HomeMy Public PortalAbout10657 FREER ST_Electrical__ 76A663-CE806 1/-70 APPLICATION FOR ELECTIZICAL PER
�\ COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY � jJL
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
$ $ OWNER
RECEPT._ MAIL
ADDRESS Q v
LIGHT TOTAL FIRST 20 20
Au
(�
SWITCH OVER 20 10 CITY TEL. NO.
PLAN CHECK
FIRST 20 20 APPLICANT
LIGHTING TOTAL
FIXTURES
OVER 20 10 ADDRESS
APPLIANCES CITY TEL. N
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. . F.A.U. ADDRESS ��� e/
SPACE HTR. AIR COND. CITY ��N� •TV. 0.9 /�
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.d�C/
FAN OTHER / 100 1 HEREBY 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 & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
0 - 1 1001 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE IN, THE ABOM DESCR P5p SIDENTIAL PROPERTY
SIGNATURE ��
10 - 50 500 OF PERMITTEE 0
50 - 100 1000 p[
DISTRICTNO. 1CLArS GRr ZONE PR CES E BY
100 - 500 1500 V
SIGN, GASll.1
SIGN ANONE CIRCUIT 300 NOTES:
h
TUBE, OR D Z
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP 200
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 500
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM, 300
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 0 A
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1
JOSEPH C. ROOHAN
TOTAL FEE " SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK M O. CASH PERMIT VALIDATION CK M 0. CASH
! fit 1 2 9 JN JUL 2 D 5.00- r
a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE `
76A663-CES0610-62 APPLICATION FOR ELECTRICAL PERM
'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.t '� TOTAL NO. EACH FEE OWNER /
OUTLETS FIRST 20 �f a$20 $ 0�
LIGHT o'er MAIL
ADD'L ADDRESS
SWITCH. OVER 20
•f0 �•
TOTAL CITY T O.
LIGHTING I
� FIRST 20 .20
FIXTURES ADD'L ELECTRICIA
OVER 20 .10
RANGES CLO.DRYERS• WTR.HTRS. 1.00 ADDRESS ')
GARB.DI STA.COOK /
' CITY , •TEL.
DISH WASH. .AUTO.-WASH. STATE
SPACE HTRS. STA.APP.'('/.H.P.MAX.) .50 LICENSE NO. (/ •J
MOTORS: OVER NOT OVER H.P. DISTRI T NO GROUP ZONE P O ESSED BpY
O, 1 1.00 +G -i(�
1 3 1.50 INSPECTION RECORD
3 6 2.00 40 s' " b t`dJ C., `(9U?LAr a
s 15 z.so & C '� Ov
15 '50 3.00 px
s0 100 5.00V r
L ✓ � . .
NO.TRANS.
SIGNS: NO.LAMPS
z
SERVICE 0-600V-NOT OVER 200A 1.00 0
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00 '
MISC. PAS
V
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 '
TOTAL FEE $
it-
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP LICATI N 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 fo
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
,-LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
LOESCRLISEDRESIDE TIAL'P PERTY. POWER -
�0 \
E UTILITY CO.NOTIFIED �/,'/, •
TTEE FINAL (OITi�/ �G .�j�,A.p, ..},., •�.v,+�.,
CK
0MO CASH LIDATION ARTHUR C. VETT f/
SUPERVISING ELEC RICAL ENGINEER