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HomeMy Public PortalAbout10242 GREEN ST_Electrical__r """' °` &M; 10/77 APPLICATION FOR ELECTRICAL PERMIT/ - C COUNTY OLOS ANGELES b t` E � eerV DEPARTMENT OPF COUNTY ENGINEER '7" BUILDING AND DIVISION ADbRE58 FOR APPLICANT TO FILL IN LOCALITY -1-em P G New Residential Bldgs.S Pools LACH NO. FEE TNTA R {� 1 b 2-Family,Sq. F-t. $ .026 — S ST. G/� OWNER OR Multi-family Sq. Ft. -C12 — FIRM NAME R 0F AQ�e s Residential Swimming Pools 25.00 ADDRESS 0 2 r a";J r. Outlets RerLight Sw. dCITY`fZn.ple �� Tel.No.�..J1 �.y( First 20 .50PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel. No. Total No. Additional -30 PERMIT Fixed Appliances Not Over 1 HP ADDRESS �- Range—Heater=D.W.— - _ -- - CITY - y- Tel. No.1Z�J Clb. Oven_Dryer_W.M_ LICENSE OR Top —FAU —W.H.— REG.NUMBER CJ an Hood—Fan _Other— i HEREBY ACxNOWLEDGE THAT t RAVE READ TH4 APPUCATTON AND STATE Dnp. — Room Air Cond. 2.50 THAT THE A OVE IS CORRECT AND AGREE TO COMPLY WfTH ALL COINTY ORDIN. ANCS AND STATE LAWS REGUATI4G,ELECTRICAL WIRING. Power Apparatus&Large Appl lances Size J.Type HP, KW, KVA,or KVARp A E Y CERTIFY�gT i A AST OF S MiTHAT Up to 1 Ind. 6 �( RED B)THE LEGAL OWNER Of PROPE3[TY. S I AM Over 1 to 10 Ind. Over 10 to 50 Ind. 1260 FIERMTT W Over 50 to 100 Inc. 25.00 SAGNA Over 100 40.00 DISTRICT NOVP Services 0-200 Amp.Under 600 V 12.60 APPROVALS D IPNgTURE 201-1000 Amp.Under 600 V 25.00 Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE UNDERSLAB WORK Temp. Power Pole S Appurtenances .1 0.00 10.00 ROUGH C Sign with Clete Branch Circuit 200 Additional Sign Branch Circuh WIRING Misc.Conduits S Conductors 10.00 FIXTUR Other(See Complete Fee Schedule) POWER UTILITY FIE FINAL PERMIT FEE (Sub-Total) NOTES I Al VY V PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE RAN CHEM VAUDATFON CK. M.O. CASH PERMIT VALJDATFON � A&C). CASH 223L" 28 2 © 1S.50A.13d SEE BACK OF APPLKlATION FOR COMPLETE SCHEDULE V t '^ I 76A66;-CEeD6 $-60 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEEPUICDIN AND SAFETY DIVISIONUNTY rADDk ILDING /"f� JOHN A. LAMBIE-, COUNTY E-NcilNRKR ESS C7 1 /COLEMAN W. JENKINS, SUKRINTLNDKNT QF BUILDINGCALITY D EAREST FOR APPLICANT TO FILL IN CROSS STEArH - I OWNER G RECEPT._ AIL /��rt �T LIGHT TOTAL FIRST 20 .20 ADDRESS• d (7 f^ G I SWITCH OVER 20 .10 CITY Mrl L,I EL. NO. PLAN HECK LIGHTING �TOTALFIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR.— CIT"Y TEL. NO. STA.COOKISP. F.A.U. CONTRACTOR JO/ i.N SPACE HTR AIR COND.— ADD RES/ /�'"/ 11,510 ►y QN p CLOTHES WASH._OISHWASH— C Olt. C,hCJ C TEL. NO.Q !a7 p FAN OTHER 1.00 LICENSE NOCLASS. C-/D MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I "VE READ THIS APPLICATION AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 I HEREBY CE TfF THAT I AM PROPERLY REGISTIZRED AND/OR 1 10 3.00 LICE HEED AI R QUIP BY LOS ANGELES COUNTY AP!S� STATE OF CALLFORNIA OR HAT L M WNfiR OF, ANb INTEND TO 10 - SO 8.00 RESIDE IN, TH AB ESC TIDEj,,L GROPERTY. SIGNATURE 1 '4 50 - 100 10.00 OF PERMITTEE 100 - 600 15.00DISICT E p E D B 81GN,GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR a MARQUEE ADDITIONAL CIRCUITS 1 .00 NOTES: SERVICE NOT OVER 60P VOLTS OR 200 AMP 2.90 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, S APPURTEIANCF6 3.00 VAL W➢PECTOR'S SIGNATURE. - TEMP. POWER POLE ✓ UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED y� SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. CASH 50.3 WS ,W 3 k' B 5 QN SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 7d"5X-ClMKM_.-.7 APPLICATION FOR ELECTRIC PERMIT 1 COUNTY OF LOS ANGELES . DE32ARTMENT OFr COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRE88 Q nZ /� 7^ JOHN A.LAMBIE.CouNTY ENGINErg t .0 CA.SSA.TT D,GRIMM,BUTT OF DUILDING LOCALITY j'��7 �++ FOR APPLICANT T=N IN NEA-REST PERM FBEs I T 9 Y NUYDMA LACH rlxx OWNER O ; E' MAI L V .1 OC. ACDRESS LIGHTING FIXTURES .10, NO atO.RANo[s rn.0.DRYIDRs Ej_ECTC WATKR HLAT< ■ .DO A)OR Ili¢.srAQ HTRs. DISHWAAlfX" Ar.; ax DlsrOsvw AUTO_ QTY TEL O.TE (�} WAIMEYM STA.COOIONG UNITS 213 C GIBE NO. 7 S/ v �� MOTORS. OvsR INO. H.P. RLADY FOR IN1Ff.=cm O— I/i .215 A I/a — 2 .150 .J u7 INSP=ON BECOBD 2 — 15 1.00 15 — ID 1.150 115 — 150 2.50 00— 200 15.00 HIGNBI NO.TRANr. NO.L PS SwmcE O-Goov 1.00 eo alumcE OVER 1500V 15.00 WIRING PMq-MIT 1.00 J 040 RE-F'B2ZY IT _ - 1.00. IIZFF>•L MENPARY PMIM IT .D O' TOTAL F8E s AMOVAIS I HEREBY ACIQI LSDGl5'THAT I HAYE THIS APP OR DA INEPECTOR'SSIGNATURE AND ATTS THAT THE ABOVE 18 RRECT AND AGREE TO COMPLY COPIDUIT WITH ALL COUNTY ORDINARCES AAD DTATR LAWS REQULATIAO ELECTRICAL WIRIXG. WIRING I lUMIBT CERIIFT THAT I AN PROPERLY PA913MED AAD/OR Il AB REQ BY LOS AIIGE] AND STATE OF FI]Cl"URHB CALIFORIIIk OR T I A THE LIK"L F T$E ASOTE FK)VW� Dx5m REGI FRR7T. HIGNATURR lIfILITY CO.NOTIFIED 57, OF PERM y�T ATIQN UH U urWr olm Fac CAL.EHaNMM r>z Mo CASH . p 2 6 9 1 APR 8 2 A 920 9 WORKERS'COMPENSATION DECLARATION 7M&M 10181 APPLICATION FOR ELECTRICAL PERMIT CE-80BG I neretty affirm mat I have a.�erttrioe�a d coneart to W hsiaA or a om-Mbyte of Ykrkem' Cornpeneation Insurance;or a oerttfisd COUNTY OF LOS ANGELES BUILDING AND SAFETY copy thered(Sea 3800,Lab.C.) P�oecy Na ,. c«r+prvry FOR n Pw x.wT,o FLL IN magOo� .Z I-J � °OpY b Aeby ta�f�dd. New Reaid6nriet Bkipd d Poolb EACH Na FEE 1 d 2-Fan-g',S4.Ft S — $. LOCAIJTY 'Y t7 f�r1 cermod 60copycopy b Toed'wtth the county Cxr6dlrib hepection MkitfemlY 1-1 4 Ft 11 Reeldentfal SvAmmkv Poole OWNER OR ' M" FFDA NAE i• X7'7 CFRTIFiCAI;.OF'EX-EMP'ROth FROM W017KERS' .00MPENSAnION INSURANCE• Orrtlets Reo Light SW. . (Ibis«e Y rnp r>•.d not be,coieted jf the work lrr o by the Total No.