HomeMy Public PortalAbout5013 DOREEN AVE_Electrical__ 76A66PT-CEPpi8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER \ BUILDING
BUILDING AND SAFETY. DIVISION ADDRESS '
JOHN A. LAMBIE, COUNTY ENGINEER _ 1
WILLIAM A. JENSEN, SDP-T OF BUILDING ` LOCALITY ZZ G C'
>r- I NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEp T, TOTAL NO. EACH FEE 1
OUTLETS FIRST 20 $ 20 S iy OWNER G
6 LIGHT V MAIL
A00'L 1O ADDRESS -420
SWITCH. 7 OVER 20 ,
TOTAL / CITY TEL. NO.
LIGHTING 'lF1Rsr 20 .20
- FIXTURES I ADD'L fo ELECTRICIAN G
OVER 20
RANGES CLO.DRYER6 WTR.HTRS. 1.00 ADDRESS I/
GARB.DISP. STA.COOK `
CITY - TEL. NO. / —2 G
DISHWASH, AUTO-WASH. "STATE
LICENSE NO.
'. SPACE HTRB. 9T P.(Ih H.P.MAX.) ,SO� �. _ ,
MOTORS: OVER NOT OVER H.P. DIST T NO. GRO ZONE P ESSED BY
O 1 1.00
1 3 1.50 INSPECTION RECORD
3 S 2.00
6 15 2.50
I 15 50 3.00
50 100 15.00 - 0
SIGNS: NO.TRANS. - D[
NO.LAMPS O
< SERVICE O-600V-NOT OVER 200A L00 (/T>1 uvl
a
SERVICE 0-600V-OVER 200 A. 2.00 z
SERVICE OVER 600V 5.00
MISC.
.I
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 '
TOTAL FEE ID
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLCATI N APPROVALS DATE INSPECTOR'S SIGNATOR!
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT / /�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING p
ELECTRICAL WIRING. WIRING /x p
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR F -
LICENSED AS REQUIRED BY LOS ANGE AUNTY AND STATE OF ) FIXTURES
CALIFORNIA OR THAT I AM THE L AL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P PERTY POWER
SIGNATURE UTILITY CO.NOTIFIED C[/
OF PERMITTEE /.
FINAL
VALIDATI ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LA(lo2 2 0.6t2 NOV 4 2 D 1 0.40- Q
76A663 CE fiUfiR IR,]J APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS �1 �.3 D FJY-0:Ch QV
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY .V
New Residential Bldgs.&PoolsEACH NO. FEE NEAREST
1 &2-Family,Sq. Ft. b .025 — b CROSS ST. x ''• .�- S
MultiOWNER OR 1-16family Sq. Ft. .02 — FIRM NAME AVN YO-I-
F
Residential Swimming Pools 25.00 MAIL
5{ 7 ADDRESS :54t
Outlets: Rec v GghtaSw. 11 �0 CITY Tel.No./3(y ',2 Z
J r First 20 ,30 v 439 PLAN
APPLICA CHECK
Total No. O Additional
ADDRESS
Lighting Fixtures First 20 Ifo sa CITY Tel, No.
Additional .30 PERMIT
Total No. APPLICANT
Fixed Apphonces Not Over 1 HP ADDRESS
Range_Heater D.W._ CITY Tel.No.
Oven —Dryer_W.M._ LICENSE OR
Top —FAU _WH._ REG.NUMBER Class.
Hood_Fan _Other— ? HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. 50 J THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY CI
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus 8 Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDJOR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Y
Up tollncl. 2.50 THE LEGAL OWNEROF THE ABOVE DESCRIBEDRE IDENILAL PROPERTY.
Over 1 to 101nc1. 5.00 In ca
Over 10 to 50 Incl. 12.50 SIGMA UR
Over 50 to 100 Inc. 25.00 9GNATE
Over 100 40.00 DISTRICT NO. P ESSE N ti
,1 Q ! Z
Services l�•SO u
0 200 Amp,Under 600 V ag56 APPROVALS DATE INSPECSIGNATORES
201 1000 Amp.Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp.Power Pole&Appurtenances
10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT L
Additional Sign Branch Circuits 2'00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL I.SJ T�� (/y1�C(yy/ /
PERMIT FEE (Sub Total) I NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTALFEE �/M
PLAN CHECK VALIDATION CK, M . CASH PERMIT VALIDATION _ �CKM.0, CASH
5 1 3'DEC b 2 U 1 ano
SEE BACK OF APPLICATION FOR COMPLETE SC DULE
DB s'A 12-43 25M APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC
OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
Z. �„j`� �` SY A� Ci, DISTRICT NO. GROUP ZONE PERMIT NO.
NAME �_
ADDRESS L. R Z 7>SI.A�XX O/�,
U CITY iEL.NO. .ti/L 4 i RECEIVED BY READY FOR DATE ISSUED
//
W EC FIRST INSPECTION
W COUNTY
CERT.NO. 'Z. V EXPIRES �g r
APPLICANT FILL IN IREAVII Y OUTLINED PORTION ONLY
�
DESCRIPTION OF WORK ADDRESS 5z /,S �6h�Qww
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS 1SW.. PLUGS I FI%i CROSS ST.,
rfA.
CIRCUIT A B C D E F G JH I K NAME NeMAIL
Qo.r0.� (�
' 4 3 ADDRESS
S _ E) 1Jc.x/Vh�
/
CITY Le,( w(AAnA w/L".TEL.NO.
1 AM THE LEGAL{POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELE=RIGAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Q
Z_
b
E
D
TOTAL
NO. OF OUTLETS $ _s S APPROVALS
NO. OF FIXTURES S Q DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. S WIRING
/J
NO, OF RANGES OR HEATERS S FIXTURES
MISCELLANEOUS S POWER �J A yp'A
PERMIT FEE B UTILITY CO.NOTIFIED 1?14/, /!//
TO FE 0 FINAL
7CAEe3'Des eA a-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES Eg C '
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO. >
FOR APPLICANT TO FILL IN I `/
ELECTRICIAN C O V RECEIVED�BYz READY/FOR /DATE ISSUED
ADDRESS ` ^ p p a�� // FIRST INSPECTION /��
CITY � ` !! TEL. NO.; (1
COUNTY LICENSE NO. ` 1 EXPIRES BUILDING
PERMIT FEES ADDRESS
NUMBER OUTLETS EACH FEE LOCALITY
LIGHT9 5c $ I NEAREST L e
CROSS ST. I /ll
RECEPTACLES 5
FIXTURES 5 OWNER
WALL SWITCHES 5 MAIL '
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY I-
T
EL
.
NO.
MISC.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING .ELECTRICAL WIRING.
NDHDERHORSEPOWER I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVD. HP OVER I ..C. EACH ,
T� OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE
YadL $ .25
2
Vz 2 .50 SIGNATURE OF
2 5 1.00 PERMITTE
5 is 1.50 INSPECTION RECORD
15 SO 2.50
50 200 5.00 _
200 SOO 10.00
Soo I 1000 15.00 J
Q
OVER 1000 20.00 Z
M.G: SET/FRED. CHANGER-HP
WELDERS: AC-KVA 0
GENERATORS - KW
TRANSFORMERS —KVA
TEMP. MOTORS (75% or oRia.)
MOVED MOTORS (75% or oRIdJ
MISC.
SIGNS
TYPE: NO. TRANS.
TYPE: . NO. LAMPS APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 ov
CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .SO FIXTURES
POWER
TOTAL FEE $ / UTI LI TY CO. NOTIFIED,
FINAL �Ls-t.