HomeMy Public PortalAbout10240 FREER ST_Electrical__ 76A6s3-CEB0610-62 - APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING'
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY '
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
OUTL FIRST 20 $20 $ OWNER
LIGHT MAIL
SWITCH OA ER
10 ADDRESS_
OVER ZO n
LIGHTING TOTAL FIRST 20 2p CITY JC &f'4;",,/TEL NO
FIXTURES ADD'L ELECTR IAN
OVER 20 10
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOKAqd/ `
CITY TEL NO
DISHWASH / AUTO WAS STATE _
SPACE HTRS STA APP (I/x H P MAX ) 50 ® LICENSE NO
Morons OVER NOT OVER HP DISTRICT NO. GROUP ZONE PROCESSED BY -
0 1 too }� cvs-
1 3 ISO INSPECTION RECORD }
c.
3 8 _200 0
8 15 250 u
GC
15 so 300 �W
,50 100 Soo
SIGNS
NO TRANS Q.
NO LAMPS
SERVICE 0.60OV-NOT OVER 200A 100
SERVICE 0.60OV-OVER 200 A 200
SERVICE OVER 600V 5 00
MISC
PERMIT ISSUING FEE. 200 -
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT 1 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 f�� " ,) /`
ELECTRICAL WIRING WIRING •vrwVY (g -• fl ca— A,t,Q".,�
1HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR -X ,
LICENSED AS REQUIRED BY LOS ANGELES OUNTY AND STATE OF FIXTURES Y
CALIFORNIA OR THAT 1 THE LEGAL WNE OF HE BOVE -
DESCRIBED RESIDENTIAL OPER Y POWER
SIGNATURE UTILITY CO NOTIFIED ®"-I"6�-
OF PERMITTEE
FINAL /U ./��p Gi.9
LIDATION ARTHUR C. VEIY' ,
SUPERVISING ELECTRICAL`ENGINEERo
CK MO CASH
X0,0.2- 3% ,m12 2 D "1-6.40- '
76A663-CE806,12/75 1� PERMIT -
APPLICATION AOR LECTR
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB J 17
BUILDING AND SAFETY DIVISION JADDRESS 3 (J
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs& Pools EACH NO FEE NEAREST
1 & 2-Family, Sq Ft $ .025 — $ CROSS ST
OWNER OR
Multi-family Sq Ft .02 — FIRM NAME
Residential Swimming Pools 2000 MAIL
ADDRESS J
Outlets Light, Switch & Receptacle CITY' Tel No
First 20 50 PLAN CHECK
Additional 30 APPLICANT
ADDRESS
Lighting Fixtures
First 20 50 CITY Tel.No.
Additional 30 PERMIT
APPLICANT
Fixed Appliances Not Over 1 HP ADDRESSS
Range_Heater_D W
CITY Tel.No.
Oven_Dryer_W M _ LICENSE OR
Y 3
Top _ FAU _W H REG NUMBER 6 Class. C
Hood_ Fan ___
2 00, I HEHEBI ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
Dlsp_A C ___ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
Power Apparatus& Large Appliances
Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Size & T
YP � LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF >.
Up to 1 Incl 200 J CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE d,
Over 1 to 1U Incl 500 ti DESCRIDED RESIDENTIAL PROPERTY C
Over 10 t0 50 Incl 10.00 ,15a PERMITEE V
Over 50 to 100 Incl 2000 SIGNATURE S ` H
Over 100 - 30.00 DISTRICT NO ROCE SED BY O
/� �
Services ` v LU
0- 200 Amp Under 600 V 12.50 INSP TOR'S �
201-1000 Amp Under 600 V 25.00 APPROVALS DATE SIGNATURE Vf
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole & Appurtenances - 1000
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 200 tFIXTURES
G
(Other)
AUTHORIZED
Y CO.NOTIFIED
r
r f
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $600
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK _ Mo. CASH
4 1 9 SEP 29 ' 2 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,
Ci
v L
J rRLE TRIC L EN1'•76A663-CE806 9-67 APPLIC I ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER UL
UILDING
BUILDING AND SAFETY DIVISION DDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACHI FEE i
RECEPT _ $ S OWNER
MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS 19
SWITCH OVER 20 10 CITY TEL NO!� p/•Q
LIGHTING �TOTAL FIRST 20 20 CONTRACTOR
FIXTURES OVER 20 10 ADDRESS 9
RANGE_DRYER—WTR HTR.— CIT L�yNO
STA COOK_DISP F A U �y
LICENSE NO 10O
SPACE HTR AIR COND I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN-OTHER 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IND HEATERS, ETC HP KW KVA RESIDE IN, THE All DESCRIBED RESID IAL PROPERTY
Siff & TYPE OVER TO SIGNATURE
0 - 1 1 00 1zlA OF PERMITTEE
1 - 10 3 00 DISZBICT NO I G P ZONE PR D
10 - SO 5 00 '�- ' IT, % w
O
50 - 100 10 00 NOTES b
W
100 - 500 15 00 d
Vf
TUBE,SIGN,GA SIGN AND ONE CIRCUIT 3 00
MARQUEE ADDITIONAL CIRCUITS 1 00
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
UNDERSLAS WORK ^^
ROUGH CONDUIT A ,/ r .4
WIRING d
ISSUING FEE 2 00 10 - -
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00
POWER AUTHORIZED
PERMIT FEE UTILITY CO NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING EL CAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
= - L&O 2 6 7-9 kB JAN 18 2 D 3.0 0
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
u -
76A663C- CEe06121 12,75 APPLICAT ON FOR ELECTRICAL PERMIT
BUILDIN AND SAFETY IVISION
FOR APPLICANT TO FILL IN JOB
EACH NO FEE ADDRESS 1
FResidentialal Bldgs & Pools �
Scl Ft $ — $ LOCALITY
Scl Ft — NEAREST
CROSSST
wimming Pools WNER ORFIRMNAME, Switch &Receptacle MAI L
ADDRESS
First 20 �
Additional CITY, C Tel No
PLAN CHECK
Ligking Fixtures APPLICANT
First 20 Z_ ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP A P P L I C A NfJW��
Range Heater_ D W ADDRESS
Oven Dryer W M
Top FAU W H CITY Tel No
Hood Fan LICENSE OR' O
Dlsp A C - REG NUMBER v
Class
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY U
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING d
Up-to 1 Incl z
I HEREBY CER FV NAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl LICENSED AS REO IR BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA O 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED RESI ENTIAL PROPERTY
Over 50 to 100 Incl PERMITEE
Over 100 SIGNATU
Services
DISTRICT ,�OCE ED Y
D�
0-200 Amp Under 600 V `
201 - 1000 Amp Under 600 V APPROVALS DATE I PECT R-SIGNATURE
Over 1000 Amp or Over 600 V -
TEMP POWER POLE
Temp Power Pole&Appurtenances
UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) 77 �'
FINAL
PERMIT ISSUING FEE
TOTAL FEE /f NOTES
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATIONCK- MID CASH
7 9 ��it; 1b 4 0 &
1 G. :;