HomeMy Public PortalAbout9229 FLAHERTY ST_Electrical__ 76A663 CE606 9 66 APPLICATION FOR ELCTRICAC/ PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /)
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY I
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
OUTLETS $ $ OWNER
LIGHT FIRST 20 20 1 ��
MAIL
SWITCH ADD L 10 ADDRESS
OVER 20
TOTAL FIRST 20 ! 20 �� CITY TEL
LIGHTING FIXTURES
FIXTURES ADD L 10 CONTRACTOR
_ OVER 20
RANGES DRYERS WTR HTRS too ADDRESS
GARB DISP STA'COOK
CITY TIL NO 0
DISHWASH AUTO WASH STATE —7
SPACE HTRS BTA APPL so LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT O GROUP NER C SED BY
O 1 100 O Lc
1 3 150 INSPECTION RECORD
3 6 200 e
B 15 250 zu
15 50 300 d
50 100 500
SIGNS NO TRANS
NO LAMPS O
SERVICE O 600V NOT OVER 200A too Q b
CL
SERVICE O 600V OVER 200 A 200 N
Z
SERVICE OVER 600V S 00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200 O
SUPPLEMENTARY PERMIT ISSUING FEE 100 :APPROVALS DATE INSPECTOR 8 SIGNATURE
TOTAL FEE ® 6
1 HEREBY 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
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED LRSLR!H�
TE OFCALIFORNIA OR THAT T ND TO POWER
RESIDE IN THE ABO D 5SIGNATURE � UTILITY CO NOTIFIED
OF PERMITTE FINAL IZZ ce'
(DATION JOSEPH C ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
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76A663 CE806 168 APPLICATION FOR' ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING C'
BUILDING AND SAFETY DIVISION ADDRESS �� C
JOHN A LAMBIE COUNTY ENGINEER r"
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST gof-"aa-
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE OWNER C'
FUR
MAIL �p
TOTAL FIRST 20 20 ADDRESS `7'C
OVER 20 10 CITY TEL NO
PLAN CHECK eq
�TOTAL FIRST 20 20 APPLICANT OVER 20 10 ADDRESS
YER—WTR HTR — CITY TEL NO
DISP _F A uCOIJTRACTOR AIR COND ADDRESS
CLOTHES WASH _DISHWASH CITY TEL NO
FAN—OTHER 1 00 LICENSE IJO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THATIRI AM THE LEGAL OWNER OF AND INTEND TO a
10 - 50 5 00 RESIDE IN THE ABOVE DESCRIPED RESIDENTIAL PROPERTY O
50 - 100 10 00 SIGNATURE � l_u e V
OF PERMITTEE ��C��Gw
00 - 500 115 00 O
SIGN GAS DISTRICT NO G P I Z E CD BY G
TUBE OR SIGN AND ONE CIRCUIT 3 00 v; it, 0
MARQUEEO.
ADDITIONAL CIRCUITS 1 00 NOTES to
Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL Z
TOTAL FEE JO EPH C ROOHAN
SUPERVISING ELECTRICAL ENGI
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M 0 CASH
s
LA�8t4 9 -7 7Q3 X14 7 2 D 300
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE t'