HomeMy Public PortalAbout10604 FREER ST_Electrical__ DB B-1\- 0-41 25M - APPLICATION FOR ' Wr
DEPARTMENT OF BUILDING AND SAFETY � +� v
COUNTY OF LOS ANGELES E'-1 LEcrrRic
_WM. J. FOX IEF E G NeER
NAME G DISTRICT NO., GROUP ZONE PBQMIT O.Ic r
ADDRESS
CITY L.NO. CEIYED By READY FOR DATE ISSUED
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FIRST 1148PECTION
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CERT.NO. EXPIRES �� .�tv�°�' I4�'tG•x r � P�+ f
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.APPLIICANT �y�IN REA�.X OUTLINED PORTION Y
JOB
(DESCRIPTION OF WORK ADDRESS t
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST y,
LIGHT OUTLETS SW. PLUGS FIXT CROSS ST.
CIRCUIT A B C D E F G H a NAME
Z MAIL
3 ADDRESS
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CITY P `1EL.NO:
1 AM THE LEGAL POSSESSOR OF
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I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
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F OUTLETS sg APPROVALS
F FIXTURES DATE INSPECTOR'S NAMEF MOTORS H.P., CONDUIT
F SIGNS TRANS.• !9 WIRING
F RANGES OFj`" ) ffi FIXTURES
MISCELLANEOUS is POWER /
PERMIT FEE ig l UTILITY Co.NOTIFIED c 1 I
TOTAL FEE o� FINAL •_-22/\- ;
16A663-CE806 3-69
f APPLICATION FOR ELECTRIC L PERMIV' �f
COLINTY••O'F LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
i' BUILDING AND SAFETY DIVISION FADDRESSJOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGFOR APPLICANT TO FILL IN
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NO. EACH FEE
RECEIPT/- $ $ OWNER
MAIL
LIGHT_1,1_ TOTAL FIRST 20 � .20 L
ADDRESS
CITY TEL.N0. 3
SWITCH OVER 20 .10 D7 PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 i v APPLICANT
FIXTURES s I OVER 20 .10 ADDRESS
RANGE_DRYER-LWTR. HTR. CITY TEL.NO.
STA. COOK_DISP. j F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH.-/--DISHWASH. CITY TEL.N0.
FAN OTHER �j 1.00 av LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING CCCVVV I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE &•TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RES DE IN, THE ABOVE D RIBED RESIDENTIAL PROPERTY. O
10 - 50 5.00 V
SIGNATURE
50 - 100 10.00 OF PERMITTEE - _ O
100 - 500 15.00 DISTRICT (NO GRO ZONE/ P OCE SED V
Lu
SIGN,GAS SIGN AND ONE CIRCUIT3.00 '" ` �- N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 c:;2-ov
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 C
FIXTURES
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED �I/I\-/ / /
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 111, /v/ l V
TOTAL FEE JOSEPH C. ROOHAN- m 7jo
SUPERVISING ELECTRICAL ENGINEER .
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH
( f' 24391 001-28 2 D 15.70,
SEE BACK OF APPLICATION FOR COMPLF_TF FEF SCHFOULE
768663-6E806'10;72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OFCOUNTY ENGINEER .JOB
BUILDING AND' SAFETY DIVISION ADDRESS
LOCALITY r= 1 -
NEAREST f' l '
FOR APPLICANT TO FILL IN CROSS ST. ?_:
OUTLETS NO EACH I FEE OWNER OR e E
$ S FIRM NAME
41
RECEPT._ MAIL
FIRST 20 25 ADDRESS
LIGHT' TOTAL
Cl TY TEL. NO. a
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. No.
° PERMIT
RANGE DRYER XWTR. HTR. APPLICANT kjWmtlK
STA. COOK DISP. F.A U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. j LICENSE OR CLASS.
1 REG. NUMEIER
FAN OTHER �J I HEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
�r v AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING W IT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC. HP KW KVA. ELECTRICAL WIRING.
