HomeMy Public PortalAbout9812 FLAHERTY ST_Electrical__ .76A6%3=Lt BL?` 1 I?r /APPLfCATION FOR ELECTRICAL PE IT IJ
COUNTY OF LOS ANGELES
DEPA�LJRTMENT OF.COUNTY ENGINEER BUILDING 7?/7 ,,</- ,4 ����,,
o,.. ILDING AND SAFETY DIVISION ADDRESS
LOCALI TY' {
"r . i N Pt C > 7"
FOR APPLICANT TO FILL IN CROSS ST.T. 0 lr
OUTLETS NO. EACHI FEE
$ $ OWNER o�''
RECEPT._ MAIL d
' LIGHT TOTAL
FIRST 20 25 ADDRESS .S/4 /W
OVER 20 CITY L C •�' TEL. N0. �
SWITCH_ 10 PLAN CHECK' '
LIGHTING TOTAL
FIRST 20 25 APPLICANT
FIXTURES 7
1 . ��O10
VER 20 ADDRESS
RESIDENTIAL APPLIANCES CITYPERIT
TEL. NO.
RANGE DRYER WTR. HTR. APPLICANT G vhf eo /
STA. COOK DISP. F.A.U.. 'L f ADDRESS, Qw �(
SPACE HTR, AIR COND. ` CITY 1p - TEL. NO.�,$�
CLOTHES WASH. DISHWASH. LICENSE N0. 2.?3 CLASS.0 0
FAN OTHER 100 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Q
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O
1 - 10 300 /4 r1 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. V
10 - 50 500 G/C/ SIGNATURE
OF PERMITTEE IfO
50 - 100 10,00 U
- DISTRICTNO. CLASS Z PRO SSED B Lu
CL
100 - 500 15000 _ /
Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
7-7
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 ()�
TOTAL FEE Do
PLAN CHECK VALIDATION CK. M 0. CASH PERMIT VA I ATIONCK. J M.0. CASH
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If _ 1.1 4 I? 3. MY 15 2 6.0 0
• SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE806 1,-68- APPLICATION FOR ELECTRIC L PERMI _
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
NEAREST f
FOR APPLICANT TO FILL IN CROSS ST
NO-. EACH FEE
'22yf $ $ OWNER
RECEPT.:J✓1 MAIL
�j !\ ADDRESS /
LIGHT `� ((11 TOTAL FIRST 20 p�Q� 20 �••�
SWITCH / OVER 20 8 10 $0 ' CITY TEL': NO.
PLAN CHECK ,
LIGHTING TOTAL FIRST 20 20 3 .Z� APPLICANT
FIXTURES• OVER 20 10 ADDRESS
RANGE—DRYER—WTR HTR.. CITY TEL NO
STA.COOK DISP kleF.A.U!
CONTRACTOR OR G ffJJ e�
SPACE HTR. AI/R COND. / ADDRESS '�•^CR
CLOTHES WASH.V DISHWASH:� CITY .• �j � {7 TEL. NO. 'y <16 �r�
FAN'_OTHER 1 00 �� LICENSE NO. y�LsOSC] CLASS. e.-" (J
MOTORS,TRANSFORMERS RATING
IND HEATERS, ETC HP. KW. KVA IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND E 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 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O.
10 — 50 5 00 RESIDE IN, THE ABOVE DESCRII'.ED RESIDENTIAL PROPERTY O
SIGNATUREV
50 - 100 ,10.00 OF PERMITTEE K
100 - soo is oo DIST ICT "GR P Z NE PR €D O
SIGN, GAS _ V
TUBE, OR kADDI
GN AND ONE CIRCUIT 3 00 A
MARQUEE TIONAL CIRCUITS 1.00
NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 l
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
WIRING
PERMIT FEE (SUB,TOT-AL) -
FIXTURES �
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITY CO.NOTIFIED '
SUPPLEMENTARY PERMIT ISSUING FEE 1 oo FINAL
TOTAL FEE x �� JOSEPH C. ROOHAN
• SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M.o CASH PERMIT VALIDA TIOI M 0 CASH
9. 43' ;t 1 2 0 '2 4.O O N
EE BACK OF APPLICATION•FOR COMPLETE FEE SCHEDULE - _,