HomeMy Public PortalAbout10643 FAIRHALL ST_Electrical__ 76A663-CE806 9-66 APPLICATION FOR ELECTR ARMT�O -
COUNTY OF LOS ANGELES SU G l 1
DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION ADDRESS r�V 7'�
JOHN A LAMBIE COUNTY ENGINEER _�s
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 7-
APPLICANT TO FILL IN CROSS sr 7 A J n x_�
RECEPT 1 TOTAL NO EACH FEE
I OUTLETS FIRST 20 $ 20 $ 0 W N E Y✓d -�jr 'Yya�
LIGHT J} MAILl '
SWITCH ADD L 10 ADDRESS
_ OVER 20 _
TOTAL FIRST 20 20 CITY I—L— TEL NO
LIGHTING FIXTURES
FXTURE6ADD L
OVER 20 10 CONTRACTOR
_ !f'
RANGES DRYS WTR NTRS I 100 ADDRESS W J r
GARB DISP STA COOK
CITY TEL NO J
DISHWASH AUTO WASH L� STATE
SPACE HTRS STA APPL 80 LICENSE NO
MOTORS, OVER NOT OVER HP DIST I�CThLO I GROOUP ZOJaIE PROCESSED BY
O 1 100 < _ !�
�— 1 s so d, INSPECTION RECORD
a S 200
a Is 230 `
18 so 300 d
so foo Boo u
SIGNS, NO TRANS O
NO LAMPS
H
SERVICE O 600V NOT OVER 200A 1 00 W
D_
SERVICE O 600V OVER 200 A 200 Z
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 1200 Q(/
SUPPLEMENTARY PERMIT ISSUING FEE 1100 APPROVALS DATE INSPECTOR S SIGNATURE
TOTAL FEE 7
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
' ELECTRICAL WIRING WIRING �.�/ v-71 rf , -v-Vtoc-
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIR BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OWNER OF AND INTEND TO POWER
RESIDE IN THE ABO E ESCR1�R�IDENTIAL
SIGNATURE v//�`//`K//y UTILITY CO NOTIFIED yu��n�G�'p9pdB_ y�
OF PERMITTEE FINAL r�
LIDATION JOSEPH C ROOHANV
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
L&o 9 26 9 SUN 2 6 2 D 7.50- 11
a
'BA669-CEB06 10 60 APPLICATION FOR ELECTRICAL PER T 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING �� �y.� �-��2 1�`
BUILDING AND SAFETY DIVISION ADDRESS Y
JOHN A LAMBIE COUNTY ENGINEER 7 r `
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY / /` nL c pry
NEAREST
FOR APPLICANT TO FILL IN CRoss sT A V II
PERMIT FEES OWNER M& '6-4�ln > SM T/�rR���✓
1 T E M NUMBERI EACH FEE MAIL
OUTLET7; , / $ $ ADDRESS i 6t-,q 3 z 17A/ L L
LIGHTS / RECEPT+//, SW ` 10 Ito CITY TE TEL NO 6./ 01)LI6
LIGHTING FIXTURES / 10 U _
ELEC RANGES CLO DRYERS ELECTRICIAN I�� ��C�/ Iz/✓
WATER HEATERS 50 ADDRESS 1
ELEC SPACE HTRS DISHWASHERS r
CITY '1�14�J�� �Z
TEL NO ///'1
GARBAGE DISPOSERS AUTO STATE / /
WASHERS STA COOKING UNITS 25 LICENSE NO & I-
MOTORS OVER INC H P DISTR CT NO GRjaU.P ZONE P ESSED BY
0— 1/2 25
1/2— 2 50 INSPECTION RECORD
2— 5 100 d
5— 15 ISO 0
15— 50 250
CL
50— 200 Soo 0
F
V
NO TRANS W
SIGNS d
NO LAMPS
N
_ Z
SERVICE O 600V 100
SERVICE OVER 600V Soo
M ISC
WIRING PERMIT too
FIXTURE PERMIT 100 L'
SUPPLEMENTARY PERMIT 50
TOTAL FEE $ z 70
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
ELECTRICAL WIRING WIRING Y
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LI
CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I A THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P POWER
SIGNATURE T-3 �, , � UTILITY CO NOTIFIED
OF PERMITTE FINAL
01 ,ATION
ARTHUR C VETT r
CASH - SUPERVISING ELECTRICAL ENGINEER
L�ii �4 0 '� w GC 11 6 2 D 2p l 0
COUNTY OF LOS ANGELES - APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION OF BUILDING 81 SAFETY
•Q WILLIAM 1. FOX, COUNTY ENGINEER
FOR PLI ANT LL IN DISTRICT NO GROUP ZONE PERMIT NO
ELECTRICIA S _ �— 2//—
ADORES RECEIVED BY ' READY FOR DATE ISSUED
f. o^ Ma / FIRST INSPECTION _
CITY L NO - r�/Vd.,J�_✓�L,1¢Clx„J,i
COUNTY LICENSE NO EXPIRES BUILDING
PERM FEES ADDRESS /
NUMBER EACH FEE
LOCALITY
LIGHT OUTLETS
NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER
TOTAL OUTLETS' Sc /$ f
MAIL
ELEC RANGES 25 t ADDRESS
ELEC HEATERS 25
FIXTURES 5 CITY EL NO
MISC 1 HEREBY ACKNOWLEDGE HAT I HAVE READ THIS
NUMBER OF LIGHT CIRCUIT'S APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw MvD HP OVER I INC EACH THE RESIDENTIAL P PERTY DESC tBEDA OVE
1/2 a LESS $ 25 /-
SIGNATURE OF
1/2 2 50 PERMITTE
2 5 1 00 INSPECTION RECORD
5 15 1 50
15 50 2 50
50 200 5 00
200 500 10 00 J
500 1000 15 00 Q
OVER�100020 00 Z
r �
M G SET/FREQ CHANGER-HP T
WELDERS AC-KVA _ O
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
WIRING $1 00 CONDUIT /
FIXTURES $1 00
�' WIRING Z.
FIXTURES
SUPPLEMENTARY 50
i POWER '/-� /V �
TOTAL FEE $ '> UTILITY CO NOTIFIED 1 1'h' ,J N 1 f
FINAL 1 I
76A 669 DBS# SA 4-68, '