HomeMy Public PortalAbout9642 GIDLEY ST_Electrical__ 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER gDDREss
BUILDING AND SAFETY DIVISION
f I
7 LOCALITY
NEAREST f
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACHI FEE OWNER OR
$ s FIRM NAME
RECEPT.•ZL- MAIL r
LIGHTTOTAL .25 FIRST 20 ADDRESS
, ,
CITY TEL. N0.
SWITCH`S J� ( OVER 20 10
PLAN CHECK
FIRST 20 APPLICANT
LIGHTING TOTAL .25 "-
FIXTURES OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES y+ CITY TEL. NO.
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY - TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER. -
FAN OTHER 1.00 �/- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
-f ANO 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 8 TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR }
0 - 1 1.00 '� LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF O
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE CJ
1 - 10 3.00 DESCRIP•ED RESIDENTIAL PROPERTY. LL.1
J
PERMITEE W
10 — 50 5.00 SIGNATURE "
50 — 100 10.00 DISTRICT NO. PROCESSED BY
100 — 500 15.00 a' . O
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE n INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.DO WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE I
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.0. CASH
4 ,I i wti;
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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76A663-CE-606 10/72 APPLICATION F&i ELEC AL PERMIT
COUNTY OF LOS ANGELES f/
DEPARTMENT OF COUNTY ENGINEER ADDRESS t f �Q
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACHI FEE OWNER OR
FIRM NAME
RECEPT. MAIL
LIGHT TOTAL
FIRST 20 25 !^. ADDRESS
V
` OVER 20 •� CITY TEL. NO.
SWITCHy� f0 �� PLAN CHECK
FIRST 20 APPLICANT
LIGHTING TOT,,gq�� .25 '��
FIXTURES OVER 20 ID / ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT •
RANGE DRYER WTR. HTR. APPLICANT `
STA. COOK DISP. F.A.U. ADDRESS 3 I
SPACE HTR. :3 COND. CITY TEL. NO.y t"
CLOTHES WASH. DISHWASH. LICENSERREG. NUMBERS-417 CLASS.G
FAN�OTHER 1.00 /�� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
(�
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERSRATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
IZE & TYPE .OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR AI
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE }.
O h.'
1 - 1O 300 DESCRIP,ED R PROPERTY.
Or
PERMiTEE -
10 - 50 5.00 SIGNATURE • CCCr�rJ��4"""iiiF C:)
50 - 100 10.00 1-
DISTRICT N0. OCESS D By W
1241-
:1.
100 - 500 15.00
QCG ..
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR' SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 5.DO WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED r
FINAL
PERMIT FEE (SUB TOTAL) NOTES:-X - L C /'
inly
PLAN CHECK FEE 3t5 w+'f C Ir,-f-,e O to S
PERMIT ISSUING FEE 3.00 L' I'NL - D 2' -1-a v v /r
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CN. M.O. CASH
12 n 42 2 D 4320
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE