HomeMy Public PortalAbout10940 DANBURY ST_Electrical__ APPLICATION FOR ELECTRIC PERMIT g
COUNTY OF LOS ANGELES - -
DEPARTMENT OF COUNTY ENGINEER BUILDING/Q p�/�, ✓I �d�
BUILDING AND SAFETY DIVISION ADDRESS �v
JOHN A. LAMBIE. COUNTY ENGINEER r
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
MI
PERT FEES CROSS ST. °
ITEM NUMBER I EACH FEE OWNER
OUTLE q b $ MAIL
LIGHT RECEPSC/ SW. 1O O ' ADDRESS
LIGHTING FIXTURES 10 — CITY TEL.NO.
ELEC.RANGES CLO.DRYERS C••/ ELECTRICIAN
WATER HEATERS .50 ADDRES
ELEC.SPACE HTRS. DISHWASHERS CITY TEL. N
ARBpGE DISP AUTO.-
STATE / ('''� Y/
WASHERS STA.COOKING UNITS / .26 LICENSE NO. /�eJ I !lr C.!i^r O
MOTORS: OVER INC. H.P. DIS0. I GROUP I ZONE PROCESSED BY
0— I/a .25 �
vs— 2 .So INSPECTION RECORD
z— s Loo �- -I- ct
5— 1s 1.50
IS— 50 2.50
so—zoo 5.00 ! _ �0 -7 f 7"9
T NO.TRAN9. �. % LC✓��L S l/" / /�- /�/-� /(..5-
SIGNS:
NO.LAMPS r
SERVICE 0-600V 1.00 "'� ti J CCti�Pc� c+ llll <`/-y j,�
SERVICE OVER 600V 5.00 0
MISC. ..� d-
�.b
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
IELECTRICAL WIRING.
F I HEREBY CERTIFY THAT I AM PROPE Y REGISTERED AND/OR WIRING Y Y1—
Y LICENSED AS REO IRED BY LOS ANGELE COUNTY AND STATE OF FIXTURES
F CALIFORNIA OR AT I AM THE LEG OW ER OF THB ABOVE
DESCRIBED RE DE TI ROPE POWER
SIGNATURE I UT ILm CO.NOTIFIED
OF PERMITT
FINAL
A J ON ARTHUR C.VEIT.
SUPERVISING ELECTRICAL ENGINEER
/CVK/ MOo CASH
LAC09136S APR 11 2 A 10.7 () w
'76A663 CE 806R t0/]] APPLICATION FOR ELECTRICAL PERMIT
t ; `t COUNTY OF LOS ANGELES
b9PARTMENT OF COUNTY ENGINEER JOB r
` BUILDING AND SAFETY DIVISION ADDRESS
FORAPPLICANTTO FILLIN LOCALITY L�
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
�. 1 8&Family,Sq. Ft. 8 .025 — $ CROSS ST.
OWNER OR
Multi-family Sq.H. .02 — FIRM NAME
` Residenii0l Swimming Pools 25.00 AMIL
DDRESS A U
Outlets: Rec Light_Sw. CITY2 all- _ T.I. No. '�°_�
N
First 20 .50 PLAECK
Total Na. Additional .30 APPLICANT
ADDRESS
f Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No. APPLICANT �-
Fixed Appliances Not Over 1 HP ADDRESS 0
Range—Heater—D.W._ CITY Tel. No.
Oven _Dryer_W.M._ LICENSE O
Top _.FAU —W.H._ REG.NUMBER o= Class ��
Hood_Fort _Other— I HEREBY ACKNOWLEDGE THAT I HAVFREAD THIS APPLICATION AND STATE
Dlsp. — Room Air Cand. — 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apporatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
2.50 REOUIRECIBY`LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM L
Upfal Ind. THE LEGAL OWNER E ABOVE DESCRIBED RESIDENTIAL PROPERTY, p
Over 1 to 10 Incl, 5.00 izz
Over 10 to 50 Incl. 12.50 PERMITTEE SIGNATURE
25 .00 SIGNATURE F-
Over 5010 100 Inc
Over 100 40.00 DISTRICT N RO SSE BY a
L Z
Services
0-200 Amp. Under 600 V 12.50 INSPECTOR'S
201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole 8 Appurten arces 10.00
Sign with One Branch Circui10.00 ROUGH CONDUIT
t 2.00
WIRING
.Additional Sign Branch Circuits ,
Misc.Conduits&Conductors 10.00 FIXTURES -
Other(See Complete Fee Schedulei POWER AUTHORIZED
UTILITY CO-NOTIFIED
FINAL /
NOTES.
PERMIT FEE ISubTotal) N / zr
-
PLAN CHECKING FEE IOne-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE
VV
PLAN'CkECCI( CASH PERMIT VALIDATION CK MO CASH
POLICY HOLDER: 1>11_ 0 7 4'�JGN 21 2 04 0
5 i`IJFa[lA 1 IV V IIDCIT FOR4<-. 17 SCHEDULE
Z. J '•' /L
APP�O�A�G® rrY
6fi3'�[
E, ILTRICAL f�RAI'�
]6A
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BDIDLOING
ESS
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN (CROSS ST. / U
NO. EACH'
5 5 OWNER //K✓
RECEPT.—
MAIL J O
LIGHTADDRESS_ TOTAL FIRST 20 .20
SWITCH_ OVER 20 .10 CITY "Idi(ig TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER WTR.HTR.— CITY TEL. NO. -j-
STA.COOK_DISP. F.A.U.— COiJTRAC'TORlw
SPACE HTR.—AIR COND.— ADDRESS
CLOTHES WASH. DISHWASH.— CITY TEL. NO //pJ�/ ('
FAN—OTHER 1.00 LICENSE IJ O. CLASS. ` 'gyp Ef
MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. IHEREBI' ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO WAND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
G o - oo va
HEREBY CEREQUIRED BY AM PROPER LT NT IS TEgEO PND/OR
1 - IO H.00 LICENSED AS THAT 9T LOS ANGELES COUNTY AND STATE OF -
CALIFE NI" OR THAT AM THE LEG 4L OWN OF, ANO INTEND TO 6
10 50 5.00 RESIDE 'IN, THE Ay VE ESCRI EO OE NiIAL PROPEpT Y. O
50 - 100 10.00 SIGNATURE V
OF PER
100 - 500 15.00
DISTRICT NO. G UP ZONE PCOES$ED BY U
TUBE, OAR SIGN AND ONE CIRCUIT 13.00 Q / 6W.
MARQUEE ADDITIONAL CIRCUITS 1.00 YNOTES' DO
Z
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
U NDERSLA8 WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
n POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 0c UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
` SUPERVISING ELECT CAL ENGINEER
PLAN CHECK VALIDATION CK. M.o. cnsH PERMIT VALIDATION CK. M.O. CASH
f�,105.3' 3 22 JU'L 3 2 D5:00'=.. CV
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE