HomeMy Public PortalAbout10733 GRAND AVE_Electrical__ OOUKTY OF LOS ANQELEE APPLICATION FOR PEPJM
16 D*ParbnW3l Of County Engineer
DIVISION OF BU=ING & SAFETY ELECTRIC 1
WILLIAr J FOX. Gayly imemew
FOR AP LICAlJT TD ILL IN DISTRICT NO. OROUP ZONE PERMIT NO.
77
ELECTRICIAN r
ADDRESS r 17 -I,- R[D[�JI �[D SY FIRM IMBP[OTION DAT[ ISSUED
CITY Tit M0. ✓,�]V"' I I �L -�O
COUNTY LIDENS[ NO. EXPIRI■ ■UILDING
PEBWff nMS ADDRESS
HUNGER EACH LOCALITY
LIGHT CUTLETS NEAR[ST
an ST
R[CEPTAOLO
WALL QINITOH[S OWNER
lVii 7-21-
TOTAL OUTLETS u 6o III MAIL
ELEC. RANGES as ADDRESS
[LEC. HEAT11RE f6 CITY TEL. M0.
FIXTURES 6
I HERESY ACKNOWLEDGE THAT 1 HAVE ROAD THIS
MISC. APPLICATION AND STAT[ THAT THE ABOVE IN CORRECT
NUMSER OF LIGHT CIRCUITS 2.7 AND AOW" TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF REO[PTA13LIC OIRCUITS AND STATS LAWS REGULATING ELECTRICAL WIRING.
MOTORS I OERTIFY THAT I POSSE!• THE ASOV[ VALID LOS
MuM�a HORSEPOWER FEE ANS^ti COUNTY UCENSI. OR 1 AM TH[ LEOIAL O`WN[R
N[w MVD. Hpl avm SMR EAa H OF THE RESIDENTIAL PRCPIERTY D RISED ASOVE.
ya Ltr 111 .2E ■IMMATURE OFvn I
2 .SD P[RMITTir �
1.00 INSPECTION RECORD
5 1S 1.50
1SSO 1 1.60 ,,,-7r---
so2130 1 6.00
2013 11313 1 U.00 J
6013 1 COO 1 0.m Q
Z
OVER 1Om ftdOO 0
M.O. BET/FR CHANGOR-HP m
W[LDERSIAC-KVA O
■[NERATORS - KW
TRANErORMERIB - KVA
TEMP. MOTORS (76 of aRli.
MOVED MOTORS (76 air aRIuJ
BIONS
NO. NO.TRANS. �1�1
N N LAM PO APPROVALS
FOR EACH P[RM. INSTEOTOR'■NAM[
WIRING 1_130 Q f CONDUIT
FIXTURES pi.00 Q WIRINO 3 rA
.60 F IXTU RIS
POWER
TOTAL FEE S UTILITY CO.MCTIFIED 14 a
FINAL
TUOR DRS##aA 442
76A Bi,9-C 9,D6 >,;-71 ,APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS`ANGELES
` bEfARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ti
LOCALITY
NEAREST
FOR APPLICANT TO PILL IN CROSS ST.
OUTLETSFIE17
/
OWNER Ph LL Herbol z4
/
RECEPT. ADORES$ G l4/4 N
MAIL
LIGHT TOTAL FIRST 20 2A
CITY / TEL. NO.
SWITC OVE�t 20 .10
PLAN HECK
LIGHTING FIR .10 ST 20 25 APPLICANT
TOTAL
FIXTURES
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITYTEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND./ CITY u TEL. N0.
CLOTHES WASH. DISHWASH. LICENSE CLASS.
FAN OTHER 1.00 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
A14D STAT[-THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TMX$FORM[Rl MTIXG WITH ALL COUNTY ORDINANCES AND STAT[ LAWS REGULATING
IND. HEATERS, ETC. HP. KW. "A. ELECTRICAL WIRING.
SIZE k TYPE OVER TO
1 H[R[DY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR
0 — 1 1.00 LICENSED Aa R[OUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 app RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
10 - 80 dpp SIGNATURE
OF PERM ITTEE`if ddIAA!j
50 - 100 10.00
DISTRICT XO. CLAM ZONE PROCESSED BY
100 - 600 IBRO Q R•� • �
N
SIGN, GAS SIGN AND ONE CIRCUIT 0.00 HOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DAT[ GISP[CTOWS SIGNATURE
SERVI CEOVER 600 VOLT$OR 200 AMP 10
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES &CID
UNDERSL.AB WORK
TEMP LIGHT OR RECEPT. SYSTEM am
ROUGH CONDIUT
WIRING
F I X TU RES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FI NAL
PERMIT ISSUING FEE dit
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDA CK. M.O. CASJ+
U,O Q s ► 2 8 2 0 925-
SEE SAC( OF APPLICATION FOR COMPLETE SCHEDULE — -
1
T/A//}"wf 10'" APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
'DEPARTMENT OF COUNTY ENGINEER �p�
BUILDING AND SAFETY DIVISION ADS
LOCALITY C
NEAREST
FOR APPLICANT TO FILL IN CROSS 9
OUTLETS NO. EACHFEE
FIOV E OR L
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 ADDRESS .40 73 3 157
CITYL TEL. N0.
SWITCH_Z= I OVER 20 ip zzn
LAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
OVER 20 ADDRESS
FIXTURES tO
RESIDENTIAL APPLIANCES CITE' TEL. NO,
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT lVl Z—S
STA. COOK DISP. K.A.U. ADDRESS 2
SPACE HTR. AIR GOND. Cl Ty TEL. NO.
g OR
CLOTHES WASH. DISHWASH. RE0. NU BER CLASS.
FAN OTHER 1.00 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANb /TAT[ THAT THE ABOVE I/ CORRECT AND AGREE TO COMPLY
MOTOR/ TRANSFORMERS RATIN/ WITH ALL COUNTY ORDINANCE/ AND /.TAT[ LAW/ REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY IST[ AMD/OR '
0 — 1 140 LICENSED AS REQUIRED B LOS AN/LLL/ Y ATE OF
CALIFORNIA ORM I THE L[/AL R ABOVE
2 1 — 10 340 d DESCRIBED R[/)DENT PROPERTY, p
10 — 80 Spp PERMITEE pC
SIGNATURE
b0 — 100 1000 DISTRICT NO. SED SY
100 — SOO la '-'�m [ Q S Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DAT[ XVKCT76 NGNAT(
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOT OVER SOOVOLTS OR200Amp 3,00 UNDERSLAB WORK
SERVICE OVER SOO VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES &00 WIRING 7r
TEMP LIGHT OR RECEPT, SYSTEM 5.00 FIXTURES
POWER AUTHORIZED
UTILITY CO, NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
5 3 SPJLL 2-. 2 e A, 7.0 0A-%
/EE MIX OF APPLICATION FOR COMPLETE SCHEDULE 'J
7eAa"ca-god
mv-m APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL EN ADDRESS
New Residential Bldgs.&Pools EACH NO. FEE
1 S 2-Family,Sq. Ft. _ $ .025 — $ LOCALITY
Multi-family Sq. Ft. .02 —
Resldential Swimming Pools 25.00OWNER OR
CROSS ST,
,.
M Q S� CC
Outlets Rscl Light�Sw. 50 Q DDR
First 20 r
Total No. _ Add Itlona1 "0 paTTy �{E� Tel. No. 3— �t
•• PPNICANTK
Llghtlnq Fixtures First 20 .50 Z a0 ADDRESS
.30Total No.� Additional " 41T1' Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D.W. APPLICANT f?1/r kis
Oven_DrydrW.M.— ADDRESS �t a
Top _FAU �W.H.— CITY T.I. No.ff
Hood_Fan —Other LICENSE OR +1
Disp. Room Air Cond. 2,50 REG.NUMBER Ote I - Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size 3 T HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Type REGULATING ELECTRICAL WIRING.
Up to 1 Ind. 2.50
5 HEREBY CE(�FY THAT I AMPROPERLY-2EGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS R UIRED BY LOS ANGELES COUNTY STATE IPF
Over 1 0 to 50 IrxJ. 1 2.50 CALIFORNIA OR THAT I AM THE LEGAL OWNN
Over 50 to 100 Inc
25.00 DESCRIBED RESIDENTIAL PROPERTY."
40.00 PERMfT EE
Over 100 SIGNATURE f H
Services D RICE NO. ED BY
0-200 Amp.Under 600 V 12.50
201-1060 Amp. Under 600 V 25.00 V
Over 1000 Amp.or Over 600 V 50.00
Temp. Power Pple S Appurtenances 10.00
Sign with One Branch Circuit 10 G
Additional Sign Brand2.00
Brandt Circuits INSPECTION >
Mist Conducts G Conductors INFO IONN�� ;R074,5A
Other(See Complete Fee Schedule l_
SIDE � # 000002
2a ° 3550
PERMIT FEE (Sub-Total) a 0.0 0 3 5 5 0 FI
PLAN CHECKING FEE (One-Fourth Permit Fee) 0 I (k.1 2-78
'
PERMIT ISSUING FEE $7.00 to
TOTAL FEE >
INSPECTION FINALED
i/
date. &VP By