HomeMy Public PortalAbout8856 ELM AVE_Electrical__ DS 5-A 12-43 25M MPLICATION FOR PERM
DEPARTMENT OF IILIII.DING ANT) SAFETY
rLli�L�g a 1� FOR
COUNTY OF LOS ANGELES �-4��i I�
wM. J. FOX CHIEF ENGINEER
FR NAME .v OAr ,arm�`'�y'' �r `� DISTRI _NO. GROUP ZONE (/P`ERMITNO.
U-a ADDRESS �/� fifi��l I/U hQ.r / GLG_� ����
U CITY &IA �11 g"k TEL.NO. --d d RECEIVER READY FOR DATE ISSUED
. COUNTY �j. ,� FIRST INSPECTION
N CERT.NO. iY EXPIRES 0, 'l ��� r 2 ��� /Z �''m
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS � ,.p�
NUMBER OF OUTLETS ON CIRCUITS 4 LOCALITY /C".
LOCATION BY ROOMS NEAREST -
LIGHT OUTLETS JSW. PLUGS FIXr. CROSS ST.
CIRCUIT A B C D E F G H lx NAME bSQ 3� 1
2 MAIL
_ �V� ADDRESS
6 / 4 th2 O
¢ CITY _ TEL.NO.
1 AM THE LEGAL POSS€S_ 01,011 1- y`A VE LOS
A ANGELES COUNTY CERTI Fr}C fE OF QUALIF=TI
ELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPF,RTY DESCRIBED
> / ABOVE
OWNER.
C® CTIONS
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0
TOT L7, tb d' 1
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NO. OF OUTLETS ✓ ( $ �J APPROVALS
NO. OF FIXTURES $ 3-5 DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT J�
NO. OF SIGNS TRANS. $ WIRING 1'15
NO. OF RANGES OR HEATERS $ FIXTURES \ �\
MISCELLANEOUS $ POWER
PERMIT FEE $ B iS UTILITY CO.NOTIFIED /h_JLyi �� JJAs4^
TOTAL FEES- v •I FINAL /v , v r �•r L -
B
DBS-SA
3-55 9 APPLICATION FOR ELECTRIC PERMIT
D
DIVISION OF BUILDING AND SAFETY.
Department of County Engineer Bu1LDIriG /
County Of Los Angeles
ADD RESS
WM.J. FOX, COUNTY ENGINEER —
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY 'D
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER EACH FEE
OWNER
LIGHT OUTLETS ,
RECEPTACLES MAIL -
ADDRES
WALL SWITCHES
TOTAL OUTLETS 5¢ S �{G CITY TEL. O.
ELEC. RANGES 25 ELECTRICIAN
40,
_ELEC. HEATERS 25 ADDRESS S( 'J
KW EA CITY TENO0 1–767
L.
FIXTURES Z' 5 1 0 LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DIST J T NO. I GROUP NE READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS `.jA Z
MOTORS -
NUMBER HORSEPOWER FEE � INSPECTION RECORD
NEW MVD. HP OVER INC. EACH J/ ��1� n�v�/�Or �F+�./Ja�/•-/�l'�1�{�,E`Q��
b2&LESS S .25 - JJd!0/� �V �/r/ L �l ✓V / C//�i�7 1 _
2 5 1.00
5 75 1.50 ®9 -� Li ,�[JP�f A&✓tJdL4s�Ol�O�
15 50 2-.501.
50 200 5.00 _
misc.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING - _ 51.00
FIXTURES - $1.00 .d Pt i�
SUPPLEMENTARY .50. APPROVALS
TOTAL FEE S DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGETHAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. �,ry
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES j%
LIC '
ENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM TH LE WNER OF THE ABOVE POWER
DESCRIBED RESIDENTI ` PERT`
UTILITY CO.NOTIFIED
SIGNATURE
OF PERMITTEE FINAL
WILLIAM J. FOX, COUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR
LAW 07.544 SEP 28 2 2.50. �
76A663 CE 806R 1077 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO FEE CNEAREST
T
ROSS S
1 &2-Family,Sq. Ft. $ '025 — $ OWNER T
Multi-family Sq. Ft. 02 — OR
FIRM NAME
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets: Rec Light_Sw. CITY Tel. No.
First 20 .50 4� PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel. No.
Additional .30 PERMIT
Total No. APPLICANT'
Fixed Applionces Not Over 1 HP ADDRESS
Range—Heater—D.W.— CITY Tel. No.
Oven _Dryer—W.M. LICENSE OR
Top —FAU —W.H.— REG.NUMBER Class.
Hood_Fan _Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — 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 a-
.
Size&Type HP, KW, KVA,or KVAR HEREBY CERTIFY THAT IAM PROPERLY REGISTERED AND/OR LICENSED AS O
2 50 RE OUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 InCI. THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. W
J
� Over 1 to 10 Ind 5.00 U_Over 10 to 50 Incl. 12.50 PERMITTEE U_
Over 50 to 100 Inc 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. PROCESSED BY O
Services w
0-200 Amp. Under 600 V 12.50 INSPECTORS
25.00 APPROVALS DATE SIGNATURE
201-1000 Amp.Under 600 V
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Poie&Appurtenorces 10.00
Sign with One Branch Circuit
10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedules POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub Totoh NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT°VALI'DATION CK MO CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE