tel No 5797982
Hood_Fan _Other_ LICENSE OR
Disp —Room Air Cond 250 REG NUMBER Class
IHEREBY ACKN AT I HAVE READ THAPPeCA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl 5 00 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Ir Over 10 to 50 Incl1 2 50 CALIFORNIA OR THAT I AM THE LEGAL NER OF THE ABOVE
Over 50 to 100 Inc
25 00 DESCRIBED RESIDENTIA PRO R
Over 100 40 00 PERMITEE
SIGNATURE
Services DISTRICT NO JrPYCES ED BY
0 200 Amp Under 600 V 1 2 50 _
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000 /✓ rZlu>r C
/V I�.c� v-✓a. O
Temp Power Pole&Appurtenances 1000 ���Up o6U7L
Sign with One Branch Circuit 1000 C
Additional Sign Branch Circuits 200 INSPECTION >
INFORMATION W
Misc Conduits&Conductors 1000 ON REVERSE s
Other(See Complete Fee Schedule) SIDE Z ;@4658 A
Q
J
d
# 000002
PERMIT FEE (Sub Total) 20.0 2 - 27,00
Z
PLAN CHECKING FEE (One Fourth Permit Fee) O o o o 27,005
PERMIT ISSUING FEE $7 00 0 0 631 -79
J
Q
TOTAL FEE 97 no >
r
INSPECTION FINALED LU
W
date ! ;�j7; By Os
/ V
J "
7GA663 CE806 10-62 APPLICATION FOR ELECTRICAPERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
�iL/
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY ,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO I EACH FEE
OUTLETS FIRST 20 $2D $ OWNER
LIGHT � MAIL
swlrcH ' '•L� t0 ADDRESS
OVER LO
LIGHTING l TOTAL FIRST 2020 CITY TEL NO
FIXTURES J} L ELECTRICIA
OVVEERR 20 10
����t
RANGES CLO DRYERS WTR HTR9 loo ADDRES l /
B DIS STA COOK G
CITY TEL NO o GGGJJJ
DISHWASH AUTO-WA STATE
SPACE HTRS , STA A P (/a H P MAX ) gp LICENSE NO S
MOTORS OVER NOT OVER H P DISTRIC N G P I ZqVE I P En Ply
O 1 100 1
i 3 150 INSP CTIONRD }
a
3 8 1200 O
8 15 250 V
15 50 300
50 100 Soo j
CL
SIGNS NO TRANS N
NO LAMPS z
SERVICE 0-600V NOT OVER 200A 100
SERVICE 0-600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE f
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
y
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS ED BY LOS ANGE COUNTY AND STATE OF FIXTURES
CALIFORNIA O TN T I AM THE LEGA OWNER OF THE ABOVE
DESCRIBED RE DEN IAL PROPERTY POWER _ A
V
SIGNATURE UTILITY CO NOTIFIED
OF PERMI FINAL
` LIDATION ARTHUR C"VEIT
` CK MO CASH SUPERVISING ELECTRICAL ENGINEER
b 5 2 9 91 FEB 5 2 D 1 3.2 0