HomeMy Public PortalAbout8612 HALDEMAN ST_Electrical__ 76A663-CE806`9-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J �7
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY d
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
7� NO EACH FEE
FRECEPT $ $ OWNER
MAIL TOT L FIRST 20 20 ADDRESS
OVER 20 10 CITY L. NO.
LIGHTING �TOTAL FIRST 20 20 CONTRACTORFIXTURES OVER 20 10 ADDRESS 2
RANGE_DRYERWTR HTR.— CITY TEL NO
STA COOK_DISP F A U LICENSE NO 6V3 C,
SPACE HTR AIR CONE) I HEREBY ACKNOWL GE T'11A I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN-OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND HEATERS, ETC HP KW KVA RESIDE IN, THE ABOVE DESCRIBED REST ENTIAL P PERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 11, 1 001 OF PERMITTEE Dl..
O
1 — 10 3 00DISTRIC NO.1 GR ZQN 15 D BY U
10 - 50 5 00 0
50 - 100 10 00 NOTES: G
UJ
100 - 500 15 00
h
SIGN,GAS SIGN AND ONE CIRCUIT 3 00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, & APPURTENANCES 3 00 ,
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
' WIRING �'r"
ISSUING FEE 2 00 11 FIXTURES
SUPPLEMENTARY ISSUING FEE 1 001
POWER AUTHORIZED
PERMIT FEE UTILITY CO NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECT CAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION G)
CK M o CASH
y� y�y�0 2,6.9 s� ,��ta 19 � � 3.6 4
Ll KJV r x
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS/
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'T OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN CROSS NEAREST
T. i��=�0 ��
PERMIT FEES OWNER
1 TE M NUMBER EACH FEE MAIL
OUTLET $ $ ADDRESS M1M1T
LIGHTS RECEPT. SW; - .10 _
LIGHTING FIXTURES f0 CITY �}���n TE .NO-1
ELEC. RANGES CLO. DRYERS ELECTRICIAN-SC�1ti81ler" Electldec
WATER HEATERS .50 ADDREss-316 `TQC , rvN F
ELEC.SPACE HTRS. DISHWASHERS CITY DuaT<t'e, TEL.NO..nELL
RBAGE DISPOSERS ' AUTO.. STATE „ 15175L. G;_10",1.,1
LICENSE NO.
WASHERS STA.COOKING UNITS .25
MOTORS: OVER INC. H.P. DISTRI NO. GRyO�UP ZONEP OCESSED BY
O — I/2 .25 �L
1/2 — 2 .50 INSPECTION RECORD'
2 5 1.00
CL
5 is 1.50 O
Is SO 2.50 O
50 — 200 5.00 U
W
NO TRANS. DL
SIGNS: N
NO. LAMPS
Z
SERVICE 0.600V 1.00
SERVICE OVER 600V
5.00
misc.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATII
APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMP
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATICONDUIT ry /� l
ELECTRICAL WIRING. WIRING ��F /K./
t HEREBY CERTIFY THAT 1 AM PROPER REGISTERED AND/
LICENSED AS RE IRED BY LOS ANGELES COUNTY AND STATE FIXTURES
CALIFORNIA ORT T 1 AM THE LEGAL OWN OF-THE ABOVE
DESCRIBED RESIDE TIA PROPER I POWER
SIGNATURE fLG Ldp' �� UTILITY CO. NOTIFIED
OF PERMITT
FINA
LIDATION ARTHUR C.VETT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
(_+ED2988 0 FE824 2 A 10 .30