HomeMy Public PortalAbout9564 BLACKLEY ST_Electrical__ 76A663-CES06 6/63 APPLICATION FOR ELECTRIC#L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT, TOTAL NO. EACH FEE
OWNER'
LIGHT OUTLETS FIRST 20 n $.20 MAIL
i
ADD'L ADDRESS
SWITCH. � OVER 20
10
TOTAL . CITY EL. NO.
LIGHTING l� FIRST 201 .20
FIXTURES 1 ADD'L1O ELECTRICI N
OV R 20
RANGES CLO.DRYERS NWTR.HTRS. 1.00 ADDRESS
GARB.DISP. • r(�
L CITY EL.NO. T
DISHWASH. AUTO.-WASH. STATE
A� STATE
SPACE HTR STA.APP.(1fj41P. � .50 (� LICENSE'NO.
MOTORS: OVER NOT OVER H.P. _ DIST ICT py(Q,. TP PR B
O 1 .1.00 0 'j '
1 3 1.50 - INSPECTION RECORD
3 a 2.00
s is 2.50 OV
15 50 3.00 qG
50 100 5.00
SIGNS: NO.TRANS d
NO.LAMPS
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.600V-OVER 200 A. 2:00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE'IS CORRECT AND AGREE TO COMPLY CONDUIT A
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR '
LICENSED AS REQUIRED B L09 ANGELES COUNTY•AND S A OF FIXTURES r CALIFORNIA OR OR THAT 1 M E LEGAL WNER 7 OVE �
DESCRIBED RESIDENTIAL R Y. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL A Rr4F� f19 A'�: Taf• ,fA
LIDATION ARTHUR C. VEIT ry
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAW 56591-0 NOV 6 2 m 19.50-
cm
76A663-CE806 9-67 APPLICATION FOR ELECTRIC PERMIT7---
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY (iNGAv
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
$ $ OWNER 1/, JQr—
RECEPT._ MAIL /
LIGHT TOTAL FIRST 20 .20
ADDRESS f�
.ter
SWITCH_ OVER 20 .10 CITY �.
- TEL. NO.
LIGHTING TOTAL FIRST 20 20 CONTRAC OR 0a �'/e e—
FIXTURES OVER 20 10 ADDRESS to j'
RANGE CITY !.(� /�•� TEL. NO.
STA.COOK-DISP. F.A.U.- LICENSE NO. J L�
SPACE HTR. AIR CON D. I HEREBY ACKNOW EDGE THAT I HAVE READ THIS APPLICATION
AND 'ST,ATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL, COUNTY ORDINANCES AND STATE LAWS REGULATING
CLOTHES WASH._DISHWASH._ ELECTRICAL WIRING.
FA N_OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT 1 AM T E LEGAL OW OF, AND INTEND TO
IND HEATERS, ETC. HP, KW. KVA. RESIDE IN, THE ABOV ES [BED [DEN PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00OF PERMITTEE d
y e 1 - 10 3 00 3 DISTRICT NO G�P ZO IE P OCE SED IJ
10 - so S 00
O
50 - 100 10.00 NOTES: G
100 - 500 15 00
N
SIGN,GAS SIGN AND ONE CIRCUIT 3 001 z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 00
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
ISSUING FEE 2 00 oC r/(9 WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00
POWER AUTHORIZED
PERMIT FEE UTILITYCO.NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELEC ICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDCK.
ATION M.O. CASH
Lfiuo �,Ov 2 9 2 0 5bocv
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE