HomeMy Public PortalAbout10249 FREER ST_Electrical__ 76A663•CLyd06 10-82
APPLICATION FOR ELECTRICAL PERMIT '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING O _
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE,'COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BU'LDING _LOCALITY
NEAREST
FOR APPLICANT TO FILL IN* CROSS ST. I _
RECEPT. TOTAL NO. EACH FEE- -
OUTLETS FIRST 20 $20 $ OWNER /
LIGHT • MAIL _
ADD'L ADDRESS
SWITCH
4-1 OVER 20 -10
CITY TEL. NO /
LIGHTING TOTAL� FIRST 20 .20
FIXTURES o;i/ ADD'L ELECTRICIAN
OVER 20 .10
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS // -
GARB.DMP. STA.COOK _
CITY TEL. NO.
DISHWASH./ AUTO.-WASH JVM STATE �j
SPACE HTRS. STA.APP.(l/s H.P.MAX.) .50
3 LICENSE NO. �/ . [ I
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE I PROCESSED BY
0 t 1.00
i 3 1.50 INSPECTION RECORD
3 a 2.00 >-
a
s 1 s 2.50 0
15 50 3.00 pe
50 100 5.00 o
SIGNS: NO.TRANS. D.
NO.LAMPS H
SERVICE O•GOOV-NOT OVER 200A 1.00 yo_7- It
SERVICE O.60OV-OVER 200 A. 2.00
B'n.� o •.. IA i n�w.A
SERVICE OVER 600V 5,00
MISC. r
PERMIT ISSUING FEE 2.00 —�
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 _
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION 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 -/9(9
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ;
LICENSED AS_REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES '
CALIFORNIA OR THAT IaMTHE LEGA OWN R O E ABOVEDESCRIBED RESIDENTIAL' E TY. POWER
SIGNATURE UTILITY CO.-NOTIFIED
OF PERMITTEE FINAL
�(f1LMO. C N ARTHUR C. VETT C
( CK ID CASH SUPERVISING ELECTRICAL ENGINEER -
Lf JUN17 2 0 19.90-
. . %J�y�p fes-•.
76A6,3C- CES06B 12,75 APPLICATION FOR ELECTRICAL PERMIT .
�s
BUILDING D SAFETY DI ON
FOR APPLICANT TO FILL IN JOB O
New Residential Bldgs. & Pools
EACH NO. FEE ADDRESS ;
1 &2 Finadqy
ily Sq. Ft. $ — $ LOCALITY tp
Multi-family Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNEROR J
FIRM NA
Outlets: Light, Switch & Receptacle MAI L
First 20 (� ADDRESS
Additibnal CITY N
PLAN E K
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT py
Range_ Heater D.W. ADDRES Id (4_)
Oven Dryer W.M.
Top FAU W.H. CITY Tel. No
10
Hood Fan LICENSE R O
REG. NUMBER Class.
Dlsp. A.C. v
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING i -
Size&Type HP, KW, KVA,or,KVAR ELECTRICAL WIRING, r7
W
/ Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERIDY REGISTERED AND/OR Z
/ Over 1 to 10 Incl. C LICENSED AS REQUIRED V L 5 ANG LES COUNTY AND STATE OF
CALIFORNIA OR THAT AM HE AL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTI PR �TL
Y
Over 50 to 100 Incl. PERMITEE L
Over 100 SIGNATURE
DISTRICT NO M:Xt
Services,
0-200 Amp. Under 600 V G�
201 - 1000 Amp. Under 600 V APPROVALS DATE I PECTTOR'S
Over 1000 Amp.or Over 600 V
IGNAURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ]ROUGH CONDUIT
(Other) WIRING
FIXTURES
W *194111;1
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO NOTIFIED ,y
PLAN CHECKING FEE (One-Fourth Permit Feel FINAL
PERMIT ISSUING FEE NOTES () / G?7�/Q9iUG 0e
TOTAL FEE ? 1 3
l E L CASH PERMIT VALIDATION ;. )0
M.O. CASH
0 4 3 SEF' 2.3 2 D, 1 35 o�t
POLICY HOLDER: l'
POLICY NUMBER: JZ=C_A). Zr7