HomeMy Public PortalAbout8720 BURGHARDT RD_Electrical__ 76A682^-CE806 3-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES NG �/
DEPARTMENT OF COUNTY BUILDING AND SAFETY DIV SIONER rA BL oREI6BLT'JOHN A. LAMBIE. COUNTY ENGINEERWILLIAM A.JENSEN, SUPT OF BUILDING CALITY
NEAREST
F7PPLICANT TO FILL IN CROSS ST. .I-s C f? L
RECEPT. - AL NO. EACH FEE
ET6 FIRST 20 O 5 2O 9 OWNER �MAIL
LIGHTpDO'L ADDRESSSWITCH. OVER 20 .10AL C] CITY // TEL. NO.
LIGHTING F1Rsr 20 .20FIXTURES6 V5 2 1O ELECTRICIAN H CO
OV ORD
2L
RANGES CLO.DRYERS WTR.MTRS. 1.00 ADDRESS
GARB.DISP. � BTA.COOK
CITY164 TEL. NO.
DISHWASH. � AUTO.-WASH. STATE
SPACE NTRB.Zl"' STA.APP.(Ya H.P.MAX.) .$O
LICENSE NO.
MOTORS: OVER NOT OVER M.P. DISTRICT NO. GROUP Z E PR CE BY
o — 1 1.00
1 — 2 1.50 INSPECTION RE ORD �-
D
s e 2.00 O
u
e 16 2.50 �
1$ 50 3.00 Q
u
$O 100 5.00 W
n.
N
SIGNS; NO.TRANS. Z
NO.LAMPS
SERVICE 0.60OV-NOT OVER 2esAl 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 6'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIO APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FI=I ORES 1 I "f
CALIFORNIA OR THAT THE LEGAL N OF THE ABOVE I
DESCRIBED RESDJSNn .PROPear/yJ POWER / /�If i //q�wA i---J
SIGNATURE i.//. UTILITY CO.No
illsoli
6 .�,
OF PERMITTE
I
FINAL
AIIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
0 u.
5 .
I.0 0 7 LI_T �_ 2 H 1
76A663C' EEeD6B12/75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN iDB
New Residential Bldgs. & Pools
EACH NO. FEE ADDRESS
1 &2 Finaily Sq. Ft. $ - $ LOCALITY
Multi-family Sq. Ft. - NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
FI RM NAME r 15 14E fl—
Outlets:s: Light, Switch & Receptacle MAIL
First 20 ADDRESS
Additional CITY Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY T.I. No.
PERMIT I
Fixed Appliances Not Over 1 HP APPLICANT / N
Range_ Heater_ D.W. _
ADDRESS OX
Oven Dryer W.M.
Top FAU _ W.H. CITY (f6 g4 e7_Te1. No.
d
Hood Fan LIGE SE OR
Disp. A.C. (, 4fj 6 p
— REG. NUMBER p Class.
Ir
I HEREBY ACKNOWLEDGE 0
AND STAT THAT THE ABOVE THAT R HAVE
E , . ~—
Power Apparatus& Large Appliances Ro1NANce STATE LAw: Recu LAriN w
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. a-
N
Up to Incl. e - z
Over 1 to 10 Incl. H/ RT1 FY THAT I A" 1ROPEIII-Y REGISTERED EL R „e ARo„R —
neo wReo a E oP
Over 10 to 50 Incl. oEsI oe EOAaE ET'
Over 50(O 1OO Incl. SIGNATURE
V—R THAT I AM THE LE
Over 100 SIGNATURE
Services DISTRICT NO. P CE D BY
0-200 Amp. Under 600 V `r' 045 �'...+aieyj
201 - 1000 Amp. Under 600 V APPROVALS E INSPECTOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit -
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES '
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED '7
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL �Zy
PERMIT ISSUING FEE Z _
TOTAL FEE NOTES "\
i3s
PLAN CHECK VALIDATIONCK M.O. CASH PERMIT VALIDATION CK. M.O. CASH
\\ '/� Q 6 2. iiOY 10 2 o 1 3.50A'