HomeMy Public PortalAbout9972 DUFFY ST_Electrical_08/09/1960 6 It
76A663-CE806 1-68 AyPU AMN FOP ES ECH I AL PER
COUNTY OF LOS ANGELES /YV❑ � .
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DEPARTMENT OF COUNTY ENGINEER
BUILDING
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY Ej9GINEER ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
- R NEAREST -
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE > 1
$ OWNER
RECEPT._� MAIL
LIGHT- TOTAL FI.RST 20 . .20 ADDRESS
6 1
SWITCH_/ OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL .FIRST 20 .20 APPLICANT
51 FIXTURES OVER 20 .10 ADDRESS
RANGE-DRYER WTR.HTR._ CITY TEL. NO.
STA.COO'K_DISP. F.A.U. CONTRACT-OR
�F. SPACE HTR. AIR COND. .i7
ADDRESS T
CLOTHES WASH. DISHWASH
w+ ._
r CITY TEL. NO.
` x
i' FAN OTHER ' 1.00
LICENSE IJ O. CLASS. z
'MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
- WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. #
;1 0 - 1 1.00
_ I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED'AND/OR r
1 - 10 3.00 .LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 4.
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO ' O.
!' 10 - 50 5.00 "RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
50 - 100 10.00 SIGNATURE
U
OF PERMITTEE �
;y 100 - 500 15.00 -�t�::_ -r-'-a N - O
DfS-[f�-JCT N GR Z PFS D.
'j SIGN,GAS SIGN AND ONE CIRCUIT 3.001 44
, TUBE, OR
{?: MARQUEE ADDITIONAL CIRCUITS 1 .00 N
NOTES: Z
utt 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,
r.
TEMP. POWER POLE
fh
UNDERSLAB WORK
ROUGH CONDUIT
1
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
'POWER AUTHORIZED '
PERMIT ISSUING FEE 2.00 ii:UTILITY CO.NOTIFIED 51�1t
SUPPLEMENTARY PERMIT ISSUING FEE 1,00 FINAL G
TOTAL FEE �� JOSEPH C. ROOHAN
Nw SUPERVISING ELECTRICAL ENGI ER
PLAN CHECK VALIDATION CK. M.O. CASH i PERMIT VALIDATION CK. M.O. CASH
.0QSEL11G� 5 z3 :I AVj 0 2 D 5-00-
SEE
E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A663 DHS 5A 11-50 APPLICATION FOR 'PERMIT
4ZPARTMENT OF BUILDING AND SAFETY
COUNTY.OF LOS ANGELES
WILLIAM J.• FOX, CHIEF ENGINEER
FOR �PLIGANT TO LIN , �' , e4 DISTRICT NO. GROUP I ZONE• PERMIT NO.
RECEIVED BY READY FOR _ DATE.ISSUED
ADDRES i f i r r �'/ FIRST INSPECTION
15
NO. / /
COUNTY LICENSE NO. •EXPIRES'! �i' BUILDING
ADDRESS
PERMIT FEES. G/
FEE
'NUMBER EACH .LOCALITY ,y
LIGHT OUTLETS NEAREST CROSS ST.
J�
_
RECEPTACLES � -
o
WALL SWITCHES - f � OWNER / !
TOTAL OUTLETS Y 5c $ •• MAIL '
ELEC. RANGES 25 i
ADDRESS 7
ELECt HEATERS -25 I_r' CITY TEL. NO.
FIXTURES .5 1 HEREBY ACKNOWLEDGE THAT. 1 HAVE READ THIS
MISC. APPLICATION AND STATE :THAT THE ABOVE IS CORRECT
NUMBER OF'LIGHT CIRCUITS ' AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING,
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LIC SE, OR 1 .AM THE LEGAL OWNER
NUMBER HORSEPOWER
FEE OF THE RESIDENTIA P.OPER• DES I' 7ABOVE.
NEW I 'MVD. HP OVER I INC. EACH I /'
i/2&LESS $ .2S SIGNATURE OF
I/2 2 .50 PERMITTER
z 5 1.0,0 INSPECTION.RECORD ' .
.5 75 1.50
75 50 2.50
50 200 1 5,00 i,_,z cl %J .
P-00 Soo 10.00
Soo 1000 15.00 a
I . Z '
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP lY
WELDERS: AC-kVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.) -
MOVED MOTORS (75%OF ORIG.) "
MISC.
SIGNS.
NO. NO. TRANS. APPROVALS.'
NO. NO. LAMPS
FOR EACH PERMIT: DATE. INSPECTOR'S NAME
� -
CONDUIT
WIRING $1.00
FIXTURES $1.00 WIRING +••-•+�^ /���
SUPPLEMENTARY '.50 I FIXTURES '
POWER
,TOTAL FEE .. $ �J UTILITY CO. NOTIFIED /- ✓i•�' -
0 FINAL Jae_.
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