Loading...
HomeMy Public PortalAbout5102 DALEVIEW AVE_Electrical__ 76A663-CE80612/75 -1, _£ l �/ APPLICATION FOR ELECTRICAL PERMIT ' COUNTY OF LOS ANGELES * DEPARTMENT OF COUNTY ENGINEER JOB p BUILDING AND SAFETY DIVISION ADDRESS pv� f�LLs FOR PP ANT F 1N LOCALITY New Residential Bldgs & PO015 EACH NO. FEE NEAREST � 1 & 2-Family,.Sq. Ft. $ .025 — $ CROSS ST. OWNER OR Multi-family Sq. Ft. .02 — FIRM NAME Residential Swimming Pools 20.00 MAIL ADDRESS Outlets: Light, Switch & Receptacle CITY Tel.No.3 First 20 .50 PLAN CHECK Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel,No. - Additional .30 PERMIT 1 ten/ APPLICANT I/ci/y `'LZ L/ Fixed Appliances Not Over 1 HP ADDRESS ,� �� - `• Range—Heater_D.W._ CITY 4 Ctr 41.No. / ' Oven_Dryer_W.M._ LIC E OR 9 d TOp FAU _W.H._ REG.NUMBER y p Class.e rL1' Hood 'Fan __ 2.00 STATE THAT ACKNOWLEDGE ABOVE E IS 1 HAVE PEND THIS gTO COMPLY OT ON LY DISp._A.C. AND STATE COUNTY THE NDOAN IS CORRECT AND AGREE TO COMPLY EWITHLECTRICAL ALL COUNTY OROINA NOES AND STATE LAWS REGULATING E LE[TR ICgL WIRING. Power Apparatus & Large Appliances Size &Type HP, KW, KVA, or KVAR NSED CERTIFY THAT AM PROPERLY REGISTERED ANO/Op LICE NSEO AS REQUIRED By LOS ANGELES COUNTY AND STATE or Up to 1 Incl. 2.00 CALI r ORNIA OR THAI I AM TXE GAL WNER OF THE ABOVE Over 1 to 10 Incl. 5.00 d OESCRITED RESIDENTIAL PgOP O V Over 10 to 50 Incl. 10.00 PERMITEE Over 50 to 100'Incl. 20.00 SIGNATURE C, _ y C9 Over 100 30.00 DISTRICT Nov_ OC SED V G INN Services �r W 0. 200 Amp. Under 600 V 12.50 IDI ECTOR'S 11 201-1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE Z Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE Temp. Power Pole& Appurtenances 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING (Other) FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIED �• / � FINAL PERMIT FEE IS NNOTES - PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE $6.00 ell - TOTAL FEE SCJ PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. MO. CASH y, 24.:3�SEp 20.. 2 9> 1 1.:3 © a ` SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - T6A669l^ APPLICATION FOR ELECTRIC PERMIT D955A r 55 ='VktON OF ,BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING WM..J. FOX. COUNTY ENGINEER ADDRESS a� VV P� f/FT/` V Lr✓V CASSATT D. GRIFFIN, SUPT OF BUILDING J LOCALITY T G/ T! FOR APPLICANT TO FILL IN NEAREST PERMIT FEES CROSS ST. /ZEEY2. NUMBER EACH FEE OWNER f�O1 . LIGHT OUTLETS - MAIL " RECEPTACLES .ADDRESS. WALL SWITCHES TOTAL OUTLETS 33 5¢ S CITY TEL.NO. ELEC. RANGES 25 S ELECTRICIAN P. Z/MM EM,11A At _ELEC. HEATERS 25 ADDRESS jJ01 A /GFI - L KW EA CITY W, COulld14 TEL.NC.Q).. 2,S401 FIXTURES 5 40 LICENSE NO.__j NUMBER OF LIGHT CIRCUITS - DISTRICT NO. GROUP dZREADY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS I I, MI MOTORS NUMBER HORSEPOWER FEE INSPECTIO RECORD NEW MVD. HP OVER INC. EACH 1/2&LESS S .25 , •/ yL �� 2 .50 _ -•� A /G 2 5 1.00 - 5 15 1.50 _ _ 15 50 2.50 14 50 200 '5.00 MISC. NO.SIGNS NO.TRANS. -NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING 51.00 FIXTURES 51.00 p� SUPPLEMENTARY .50 APPROVALS TOTAL FEE DATE INSPECTORS SIGNATURE 1 HEREBY ACKNOWLEDGE*THAT I -HAVE READ THIS APPLICATION CONDUIT Ir AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE,OF CALIFORNIA OR THAT V AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROPER 0 _ SIGNATURE UTILITY CO. NOTIFIED O OF PERMITTEE FINAL WILLIAM J. FOX,COU TY 1NEER VALIDATION A. C.VEIT,CHIEF ELECT..INSPECTOR. 5S SEP 21 ? 4.30 0 wlew 70A663CE806. 10.56 APPLICATION FOR ELECTRIC PERMIT BUILDING AND SAFETY DIVISION Department of County Engineer FDDRE LDNG County Of LOS Angeles SS a Z l f QJOHN A. LAMBIE. COUNTY ENGINEER CASSATT D. GRIFFIN. SUP'T OF BUILDING ALITY YL REST FOR APPLICANT TO FILL IN Ross sT r iP PERMIT FEES Y OWNER 1 !lI 0 LIGHTS RECEPTACLES SWITCHES_ NUM6ER 1 T M EACH FEE MAIL �/ e ADDRESS �I ®L- 7 TOTAL OUTLETS S .10 S (J./Y ELEC. RANGES, WAT E0. HEAiE RL: N S, CITY I 1 /%'W TEL. NO. I •Q CLOTHES DRYERS 'S0 ELECTRICIAN ELEL SPAGE HEATERS, STAT-Y. COOK. ING UNITS, GARBAGE DISPOSERS, ADDRESS AUTO WASHERS, DISHWASHER .25 3 LIGHTING FIXTURES CITY TEL. NO. MOTORS STATE LICENSE NO. I HORSEPOWER 4, - ' H.P. OVER INC. DISTRICT NO. GROUP ZONE READY F9INS PE[TIO& go 1/2 &LESS .25 �f 14 - z. .so INSPECTION RECORD 2 5 1.00 5 15 1.50 15 50 2.50 50 200 5.00 ' 1 MISC. L SIGNS I NO.TRANS NO, LAMPS SERVICE O-600V 1.00 SERVICE OVER 600V 5.00 - -� WIRING PERMIT -1.00 FIXTURE PERMIT 1.00 SUPPLEMENTARY PERMIT .50ECONDUIT ROVALS• TOTAL FEE - 5 U I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONDATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY qWIITH ALL OUWIRNTY ORDINANCES AND STATE LAWS REGULATINGELEC � /I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR7rLICENSED ASREOUIRED BY LOS ANGELES COUNTY AN STATEOF CALIFORNIA OR NAT I AM THE/LEGAL OYNER OF HE ABOVEDESCRIBED RESID ROPERTY;. SIGNATURE OF PERMITTEE .6 JOHN A. LAMBIE, ALP ON � ARTHUR C. VEIT. COUNTY ENGINEER CK f MO CASH SUPERVISING ELECTRICAL ENGINEER I 4�o 9 9 0 6 jUL 3 2 3.0 13 81