HomeMy Public PortalAbout9215 FLAHERTY ST_Electrical__ 76A663-CE80611-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAR
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE
$ $ OWNER
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 25ADDRESS
SWITCH OVER 20 10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR._ APPLICANT
STA. COOK DISP. F.A,U. ADDRESS --
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 1 HEREBY 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 CL
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0
0 - 1 1.00 r LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO U
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UJI
J
SIGNATURE
10 - 50 5.00 OF PERMITTEE
50 - 100 10.00
DISTRICTNO. CLASS ZONE PROCESSED BY Q
100 - 500 15.00 w
SIGN, GAS d
SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR H
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER600VOLTS OR200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 3.00
ROUGH CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
I
76A663 CE806 3 69
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION FBU
SS a Jr ijJOHN A LAMBIE COUNTY ENGINEERCOLEMAN W JENKINS SUPERINTENDENT OF BUILDINGTYT
FOR APPLICANT TO FILL IN ST
NO EACH FEE
$ $ OWNER
RECEIPT -6 MAIL
ADDRESS
LIGHT _3 TOTAL FIRST 20 20
SWITCH OVER 20 10 CITY � q_.o EL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES }l_I OVER 20 10 ADDRESS
RANGE DRYER WTR HTR CITY TEL NO
STA COOK_DISP F A U CONTRACTOR
SPACE HTR AIR COND ADDRESS 5
CLOTHES WASH _DISHWASH CITY TEL NO
FAN OTHER 1 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 DD 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
ICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO CL
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
10 — 50 5 00 V
SIGNATURE
50
cC
50 - 100 10.00 OF PERMITTEE O
F-
100 - 500 1500 DISTRICT NO GROUP ZON PRICE-USED BY v
SIGN GAS SIGN AND ONE CIRCUIT 3 00
-;� -l v 0-
TUBE OR Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMPSERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) 41'
POWER AUTHORIZED
PLAN CHECK FEE (507 PERMIT FEE)
PERMIT ISSUING FEE 2 00
D UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL '-Z6, 0
TOTAL FEE 0 JOSEPH C ROOHAN
SUPERVISING ELECT L ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M D CASH
pr„ 3 15 z D 720
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '
x 76A663-CE806 1072 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH I FEE OWNER OR
S S FIRM NAME
RECEPT.. MAIL
FIRST 20ADDRESS
LIGHT TOTAL .25
CITY TEL. NO.
SWITCH_ " _:,;. OVER 20 10
_ PLAN CHECK
LIGHTING
FIRST 20 r APPLICANT
.25 ' ..�
-TOTAL
OVER 20 ADDRESS
FIXTURES 10 -
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER. WTR. HTR._ APPLICANT
STA. COOK DISP. F.A.U._ ADDRESS
SPACE HTR, AIR COND. CITY r TEL. NO.
CLOTHES WASH. % DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE O
1 - 10 300 0E5CRIFED RESIDENTIAL PROPERTY. U
W
PERMITEE --I
10 - 50 5.00 SIGNATURE _ LL.
50 - 100 10.00
a DISTRICT N0. PROCESSED BY
100 - S00 15.00 0
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE W
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK
SER'VICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE Fj
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE