HomeMy Public PortalAbout8803 ELM AVE_Electrical__ 76A663-CE806 8/63 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS I g
JOHN A. LAMBIE. COUNTY ENGINEER J
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT, TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ OWNER 6
LIGHT MAIL
ADD'L f0 ADDRESS
SWITCH. OVER 20
'1 R5T 2OI .2O
LIGHTING TOTAL F7CITY TEL. NO.
I
FIXTURES I ADD'L 10 ELECTRICIAN ��1
OVFR 20 �-
RANGESCLO.DRYERS WTR.HTRS. 1.00 �rC ADDRESS L Crj ._ 'd GQ c
GARB.DISPSTA.COOK CITY `� 64z`,- TEL. NO.G' �p ZO
DISH WASH.ASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(l/.H.P.MAX.) .50 LICENSE NO. <<)�
MOTORS: OVER NOT OVER H.P. DISTRICT N GROUP ONE P OCESSED RY
O 1 1.00
I 3 1.50 INSPECTION RECORD
3 S 2.00 }
CL
8 is 2.50 0
_ 15 50 3.00
O
50 100 5.00 ~
V
W
SIGNS: NO.TRANS IL
NO.LAMPS H
Z
SERVICE 0.60OV-Nor OVER 200A 1.00
SERVICE 0-60OV-OVER 200 A. 2:00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 666
SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00
TOTAL FEE $ l6
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 CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF T ABOVE
DESCRIBED RESIDENTIAL PROP-E Y. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF P -
FINAL S %11" e-
IDATION ARTHUR C. VEIT
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
L,.L� 7 0 3 4Z,; DEC 22 2 A 3.00-'
DSS-5A 12-S4 A l ! I C A T I®N FOR ELECTRIC - PERMIT
■.
DIVISION OF BUILDING AND SAFETY
Department of County Engineer l�
County of Los Angeles BUILDING r5 [.L 3
WM. J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING /y
FOR APPLICANT TO FILL IN LOCALITY
PERMIT FEES NEAREST
CROSS ST.
FEE
NUMBER EACH
LIGHT OUTLETS OWNER s
RECEPTACLES MAILADDRESS
WALL SWITCHES V
TOTAL OUTLETS $ L`j CITY 7EL. NO.
ELEC. RANGES e��9� 25 ELECTRICIAN t,j
ELEC. HEATERS ,e�� 25' �✓ ADDRESS n/ '
_y
KW.EA CITYf/�����/'� TEL. NC!� L�J�J..•
FIXTURES 5
[LICENSE NO. X
�
NUMBER OF LIGHT CIRCUITS DISTRICT NO. GROUP l ZO E I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS 5 I �j-
MOTORS �
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
1/2&LESS $ .25
1/2 2 .50
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00 -
misc.
NO. SIGNS NO. TRANS.
NO. SIGNS NO. LAMPS —
FOR EACH PERMIT:
WIRING $1.00 61
FIXTURES $1.00 Gam)
SUPPLEMENTARY .50
APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY i
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING -•`��.�SS
ELECTRICAL WIRING.
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES �'— -��� �� ✓7,4�*-�.�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF?THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERT UTILITY CO.NOTIFIEDTq
SIGNATURE o L
OF PERMITTEE .� G"�� '""i,$- /J. rid �c"�•�
• �-6? FINAL
WILLIAM J. FOX,COUNTY ENGINEER VALIDATION
�- SER2 2 370
(, u 3 4 ((//""��//
. �j � DY
��•
DE TY
76A663C- CES06B 12,75 APPLICATION FOR ELECTRUCAL PERMIT
BUILDING D SAFETY DIVISIO
FOR APPLICANT TO FILL IN
FResidential
Bldgs.&Pools
EACH NO. FEE ADDRESS 80 �a,j
Sq. Ft. $ — $ LOCALITY jpp �i1
q. Ft. — NEAREST �T
CROSS ST. I_uscatel Ave.
imming Pools OWNER OR
FIRM NAME f
Outlets: Light,Switch &Receptacle MAI L
First 20 ADDRESS 880.3 ElUrn
Additibnal CITY Tei. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT Morales h ctrlc
Range Heater D.W.
W.M. ADDRESS I�B P�Iission Drive
Oven Dryer
Top FAU W.H. CITY Rosemead Tel. No. 280-4260
Hood Fan LlCEE OR
REG.NNUMBER 227962 Class. C-l0 °-
Disp. A.C. v
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (—
ELECTRICAL WIRING.
Size&Type HP, KW, KVA,or KVAR LLI
�f(bver 1 to 10 Incl.Up to 1 Incl. HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O N
l LICENSED AS REOUIR ED BY LOS ANGELES COUNTY AND STATE OF
z
CALIFORNIA OR THAT 1 AM TH LEGAL WNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPE V.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
DISTRICT NO. ROC ED BY
Services
0-200 Amp. Under 600 V o
201 -1000 Amp. Under 600 V APPROVALS DATE IN CTOR'S
Over 1000 Amp.or Over 600 V GNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit ROUGH CONDUIT tr `
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES `r
cf
T.c-rep.sse ex-isting s erviC a
in I 00—a MP IPOWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED �11/ v / /1/
PLAN CHECKING FEE (One-Fourth Permit Fee) ¢r
FINAL /
PERMIT ISSUING FEE h o
NOTES � !
TOTALFEE _
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VAL-_IDATION M.O. CASH
6;18 0
5�JUL 20 2 0 �. 3.5 did