HomeMy Public PortalAbout5124 DALEVIEW AVE_Electrical__ 78A663-CE606 3-64 APPLICATION FOR ELEC4RCAL PERfAM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FA
LDING / V
BUILDING AND SAFETY DIVISION DRESS
--+-JOHN A. LAMBIE, COUNTY ENGINEERWILLIAM A.JENSEN, SUPT OF BUILDING ALITYREST
FOR APPLICANT TO FILL IN OSS ST. 7"
RECEPT. A OUTLAT (FIRST 20 NO. EEACHH
SWITCH. 6 FEE ! OWNER ! N.
LIGHT F ADD'L 10 ADDRESS
OVER 20
TOTAL CITY / - TEL. NO.
LIGHTING l� FIRST L .20
FIXTURES I ADo'L .10 ELECTRICIAN
ov R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARD.DISP. STA.COOK
CITY TEL. NO.
OISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(VA H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. ROU NE IPMESSED BY
O 1 1.00 _
1 3 1.50 C INSPECTION, RECORD {� i
s e 2.00 7��5 G� 2.1.! >n 0 O
S 15 2.50 - A O
15 — s0 3.00 `� r
so 100 5.00YZI
SIGNS, NO.TRANS .I ///
NO.LAMPS 1
SERVICE O.6OOV.NOT OVER 200A 1.00 ``V /�
SERVICE 0.600V-OVER 200 A. 2.00 1 lTQ `l 35 (&7j .
SERVICE OVER SOOV 5.00
MISC. T _
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1,00
TOTAL FEE S
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY - CONDUIT
WITH ALL COUNTY OROINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 1• A /�
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORI .
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PR E Y. ^ POWER
SIGNATURE \, UTILITYCO.NOTIFIED
OF PERMITTEE
FINAL
CALIIJAIIUN ARTHUR-C. VEIT
CK, MO CASH SUPERVISING ELECTRICAL ENGINEER
LHo55923 SEP15 2 D 4.00C.
-
' L��!'.'✓
'76A663 CS 806R rR;;, APPLICATION FOR ELECTRICAL PERMIT �L
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
FORAPPLICANTTO FILL IN - LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE NEAREST 7
I & 2 Family,Sq. Ft. $ - .025 — $ CROSS ST. 01 6L
OWNER OR r
Multi-family Sq. Ft. .02 — FIRM NAME B�GL g�L 6LAAi� ,
Resid8nool Swimming Pools 25.00 MAIL
ADDRESS S
Outlets: Rec 1_tght_Sw. CITY ' Tel.No.- 6r Y
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY - Tel. No. '
Additional .30 PERMIT
Tonal No. APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS S7-
Range—Heci D.W. CITY Tel. No. �..
Oven .—Dryer_W.M._ LICENSE OR
Top —FAU _WH _ REG.NUMBER Clci 24W
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS APPLICATION AND STATE
Dlsp. — Room Air Cond. — 2'50 ,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN.
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances '
Size&Type HP, KW, KVA,Or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Y
Up to 1Ind. 2'50 THE LEGAL OWNER Of THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ' 0
Over 1 to 101ad.
5.00 8
Over 10 to 50 Incl. 12.50 PERMITTEE a
Over 50 to 1001nc 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. PR SSE Y y
L3 Ob
Services - -
0 200 Amp.Under 600 V 12.50 _ - INSPECTOR'S
25.00 - APPROVALS DATE SIGNATURE
201-1000 Amp.Under 600 V -
Over 1000Amp.orOver 600V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Ternp. Power Pole&Appurtenarces 10.00
10.00 - ROUGH CONDUIT
Sign with One.Branch.CirCuit ' 2.00
WIRING
Additional Sign Branch Circuits
Misc.Condi-its.&Conductors 10.00 FIXTURES '
''.Other(See Complete Fee Schedules POWER AUTHORIZED '
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Totdll NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTALFEE
PLAN CHECK VALIDATION Cleo M.O. CASH PERMIT VALIDATION CIC p, M.O.
CASH-
,
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
CIO, j