HomeMy Public PortalAbout9588 BLACKLEY ST_Electrical__ 768663-CE6*40T 10/72 ®PPLICATIO OR EL6iTRICAL PERMIT •
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB ✓ �/
BUILDING AND SAFETY DIVISION ADDRESS �5� ���IC. LL
LOCAL[ Y
NEAREST - I
FIXTURES
FOR APPLICANT TO FILL IN CROSS ST.TS N0 EACH FEE OWNER OR { _ _FIRM NAME. U ESyI&ADDRESSMAIL
TOTAL FIRST 20,J OVER 20 CIT ` TEL NO
�-•� 10 PLAN CHECK FIRST 20 125 APPLICANT
TOTALOVER 20 ADDRESS
10NTIAL APPLIANCESPERM
CITY TEL No.RYEP,_WTR. HTR. APPLIICANT
STA. COOK DISP. F.A.0 ADORES �
SPACE HTR. AIR COND. CITY TEL. N
C�13/i{ C� /T
.CLOTHES WASH. DISH WAS H. I RI=G.NSE OR GLASS.`-S
FAN OTHER 100 I HEHEBY ACKNOWLEDGE THAT'I HAVE READ THIS APPLICATION
\\I� 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 THAI AM THE LEGAL OWNER OF THE ABOVE Y
/ 1 - 10 300 DES(:RIf.ED RESID TIAL PR J)ERTY
O
PERMITEE C..7
10 - 50 500 SIGNATURE I C>C
50 - 100 1000 c-')
DISTRICT N0. ROCE SED BY W
100 -.500 1500 �
45 C/3
SIGN, GAS SIGN AND ONE CIRCUIT 500 - APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 100 TEMP. POWER POLE ie _-
SERVICENOTOVER 600VOLTS OR200AMP 300UNDERSLAB WORK •i2�r�d // ..�_
SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES
POWER AUTHORIZED '
UTILITY CO.,'NOTIFIED
FINAL S-11-24 '
PERMIT FEE (SUB TOTAL) NOTES: /7 !/NF � Q� �•�
PLAN CHECK FEE
PERMIT ISSUING FEE' 300d6o
TOTALFEE
PLAN CHECK-VALIDATION CK. M.0 C`ASH PERMIT VALIDATION cm M O CASH
618'NIAP 9, 2 0 '1 0.6 G
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE `
76A663-CE80610-62 APPLICATION FOR ELECTRICAL PERMIT(V/L
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEE_R_ BUILDING 931
BUILDING AND SAFETY DIVISION DDRESS Z1
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY l
NEAREST ,
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLET FIRST 20 $20 $ OWNER
LIGHT MAIL
27
SWITCH
OVER 20 ,10AOD'LADDRESS
TOTAL CITY NO.
LIGHTING FIRST 20 .20 —"'
FIXTURES c ADD'L -101,13PELECTRIC[ N
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.LOOK `
CITY EL. NO.
DISHWASH. AUTO.-WAS - r
J� /y
SPACE HTRS STATE 9�A• .Y� HIP.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DI§TsRICT N G Z N P S D
O 1 1.00 C
I 3 1.50 INSPECTION C RD
3 8 2.00P
J `` r a
8 15 2.50
15 50 3.00
50 100 5.00 0
SIGNS: NO.TRANS. a
NO.LAMPS
N
z
SERVICE O-GOOV-NOT OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
misc.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ffi
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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGE S COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM THE LEG L OW R F E ABOVE -
DESCRIBED RESIDENT[ P RTY. �' POWER
SIGNATURE !� UTILITY CO.NOTIFIED I «Gq
OF PERMITTEE
FINAL
VALIDATION ARtHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
D 5.1 �-