HomeMy Public PortalAbout9008 CALLITA ST_Electrical__ 76A663_DEB06 I/]D APPLICATION FOR ELECTI l&L St � Ll
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTEN G E NT OF BUI LOING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH I FEE
5 5 OWNER ILI. �
RECEPT._ MAIL
LIGHT_ TOTAL
FIRST 20 20 ADDRESS a
SWITCH .,(y
CITY 0 j_ TEL. NO.,2pp r,.3P-J0._ -_ ..OVER 20 ,.10
Pi AN CHECK - - -.
FIRST 20 20 APPLICANT
LIGHTING TOTAL
ADDRESS
OVER 20
FI%TURES � .10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE_DRYERWTR. HTR._ APPLICANT
STA. COOK_DISP._F.A.U._ ADDRESS
SPACE HTR. AIR COND./ CITY v
TEL. NO.
CLOTHES WASH._OISHWASH._ LICENSE NO. CLASS.
FAN_OTHER I HEREBY ACKNOW LEDGE-THAT 1 HAVE READ THIS APPLICATION
�J 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.
SI
Z
E & TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
0 - 1 1,00 LICENSED AS REQUIRED BY
LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OW NEq OF, AND INTEND TO
I - 10 3.00 RESIDE IN, THE ABOVE OESCR IF,ED RESIDENTIAL PROPERTY.
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10 - 50 5.00 SIGNATURE OF PERM I TTE - f
V
50 - 100 1000 '
DI CDT NO. CLASS GR� 20T % SED BY CE
100 - 500 15.00 0
SIGN, GAS SIGN AND ONE CIRCUIT 3DO NOTES: W
d
TUBE, OR N
MARQUEE ADDITIONAL CIRCUITS IAO Z
SERVICENOT OVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2,00 2 Qa
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE IAO
JO EP C. ROO N
TOTAL FEE 5 ERVI SING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK, M.D. CASH PERMIT VALIDATION CK. M.D.
Sr_ 9 8 0 9i` AFR20 2 D 3.00- =
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE806 9-67 APPLICATION FOR ELEC4R C,� M04
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGO
BUILDING A.�"T3. SAFETY DIVISION ADDRESS d4l0 Z7 LL , 7-/V
JOHN /Y. LAME. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. OaEIrI Edd
NO. EA CH FEE
RECEPT $ S OWNER L/�.P.£pGLi GUSTO
MAIL
TOTAL ADDRESS
SWATCH— OVER 20 .10 EA-TEL NO.a2
LIGHTING lTOTAL FIRST 20 .20 CONTJ1Y'RACTOR Z7TL
FIXTURES I OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR. CITY TEL. NO.
STA.COOK 14SP. F.A.U.— LICENSE NO.
SPACE HTR.—AIR GOND. I HEREBY ACKNOWLEDGE THAT I HAVE READ TH15 APPLICATION
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH.— WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FANJ OTHER 1.00 ✓✓ 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRE 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, T ROVE DESCRIBED FESIpE TIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
OF PERMIT
1 - 10 3.00 DISTRICT NO. GR P Z P O
10 - so 5.00 _ O
50 - 100 10.00 NOTES: G
100 - Soo 15.00
N
S IGN,GAS SIGN AND ONE CIRCUIT 3.00
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
APPflOVALS OA TE INSPECTOR'S 51GNATUPF
`TEMP. POWER POLE
UNDERSLA B WORK
ROUGH CONDUIT
�J p.�} WIRING
ISSUING FEE 2.00 O` 0
FIXTURES
SU PPLEMENTARV ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE UTI LI T V CO.N OTI FIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE Sf JOSE H C. ROOHAN
SUPERVISING ELECTRICAL ENGIN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0, CASN
Lt'VLO3 6 ,0 4 TIAR15 2 D -5.00- q
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE Ill`/ 'y�'�✓ "V
// .�.� �� � �
76A663.DEBD. 4.66
APPLICATION FOR ELI:CTRIJ'AL RAT
COUNTY OF LOS ANGELE4FEE DEPARTMENT OF COUNTY ENGDING
BUILDING AND SAFETY DIVISRESS
JOHN A. LAMBIE„COUNTY ENG
COLEMAN.W. JENKINS. SUPT. OF ALITY
REST
FOR APPLICANT TO.FILL INRE ST.
RECEPTACLE TOTAL NO. EACLIGHT OUTLETS FIRST 20 5NER
OVER 20 .ADD L 10 ADDRESS OU p 6 . ` /��"'•
SWITCH _
1 TOTAL FIRST 20 20 CITY g�✓ _..vO- TEL. NO.
LIGHTING l FIXTURES ,
FIXTURES• 1 - ADD L - CONTRACTOR
OVER 201 110
RANGES `CLO.DRYERS WTR.XTRS. I L00 ADDRESS
GARB.DISP, STA.COORA If- CITY TEL. NO.
DISHWASH. AUTO. ASH. STATE
SPACE HTR6. STA.APP.(/2 X.P.MAX.) .50 LICENSE NO.
MOTORS: OVER XOT DV ER H.P. . P Z NE PRO ESSED BY
O 1.00 7pp ;T
9
1 3 1.501 INSPECTIO RECORD
3 8 2.00 Lam,
8 15 12.50
a
IS 50 3.00 1 O
V
so loo 15.001 aT`Gt�9's m
SIGNS: NO.TRANS-
SERVICE O.60OVLNOT OVER 200A 11.001 �� 1
N
SERVICE 0-600V-OV ER 200 A. 2.001 ]
SERVICE OVER 600V 5.001 1
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 12.00 -21
—
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 -'
TOTAL FEE i APPROVALS DATE INSPECTOR'S SIGNATURE
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT ^
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REOUIHED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM TXE LEGAL OWNER OF. AND INTEND TO POWER
RESIDE IN.THE ABOVE DE IBED R SIDENTIAL PROPERTY.
SIGNATURE �L� UTILITY CO.NOTIFIED
OF PERMITTE _
FINAL
IDAT� JOSEPH C. ROONAN
MO 'CASH SUPERVISING ELECTRICAL ENGINEER
LAio0688 MAR22 2 D 5.60"