SIZE IN 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 THAI I AM THE LEGAL WNER OF THE ABOVE }
1 - 10 300 DE SCRIf;ED- I&ENTIAL PROPE YOPERMITEE10 - 50 .500 ' SIGNATURE w
O
50 - 100 1000 DISTRICT NO. PROCESSD BY W
100 - 500 1500 S� 097
Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE SPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOTOVER 600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVICEOVER 600VOLTS OR200AMP1000 ROUGH CONDUIT
TEMP.SERVICE,POLE, &APPURTENANCES 5.00 WIRING OQ �44 aq f»
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES f
POWER AUTHORIZED 0
t
UTILITY CO. NOTIFIED /
FINAL 2
PERMIT FEE - (SUB TOTAL) NOTES,
PLAN CHECK FEE
PERMIT ISSUING FEE (�
TOTAL FEE
PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATION CK M 0 CASH
2 3 7.5 0 A1;,d
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76866:,-CJ=BQ�;D,7z APPLICATIC+IV, FO ELECTRICA PERMIT
CbUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS O 4
BUILDING'AND SAFETY DIVISION
LOCALITY 1• l�
FOR APPLICANT TO FILL IN NEAREST
CROSS ST: C�
OUTLETS NO EACH FEE OWNER OR
FIRM NAME �1�-► \ ` ' 1����-
RECEPT._ $ $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS V`rc'O �GE•,V E
CITY '4 ,• TEL. NO.
SWITCH OVER 20 •10
PLAN CHECK
FIRST 2025 APPLICANT
LIGHTING TOTAL
FIXTURES
OVER 20 ID ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYEPWTR. HTR. APPLICANT
STA. COOK DISP F.A.U. ADDRESS
SPACE HTR. AIR COND. Cl TY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 100 1 HEHEBY 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 IN TYPE OVER TO
I HEREBY. CERTIFY THAT I AM PROPERLY REGISTERED A D/OR-
/`0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES•COUNTY AND ST E OF
CALIFORNIA OR THAI I AM THE LEGAL 0 NER OF THE BOVE
OESCRIFED RES NTIAIL PRO RTY a
1 - 10 300
PTEE
10 - 50 500 SIGNAGNATOR
' O
50 - 100 1000 DISTRICT NO. 14PR OC ED BY W
100 — 500 1500 cx'
Z
SIGN, GASSIGN AND ONE CIRCUIT 500 APPROVALS DA_ �0'lSpjjTOR'S jI TURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE A
SERVICENOTOVER600VOLTS OR200AMP 300UNDERSLAB W RTF
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDLLIIT Y! D
TEMP SERVICE,-POLE, &APPURTENANCES 5 D WIRING '' n
IV ..
n
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURESv
Q�a
POWER AUTHORIZED Il
`p �
UTILITY CA. NOTI� IED
FINAL ✓
PERMIT FEE (SUB TOTAL) NOTES:'
PLAN CHECK FEE l
PERMIT ISSUING FEE 300
TOTAL FEE 0-7t)1-7
/ y
PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATI N CK. M O. CASH
\SEE BACK OF•APPLICATION FOR COMPLETE SCHEDULE
1 ,
76A6 " �I 52/35
1, 4APPLICATION FOR ELECTRICAL PERMIT
• 1
' /COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FAD
BUILDING AND SAFETY DIVISION SS (P U 1 .
FOR APPLICANT O FI N TY
New Residential Bldgs & Pools EACH NO. FEET
1 & 2-Family, Sq. Ft. $ .025 — $ ST, 44 v
OWNER OR
Multi-family Sq. Ft. •02 — FIRM NAME Y, A L o r�
Residential Swimming Pools 20.00 MAIL
ADDRESS
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 1 1 PERMIT
APPLICANT R 9
Fixed Appliances Not Over 1 HP ADDRESS
Range I Heater D.W.i T,903 AZL
Oven_-Dryer_W.M. CITY_ Tel.No.
J��O
Top FAU _W.H._ -7-
REG.NUMBER Class. `vIv
Hood Fan
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
Disp._A.C. _ 2.00 AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
/ 44�j7c TA-0 WLITH AILL COUNTY ORDINANCES AND STATE LAWS REGULATING
f/ W
Power Apparatus& Large Appliances EECTRCAL WIRING.
Size & Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF >-
Up t0 1 Incl. 2.00 / CALIFORNIA OR THAI I M THE LEGAL OW ER OF THE ABOVE A..
Over 1 to 10 Incl. 5.00
OES�RIr.ED REST PROPERTY O
Over 10 t0 50 Incl. 10.00 1 PERMITEE �� V
Over 50 t0 100 Incl. 20.00 SIGNATURE
Over 100 30.00 DISTRICT NO. PROCE SED BY
Ser ,t�J
r d U
0- 200 Amp. Under 600 V 12.50�-- — "—'�/ INSPECTOR'S 0.
201-1000 Amp. Under 600 V 25.00 APPROVALS DATE SIGNATURE Vl
Over 1000 Amp. or Over 600 V 50.00 EMP.POWER POLE
Temp. Power Pole & Appurtenances 10.00 NDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 tFI
(Other)
ES
AUTHORIZED
CO.NOTIFIED
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $6.00_
TOTAL FEE I (p I
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT ZN CK. MO. CAS
, 6 1 6.4
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -