HomeMy Public PortalAbout8746 BURGHARDT RD_Electrical__ C�ti�fi I
76A663-DE806 R-ET APPLICATION FOR ELECTRICAL PERMyT�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS l
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING
LOCALITY /
NEAREST
FOR APPLICANT TO FILL IN ir
CROSS ST.
NO. ACH FEE
RECEPT._ S S OWNER (�
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY /P19 ` TE .
LIGHTING TOTAL FIRST 20 .20 CONTRALTO
FIXTURES OVER 20 .10 ADDRES
RANGE—DRYER—WT R.HTR. /—/ CIT 7E L. N
STA.COOK_DISP. F.A.U.L LICENSE NO.
SPACE HTR. AIR COND.-/— HEREBY ACBNOW LEOG TNAT I NAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN—OTHER 1.00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REDU IRED By
LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTEE d
_ O
t - fo 3.00 DIST IC N GR P ZONE P OCESSED `Y U
b _
10 - SO 5.00 - O
50 - 100 10.00 NOTES: G
W
loo - Soo 15.00 o.
N
TUBE,SIGN.GA SIGN AND ONE CIRCUIT 3.00
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 A
ROUGH CONDUIT yf/j
t� WIRING
ISSUING FEE 2.00 /
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIEO /I
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOI-AN
mmz SUPERVISING ELECT ICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
2 9.1 3 2 FEB 1 '. 2 D 7.2 0" a
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE • //It?' _[V'{V
76A$63-CE806 4 6 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS C> 'T
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN.W. JENKINS. SUPT. OF BUILDING LOCALITY L
NEAREST
FOR APPLICANT 70 FILL IN CROSS ST.
RECEPTACLE ?TOTAL NO. EACH FEE /'� 1-11;7
, �1
LIGHT OUTLETS FIRST 20 / .20 $
OWNER13 /r �/+��/.A
AIL
SWITCH
QL OVADD*ER 20 .f0 j ADDRESS '� (� Q
l TOTAL CITY L TEL. NO. YX D
LIGHTING l FIXTURES FIRST 20 .20 I
FIXTURES J ADO'L CONTRACTOR CJ 7 ,�
16 1 OVER 20 .10
RANGES ' CLO.DRYERS WTR.HTRS. 11.00 ADDRESS �J J
GARB.DISP.y/ STA.COOK O
CITY Q 7 e TEL. N / �J
olsnwASH. '✓ AUTO.-WASH. STATE
SPACE HTRS.✓ STA.APP.(yy H.P.MAX.) .50 ) LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTr NO. I GROUP ZONE I P ESSED BY
O 1 1.00
1 3 1.50 INSPECTION RE ORD
3 8 2.00
8 15 2.501
d
15 50 3.00 Q
50 - 100 5.00 V
w
SIGNS: NO.TRANS Q
NO.LAMPS ~
W
SERVICE 0.600V-NOT OVER 200A 14a � 1.00 ...� H
SERVICE O.SOOV-OVER 200 A. 2.00 Z
SERVICE OVER 600V 5.001
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6t
APPROVALS DATE INSPECTOWS SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIERSLAB WORK
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATI
ELECTRICAL WIRING. INGHEREBY CERTIFY THATI AM PROPERLY REGISTERED AND/ URES
LICENSEO A5 REpUIREO BY 5 ANGELES COUNTY AND STATE CALIFORNIAORTH IAM LEGAL OWN OF. ANO INTEND ER
RESIDE IN.THE ABO O IBED R 1SIGNATURE LITY CO.NOTI FIED
OF PERMITTEE
FINAL
ALIDATION JOSEPH C. ROOHAN
C MO CASH SUPERVISING ELECTRICAL ENGINEER
,0 6 3 7 ? OCT 132 A 16.40-
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