HomeMy Public PortalAbout9457 BLACKLEY ST_Electrical__ 76A663
ee aA A. APPLICATION FOR ELECTRIC PERMIT9�S
Dn-
Dl SION OF BUILDING AND SAFETY
Department of County Engineer BUILDING
County of Loa Angeles ADDRESS
JOHN A LAMBIE.COUNTY ENGINEER ✓/.�
CASSATT D GRIFFIN, SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES .2"OSS ST
NUMBER OWNER
U LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
Z WALL SWITCHES FEE CITY TEL NO
TOTAL OUTLETS @ s¢ $ ELECTRICIAN
ELEC RANGES 28
ADDRESS l.L
ELEC HEATERS 244 V
CITY TEL.NO T ll
KW EA STATE
2 d FIXTURES s LICENSE NO
MOTORS DISTRICT NO GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE L) I
NEW MVD HP OVER INC EACH
&LESS .25 INSPECTION RECORD
36 2 so
2 s 100
s is ISO
I44 so 250
ISO zoo s o0 1 I v_—
f77
�
\, 4
(I Q e p MISC
\ A (Q
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES $100
SUPPLEMENTARY 50 APPROVALS
I
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT \
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE OVE POWER
DESCRIBED RESIDENTIP PROPERTY
SIGNATURE UTILITY CO NOTIFIED 1 ��
OF PERMITTE FINAL \ ~
JOHN A LA .COU ENGINEER M CASH ARTHUR C.VEIT.CHIEF ELECT. INSPECTOR
3423 NOV 14 2 7.35 �'
(76W3-t?E.46 ,1/70 APPLICATION FOR ELECTRICAL PERMIT IJ
COUNTY OF LOS ANGELES
'DEPARTMENT OF COUNTY ENGINEER BUILDING
� 7
BUILDING AND SAFETY DIVISION
COLEMAN IN JENKINS SUPERINTENDENT OF BUILDING LOCALITY C�
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE
OWNER `
$ $
RECEPT MAIL
LIGHT TOTAL
FIRST 20 25 a S ADDRESS
I
CITYId
TEL NO f
SWITCH J OVER 20 10
PLAN CHECK
LIGHTING FIRST 20 Zg APPLICANT
TOTAL
FIXTURES
OVER 20 t0 ADDRESS
OVER
APPLIANCES CITY TEL NO
PERMIT
RA DRYER_WTR HTR APPLICANT
STA COOKt_DISP F A U ADDRESS/
SPACE HTR AIR COND CI TY TEL NO U
CLOTHES WASH /�(y.Q/D�IIS�HWASH LICENSE NO 2_ �Yl/ CLASS
FAN OTHER v_ 100 �' 0 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 >_1 - lO 300 RESIDE N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
10 - $0 gpp SIGNATURE V
OF PERMITTEE
SO - lOO 1000 DISTRICTNO CLASS Z E PR C O
100 - S00 1500 (ti �w
SIGN, GASSIGN AND ONE CIRCUIT 500 NOTES h
TUBE, OR ?
MARQUEE ADDITIONAL CIRCUITS 100
SERV ICENOTOVER600VOLTS 0R200AMP 300 v 00, 1
SERV ICEOVER600VOLTS 0R200AMP 1000 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED V A4
PLAN CHECK FEE �
PERMIT ISSUING FEE 300 FINAL Z
Jos4-=Pl
4C ROO AN
TOTAL FEE SUPERVI ING ELEC L ENGINEEP
PLAN CHECK VALIDATION CK M O CASH PERMIT VALID 10 CK M 0 CASH
75SEEL'ALo di,l!" r�S JAN 21 2 0 0.75-
SEE
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