HomeMy Public PortalAbout10325 FREER ST_Electrical__ 76A663-CE806 3-84 APPLICATION FOR , ELECTRIC PERMIT .
COUNTY OF LOS ANGELES
T DEPARTMENT OF COUNTY ENGINEER BUILDING v w
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY T 1
NEAREST eIkD� ¢ ^ t
FOR APPLICANT TO FILL IN cRoss ST. /� 1
RECEPT. pZ TOTAL NO. EACH FEE
SOUTLETS FIRST 20 p S 20Zl_6)L— OWNER r l 19 d A21 b
LIGHT 'MAIL r
SWITCH. 3 OVER 20 .10 ADDRE89'
LIGHTING TOTAL FIRST 20 .20 CITY I TEL. NO. I 11'1
FIXTURES } ADD'L .10 ELECTRICIAN
OV R 20 6.
RANGES CLO.DRYERS WTR.HTRS. 1.00 `
.ADDRESS Y {, I� Irm' c
GARB.DISP. STA.COOK CITY L TEL.NO. 6
DISHWASH. AUTO.-WASH. STATE B g C1
_SPACE HTRS. -STA.APP.(+h H.P.MAX.) .50LICENSE NO. G I�
-MOTORS, OVER NOT OVER H.P. DISTRICT N GROUP ONE P S BY
O 1 1.00 Q
1 3 1.50 } INSPECTION RECORD >_
O_
9 8 2.00 ��� L F 0
8 1s 2.50
15 so 8.00 O
v
s0 100 5.00 w
a
SIGNS% NO.TRANS Z
NO.LAMPS -
SERVICE 0.600V-NoT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2A0
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE d-Z)
I HEREBY ACKNOWLEDGE THAT I 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 1
ELECTRICAL WIRING. WIRING J• ���
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTER�jD AND/OR '
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL-PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED i
OF PERMITTEE /
FINAL
VALIDATI ARTHUR C. VETT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
IqL' 6246:n NOV 27 2 0 5 ,00- V
176
DB5-SA 3•SSAPPLICATION FOR ELECTRIC
LECRIC ®ERMIT 1-
�
DIVISION OF BUILDING AND SAFETY _
Department of County Engineer
County of Los Angeles BUILDING
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D. GRIFFIN, SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NU BER EACH FEE
OWNER
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES _
TOTAL OUTLETS _ 04% 5¢ $ R 110 CITY TEL. NO. '
ELEC. RANGES 25 ELECTRICIAN �•
ELEC. HEATERS 25 ADDRESS E/ n - :�- -
KW EA CITY TEL. NO. CA�
FIXTURES 5 LICENSE N0.
NUMBER OF LIGHT CIRCUITS - DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS '
MOTORS
NUMBERHORSEPOWER FEE INSPECTION RECORD
I
NEW MVD. HP OVER INC. EACH
43. 1/2&LESS $ .25
1/2 2 .50
2 5 1 00
5 15 1.50
1550 2.50
50 200 5.00
misc.
NO.SIGNS NO'.TRANS. -
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING - $1.00 �VI7�S
FIXTURES - $1.00
SUPPLEMENTARY .50 - APPROVALS
TOTAL FEE g I DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP LICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRINGO-
ELECTRICAL WIRING. I 9v
I HEREBY CERTIFY THAT 1 AM -PROPERLY REGISTERED AND/OR FIXTURES •
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG U OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY. /
SIGNATURE UTILITY CO. NOTIFIED
A
OF PERMITTEE ��-WWN FINAL V� mea
WILLIAM J.FOX. COUNTY ENGINEER VALIDATION A. C.VEIT.CHIEF ELECT. INSPECTOR
76q:63-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESSa.::Lws-
- y6
LOCAL] .z� ka t
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. _
OUTLETS NO EACH FEE OWNER OR /
$ $ FIRM NAME ,1�✓L�
RECEPT._ MAIL G9 _
LIGHT TOTAL
FIRST 20 25 ADDRESS
.• � '`
ClT � ;f TEL. NO �'
SWITCH OVER 20 tp
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR. APPLICAN
STA. COOK DI SP. F.A.U. ADDRESS ,0
SPACE HTR. AIR COND. CIT .3 NO',7e �J^�<�
CLOTHES WASH. DISHWASH. RE G.NNUMBER,� / '" ��'^�' CLASS.' .,dc �
FAN OTHER 100 p' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
V 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 .)AM THE LEGAL OWNER OF THE ABOVE
O I - 10 300 DES GRIPED E DEN AL PROPERTY. U
PERMITEE oz
10 - 50 500 SIGNATURE CD
F--
50 - 100 1000 DI TR NO. PROCESSED BY
w
�� Q7
100 - 500 1500 �J<�� ���- /�`l� Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVICE OVER 600 VOLTSOR200AMP 1000 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING 12 �� '�
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES '
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL 7-3
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3001 ep
TOTAL FEE o J0
PLAN CHECK VALIDATION CK. M.O. CA PERMIT VALIDATION cK M 0. CASH
90, 6`3 NOAI '238 2 D TO CDA
SEE BACK-OF APPLICATION FOR COMPLETE SCHEDULE
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