� /1F dtHooe} � , Tel.No. 9r�C(i permtt W for 6m hundr.d do"($1QQ)or km-) PLAN CHECK I oerUfy that Ln the'periornimce•d the work for which this permft APPUCANT As beued, I shell not or ploy any pwaon b1 any manner so as lo become al>)ect to,me Wtirkers'C_rperwm�on Lewe Llgtrtlrlg Fixtures FU*22(}' ADDRESS AddftTotal No. CITY' _ :Tet No Dale APP1t .. Fired gpoliancee Not Over 1 HP" NOTICE TO APPUQANT,, H, after, nv k nu:thle CertH9cafe d APPLKJW ptiT Emmorl You should become bubWor}Qpt.to me —'Corrper—don I iea�ar— Da V. T , provWone of the,,Labor Code,-you must Torttmft com* wtttrsuoh Oven Dryer— WMT ADDRESS prgvle wm or thi'A WTr&shall be deemed-d,,4 Top FAU — WR CITY TeL No.LICENSED CQNTRA=RS DECLARAT)ON Hood Fan •— Omer_. I .hereby effirin thad I em ibeneed udder provtelorle,ot,,Chapter 9 Dbp,• Row Ar Gond. mgrld (oomng � gedJcn 7000)of DNielon 3 of"&reirleee end Fkdesaiorb Code,and my Iberlee b In full force ande(feoi DOTR1C7 N X �¢. ncem Size&Type HP,KW,KW or KNAR License Number. Lb.Class .T .. Up to 1 Ind. FINALDATE - {� T Over,1 to 10 bcL ver _ url IneYnN - �' Corttraotor awn Date O 10 to hid. FI 60 ^ FINAL711Y JJ .I-am e>aEtrrSpt under Seo fiver$Q to 100 ko - LL BAP.a for this reason over 100 N 5ervbee Swbd.,MCC&%rlelboerds , Z Deter0-200 Arte-Urder 600 V Signature 201 - 1006 gnp.'Under 000 V Over 1000 Arte,or Over 600 V _ Exampthn fcr P g.Mahrt.E1eat. $INGL E FAMILY Temp.Power Pole.S Appurtecorices. GNOME OWNER-BUfL,IDEN DECLAR/TIOff Slgn'wfm One Branch Cbmk foflriQn614n5 ,Setla�i 70316 Buelr»as and Prof�•� pb -t°•¢•. Y ����� _• ��r��� F��- C6de): TOTAL 51.70 } I,sa owner of,the property,wM do t1,e work erid the etruot re mw-Condone& C PAuctore CASH.' . 51.70 Is rot h tended or oH@red.for sNe (SeatSon 7044, Business (fig Tete Fee Soheduie) and Code) .�7 CONSTRUCTION LENDNG AGENCY - I hereby afftrjn•thAt•there b e oorwtniction lending edency for the performance d the work for which this.permft Ia Dred(Sec.3097, PEHMrr FEE- (Sub-Total) ( 1 3/23190 mow:C.)., PLAN CHECKING FEE _ 9677L' _1. M11:36 ' Lenders.Name PERMrr ISSUING FEE j3 A - LarxWs Address I certify that I heve read tfS s applbarion and state that the above TOTAL FEE. _ 51 hdonnaiton Ia coarct I agree to'conphy wtth all Courrttyy ordkianoes and State Iawe reguMng EleotrVcpl. YMog, and Fieibby auKortre mpreaerrt6ttves of this County to enter upon the aba�mentlor»d property kc WrpOees- SEE REVERSE FORS EXNLANMX>RY LANGUAGE _