HomeMy Public PortalAbout10764 FAIRVIEW AVE_Electrical__ 7Cp6f3 {r-�W610/72 APPLICATION FOR, ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB c
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST 1
OUTLETS NO EACH
FEE OWNER OR
$ S FIRM NAME
RECEPT MAIL
LIGHT TOTAL � / I
FIRST 20 25 +�r ADDRESS Av( 7(/
CITY TEL NO
SWITCHOVER 20 \ 10 i PLAN CHECK
LIGHTINGFIRST 20 P5
APPLICANT I,
TOTAL
FIXTURES
OVER 20 10 ADDRESS
'
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER
_WTR HTR APPLICANT
STA COOK OISP F A U ADDRESS Q
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SPACE HTR AIR COND CITYT NO `a
CLOTHES WASH DISHWASH REGENSE,6RNUMBEI CLASS
FAN OTHER 100 1 HEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC ^ HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I 'HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQU[RE 0 BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE o r
1 — 10 300 OESrRIf ED .7E TIAL PR OPERT p
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PERMITE �?
10 - 50 500 SIGNATU _. -/ C
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50 - 100 1000 s DISTRICT NO PRIOCESSECjBY ~
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100 - 500 1500 5' O Q �` GO
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS �/ t DATE INSPECTORS SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1 00 TEMP POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ; ROUGH CONDUIT- // - ./ -7 '� 1
TEMP SERVICE,POLE, &APPURTENANCES 500 - WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 , FIXTURES
F POWER AUTHORIZED or
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) , '1st NOTES
PLAN CHECK FEE
PERMIT ISSUING,FEE 300 _ 010
TOTAL FEE 1S
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION (__SK ' M D CASH
5 2`7 2 Z 4.7 5 A,v,
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE +
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76A663 CE806 10 61 APPLICATION FOR ELECTRICAL PERMtf
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING T'� y
BUILDING AND SAFETY DIVISION ADDRESSZky F_
JOHN A LAMBIE, COUNTY ENGINEER -7 1
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY 77
NEAREST 1
FOR APPLICANT TO FILL IN cRoss sT �
1 T E MNO EACH FEE
OUTLETS (FIRST 20) $2O $ OWNER
LIGHTS RECEPT SW MAIL
OUTLETS (ADD L UNITS) ADDRESS
LIGHTS RECEPT SW 10 // �� F
LIGHTING FIXTURES (FIRST 20) 20 /� CITY TEL N¢Z 7S
LIGHTING FIXTURES (ADDITIONAL) 10 C ELECTRICIAN
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RANGES CLO DRYERS WTR HTRS foo ADDRESS !V
GARB DISP STA COOK
CITY TEWPA
DISHWASH AUTO WASH STATff `* fJ
SPACE HTRS STA APP (%i H P MAX 1 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRCT O GR']Q'UP NE P SSED BY
O 1 1 00 / y
1 3 150 INSPECTION RECORD,� �fy��, y� � }
3 S 200 / '�r3TC13Fi -.9"�t/7 �` arr[� ' o
a 15 2 So
15 50 300 / 1/I r �✓ `�
50 100 500
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SIGNS NO TRANS h
NO LAMPS z
SERVICE O 600V NOT OVER 200A 1100 �-
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200 Z
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FEE $
42
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYVFIXTURES
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFCALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEDESCRIBED RESIDEN 1 L PROPERTY SIGNATURE O NOTIFIEDOF PERMITTE
v LIDATION ARTHUR C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
apo 6'9 1 v JA25 2 D 6.00^' V
6A66,)-CE806 a62 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEBPARTMENT OF COUNTY UIILDING AND SAFETY DIVISION FREST
RESS MING 10 6 E FAIRVIEW A
JOHN�IIIIIMIIIIN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP T OF BUILDING ALITY TEIT LE CITY
FOR APPLICANT TO FILL IN T GRAND
RECEPT TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ OWNER SCOTT-COULTER
LIGHT MAIL
-SWITCH ADD'L 10
LIGHTING ADDRESS
OVER 20
TOTAL FIRST 2O 20 CITY TEL NO
_
FIXTURES I ADD'L 10 ELECTRICIANDONLEE & SON ELECTRIC
OV R 20 TTT
RANGE CLO DRYER51 WTR HTRS 2 100 2.00 ADDRESS1�0v3�70� N. GRA13DVIEpW AVE.
GARB DISP STA COOK CITYS 0• SAN GABRIETTEL NaT• O�200 7 '
DISHWASH AUTO WASH STATE
SPACE HTRS STA APP (yz H P MAX ) 50 LICENSE NO 137567 C-10
MOTORS OVER NOT OVER H P DIST CT N GROUP ZONE PR CESS D Y
O 1 1 00 (J ` /��
1 3 ISO INSPECTION RECORD
3 S 200
8 15
250 a
O
15 50 300 V
50 100 Soo w
O
SIGNS NO TRANS V
,. NO LAMPS LI,I
SERVICE O 600V NOT OVER 200A 1 100 1.00
Z
SERVICE O 600V OVER 200 A 1200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE _ 200 2,00
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE $ 5.00
1HEREBY ACKNOWLEDGE THAT I 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
1 HEREBY C.-.Ig- AT AM PROPERLY REGISTERED AND/OR v
LICENSED AS RE"
BY 09 A GELE UNTY AND STATE,OF- FIXTURES
CALIFORNIA OR H T I A TH L GA O ER O THE,ABOVE
DESCRIBED REBID NT ALP PE 1 POWER • !S
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE �.
FINAL
OCKLIDATION ARTHUR C VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
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