HomeMy Public PortalAbout6226 BURTON AVE_Electrical__ 70A653-CE606 I I/7o
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS - r Vii
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY San Babriel
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACHI FEE
OWNER
Mr- pp rrqqf
RECEPT.=1 OVER 20 5 Is
MAIL
LIGHT_ TOTAL
111(` FIRST 20 25 ADDRESS
CITY San TEL. N0. _
SWITCH .10 PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
OVER 20 .10 ADDRESS
FIXTURES
APPLIANCES CITY TEL. NO.
PERMIT
RANGEDRYER_WTR. HTR._ APPLICANT F.W.Dearner
STA. COOKDISP._F.A.U._ ADDRESS P 0 Box 49505
SPACE HTR. AIR CONO. CITYLosAngeles TEL. N0.
CLOTHES WASH. DISHWASH._ LICENSE NO. 256446 CLASS.
FAN_OTHER 100 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.
SI2E & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
D - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR TH THE LEGAL OWNER OF. AND INTEND TO
1 - 10 3,00 RE91DE IN, TXE� 'E [jEBC p ESIOE NTIAL PROPERTY. O
10 - 50 5.00 OF PERMNATURTTEE ) -�./f�l� 'SIG U
5
SO - 100 1000 DI STRICT NO. [LASS E PflOCES EO B O
100 - 500 1500
0
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: N
Z
TUBE, Oft
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP 1 301 3100
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
__dROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE y
FINAL C 73 C
PERMIT ISSUING FEE 3.00
JOSEPH C. ROOHAN
TOTAL FEE 6 00 SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT VALIDATIONcK M.Q. CASH
3 1 9 373 SEP 13 2 A
6.00A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663 Deg SA 25M SETS II-4B APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC 1
COUNTY OF LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN
ELECTRICIAN RECEIVED BY READY FOR- IDATE0189U/ED
/ FIRST INSPECTION ^ /'
ADDRESS �y� p v5.5 U - Z6
CITY TEL. N / y� /�
BUILDNO
LICENSE NO. EXPIRES —It ADDRESS O1 L
DESCRIP ON OF WORK
NUMBER OUTLETS EACH FEES LOCALITY
CROSS
LIGHTS Sc S STREET
RECEPTACLES 5
FIXTURES 5 OWNER
WALL SWITCHES S. MAIL
ADDRESS
ELEC. RANpEB 25
ELEC. HEATERS 25 CITY TEL. NO.
M19C. I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER OF CIRCUITS INSTALLED: ANGELES COUNTY LICENSE.
LIGHTS RECEPTACLES
MOTORS C Q �'�
ELELTPICIAN. �`�
NO"RER HORSEPOWER FEE U
New MVD. HPI OVER - wc. EACH IAM THE LEGAL OWNER OF THE RESIDENTIAL PROP-
I�x 6 LESS $ .25 ERTY DESCRIBED ABOVE.
p /x 2 .50
j 2 5 1.00 OWNER.
5 is 1.so INSPECTION RECORD
S
50 2.50
' sD zoo s.OD
20C Sao 10.00
Sao 1000 15.00 •�
Q
OVER 1000 20.00 Z
M.G. SET/FRED. CHANGER-HP
WELDERS: AC-KVA D
GENERATORS • KW
TRANSFORMERS - KVA
TEMP. MOTORS (759 OF ORIS.)
MOVED MOTORS (75% OF ORID.)
MISC.
SIGNS
TYPE: NO.TRANS.
TYPE: NO. LAMPS APPROVALS
PERMIT FEE DATE INSPECTOR'S NAME
FOR ISSUING PERMIT: CONDUIT
WITHOUT FIXTURES $IAO WIRING
WITH FIXTURES 1.25
FIXTURES
SUPPLEMENTARY .50
POWER
TOTAL FEE $0 ®® UTILITY CO.NOTIFIED
FINAL