HomeMy Public PortalAbout10769 FREER ST_Electrical__ 76A6.Q3 T�E806,11/70. APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FSS
NG
BUILDING AND SAFETY DIVISION
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING ITY"ST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO EACH FEE
OWNER
$
RECEPT._ $ MAIL
LIGHT TOTAL
FIRST 20 25, ADDRESS
CITY TEL. NO.
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 101 1
ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT CJ
)) _
RANGE DRYER_WTR. HTR. APPLICANT CJ1 Q[, EL� -/ i
STA. COOK DISP. •F.A.U. ADDRESS0
IL&6VZ k ffle J
SPACE HTR. AIR COND. CITY T c TEL. NO. a_
CLOTHES WASH. DISHWASH. LICENSE NO. 440 CLASS.C- 0
FAN OTHER100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
�0 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 I AM THE LEGAL OWNER OF, AND INTEND TO }
1 - 10 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENT CIL
Y. 4.
SIGNATURE Ou
10 - 50 500 OF PERMITTEE
50 - 100 1000 D75.*
T NO CL 0 E PROC ,SED BY O
100 - 500 15 00 "��. W
``/� a
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES: ftZ/ 5L 4•417-C
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600VOLTS OR200AMP 300 00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 500
TEMP LIGHT OR RECEPT. SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) OO
UTILITY CO. NOTIFIED
PLAN CHECK FEE ,�g,� C�,A
FINAL -7 l/�I `
PERMIT ISSUING FEE 3.00 . 3 QO JOSEPHr,.
TOTAL FEE SUPERVISI G ELE ICAL ENGINEER.
PLAN CHECK VALIDATION -CK. M.O. CASH PERMIT VALIDAT CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
DBS S-A.6"46 "PLICATION FOR PERM
DEPARTMENT-OFF LOS INS 'AND KA TY ��������
-- '�OIJNTY OF LOS ANGELES
WM. J. FOX CHIEF ENGINEER
Q NAME JDI n V212P117JF\! ` /Fr- j� DISTRICT NO. GROUP ZONE PERMIT NO*
U ADDRESS
U CITYy� TEL.NOr �S ET_ RECEIVED BY READY FOR DATE IS$$$UED
FIRST INSPECTION // /�
J COUNTY % 0� /
W CERT.NO. (`3j EXPIRES
APPLICANT PILL IN IIEAVIL�' LTTLINED PORTION ONLY
JOB
DESCRIPTION OF WORD ADDRESS
r r
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS
NEAREST s�
LIGHT OUTLETS SW. PLUGS FIYT CROSS ST.
CIRCUIT A B C D E F G H � NAME
MAIL j�'
Iw6 ��7 3 ADDRESS.K_-kk x,W J2
• I v O CITY �— jlo' TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE 'ABOV,E_ LOS
/ ANGELES COUNTY�TIFI'JC`ATE OF QUALIFICATION °
OELECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
t
OWNER.
CORRECTIONS
J
Q
Z_
L9
a
TOTAL ��yy �q
NO. OF OUTLETS ' $ "d _ &� y APPROVALS
NO. OF FIXTURES $ S` I lDATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT p "V VIP�
NO. OFSIGNS TRANS. $ WIRING ` \ ` V V
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS - i:$ POWER
PERMIT FEE $
` UTILITY CO.NOTIFIED
TOTAL FEE 4 FINAL
76A663A'7E606A.4/72 APPLICATION FOR ELECTRICAL PERMIT---- - LJ
COUNTY OF LOS ANGELES
DEPARTMENT
AND SAFETY DIVGIONER ADDRESS �� ;( T
LOCALITY J 1 I
NEAREST -�J
FOR APPL ANT TO FILL IN CROSS ST h
OUTLETS - NO EACHI FEE
OWNER Ii i w GL
RECEPT. _ MAIL
LIGHT TOTAL
FIRST 20 ADDRESS
OVER 20 CITY TEL. NO..iC -7�,y
SWITCH PLAN CHECK '
LIGHTING
FIRST 20 ' APPLICANT
� L '
FIXTURES
OVER 20 ADDRESS
RESIDEN AL APPLIANCES CITYPER ]T
/t TEL. NO.
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COI CITY TEL. NO.
CLOTHES WASH. DISHWASH. �/ LICENSE NO. CLASS.
FAN OTHER / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C:)
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING C.7
IND. HEATERS, ETC HP KW KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO CD
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO LY
1 - 1O �+\ RESIDE IN, TH ABOV DESCRIBED RESIDENTIAL PROPERTY y
/'1 (,P.
SIGNATURE i
10 - 50 OF PERMITTE
50 - 100
DISTRI N0. JCLASS I GZ.CLN E SS ED BY
100 - 500 �G P-" -( `
SIGN, GAS SIGN AND ONE CIRCUIT NOTES: 1Z �
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS ^l J11 /[� ff�{ff��/� '[,/� (•7!//Q//tj� ��/(� �d ��
SERVICENOTOVER600VOLTS OR200AMP �✓ d7•"G APPROVALS DATE DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE 9
PERMIT ISSUING FEEljly .
TOTAL FEE U V
PLAN CHECK VALIDATION CK M O CASH. PERMIT VALIDATION CK. M.O. CASH
c c .0 lJ
G' v�?
�= e c. - « ��• ��
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT '
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PER/MIT NO.
B I!
_ELECTRICIAN L��►g Oca ]�CiCs� ��-
//�� RECEIVED BY READY FOR DATE ISSUED
ADDRESS �(� ��p 'L-1 J-t C)UI. 1-t J(-.. FIRST INSPECTION (•,
CITY G TEL. NO. I..` S IO / `V�1 V�
COUNTY LICENSE ND. EXPIRES BUILDING 10'769
�"
PERMIT FEES ADDRESS 0'7 6
FEE a �v1 ' c C t
NUMBER EACH LOCALITY •/y'�1 �`—_��
LIGHT OUTLETS NEAREST
95 ST.
RECEPTACLES M
WALL SWITCHES OWNER •• �. 1 • .@- :5 t-.Y'V'e-
TOTAL
eTOTAL OUTLETS 50 $ MAIL C
ELEC. RANGES 25 ADDRESSi✓�
ELEC. HEATERS 25
CITY TEL. NO.
FIXTURES 9
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. ,APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER I INC. EACH OF THE RESIDENTIAL PRO ERTY DESCRIBED ABOVE.
1/2 a LESS $ .25 SIGNATURE OF
�/2 2 .50 PERMITTEE P., — - -----------
-- 2 s ''°° INSPECTION RECORD
5 1s 1.so
is 50 2.50
SO 200 5.00
_ 200 500 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 M
M.G. SET/FREQ. CHANGER-HP ly
_ WELDERS:AC-KVA 0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or ORIG•)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO. LAMPS -- ---
FOR EACH PERMIT: DATE INSPECTOR'S NAME_
WIRING $1.00 0 O CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ 1 Z5 UTILITY CO.NOTIFIED
FINAL y f+ p y
76A663 DBS#5A 4-52