HomeMy Public PortalAbout10629 FREER ST_Electrical__ CM 6-A 10-41 23M .APPLICATION FOR *1Of11T71 -
,<I31EPMTMENT OF BUILDING AND SAFETY ELECTRIC
COUN'T'Y OF LOS ANGELES
WM. J. FOX EC
C
CHIEF ENGINEER
a NAME DISTRICT NO. GROUP ZONE PERMIT NO.,
U ADDRESS s ,(�O`${ �1 1���
w
U CITY ate.(„ ' TEL N // RECEIVED BY READY FOR DATE ISSUED
NI COUNTY /07-0
FIRST INSPECTION
W CERT.NO. ` EXPIRES
APPLICANT F L IN HEAVILY OUTLINED PORTION ONLY 9
DESCRIPTION OF WORD ADDRESS ��s�m✓
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST
LIGHT OUTLETS- SW. PLUGS FIXT CROSS ST:
CIRCUIT A B C D E F G H a NAME d �, �
Z MAIL
3 ADDRESS
O
CITY 'TEL;.NO..
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFI�T F� FICATION,-
ELECTRICIAN.i
I AM THE LEGAL OWNER OE!TH PROI'ERT1�pESCRISED
ABOVE
OWNER.
CORRECTTONS
z
0
TOTAL
NO. OF OUTLETS ffi L APPROVALS
NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
NO. OF SIGNS ' TRANS. $ WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES
MISCELLANEOUS ffi POWER
PERMITTEE $ 7' UTILITY CO.NOTIFIED t
TOTAL FEE FINAL
v
76A663C��CE806B ,=,75 APPLIC TION-, FOR ELECTRICAL PERMIT
.f
BUILD AND"SAFETY ISION
FOR APPLICANT TO FILL IN i ♦✓� q
EACH NO. FEE ADDRESS oC/.
FResidential Bldgs.& Pools Sq. Ft. $ — $ LOCALITYq. Ft. — NEAREST
CROSS ST.
wimming Pools OWNER OR i
FIRM NAME
Outlets. Light, Switch & Receptacle MAIL
First 20 a ADDRESS 6
Additibnal CITY
Lighting Fixtures A
First 20 ADDRESS 1�yt�yt.afJ
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT-
Range Heater_ D.W. ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY . Tel. No.
Hood Fan LICENSE OR
REG NUMBER O Class.
Disp. A.C. �
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ 1H15 APPLICATION O
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V
w
CL.
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING, cn
Up to 1 Incl.
1 HEREBY CERTIFY TH M PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRE BV L ANGELES COUNTY AND STATE OF
CALIFORNIA OR THA 1 AM HE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDE IAL P RTY.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATUR
Services _ DISTRICT N ROC SED
0-200 Amp. Under 600 V +�,
201 - 1000 Amp. Under 600 V APPROVALS DATE PECTOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits
ROUGH CONDUIT
(Other) WIRING
FIXTURES
i POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Feel 2�f6-7
FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE
PLAN CHECK VALIDATION CK M.O. CASH PERMIT VALIDATION CK. M.O. CASH
3 5 1 r,:AN 30 2 D 9.0 0
�' ✓_1 5
78A669-CEYO810;39 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERJ� DRE
UILDING � )
BUILDING AND SAFETY DIVISIONDSS 'M /
JOHN A. LAMBIE. COUNTY ENGINEER �O yC�'///�17T/44�
WILLIAM A.JENSEN.SuP,i'OF BUILDINGOCALITY 4—
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES cRoss sT.
OWNER
I T E M NUMBER EACH FEE MAIL
OUTLETS* $ ADDRESS
LIGHTS Z RECEPT. SW. to
LIGHTING FIXTURES 10 CITY TEL O.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRES /
ELEC.SPACE HTRS. DISHWASHERS
CITY / EL. NO.
GARBAGE DISPOSERS AUTO.- STATE // Ov
WASHERS STA.COOKING UNITS .25 LICENSE NO. `7//
MOTORS: OVER INC. H.P. 'DISTRICTNO. GROUP I ZONE I PRO SSE BY
O— 1/2 .25 S(�
7E-
1/2- 2 .50 INSPECTION RECORD
2— 5 1.00
-5— 15 1.50
15— 50 2.50
50—200 5.00
NO.TRANS.
SIGNS:
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 500
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 -�
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ ('
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT t AM 'PROPERLY REGISTERED AND/OR
WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 10 Ar"t
CALIFORNIA OR THAT 1M THE LEGAL OWNER OF THE ABOVE _
DESCRIBED, RESIDENTI POWER
t�OPER
SIGNATURE UTILITY CO.NOTIFIED ,�
OF PERMITTEE4;1 L � •�r r
FINA �
OF _ ALIDATION A HUR C.VEIT, -
cK Mo IO SUPERVISING ELECTRICAL ENGINEER
CAS"u 5 9 9 'iAly 2 G 2 .3-0
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