HomeMy Public PortalAbout8615 HALDEMAN ST_Electrical__ 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST L`iC
OUTLETS NO EACH FEE OWNER OR
$ $ FIRM NAME _17
RECEPT._ FIRST 20 MAIL ) oklt)Llw�'3
ADDRESS
LIGHT TOTAL
25
CITY '� e TEL. NO
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 101
ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR, HTR APPLICANT �l
STA COOK DISP F.A.U. ADDRESS
SPACE HTR AIR COND. CITY TEL. NO.
CLOTHES WASH DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING W ITH 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
O - 1 100 LICENSED AS REO U]RED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OW NE E ABOVE a
1 - 10 300 DESCRIPED RESID IA PROP TY O
U
10 - 50 500 PERMITEE
SIGNATURE O
H
50 - 100 1000
DISTRICT N0. SED BY LJ
/ Q
100 - 500 1500 T7Z� ;_l
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP , 300 t�0 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED tt
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 on
TOTAL FEE 4CASH PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o
1 3 DEC `? 2 .A 6.C't�a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
,CAE98.C98064.60 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING �/ p
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES
OWNER 1
1 T E M NUMBER EACH FEE MAIL
OUTLET $ $ ADDRESS
LIGHTS ECE SW./ .1O
LIGHTING FIXTURES 10 CITY TEL NO
ELEC.RANGES CLO. DRYERS ELECTRICIAN chueller'Electric
WATER HEATERS .50 ADDRESS 316 Toc ino Dr.
ELEC.SPACE HTRS. DISHWASHERS CITY rte TEL.NO. El 8216.2
BADE DISPOSERS AUTO.. STATE_ "I5,I75I C-10 -
LICENSE NO.
WASHERS STA. COOKING UNITS .2H
MOTORS: OVER INC. H.P. DISTRI T NO. I GROUP I ZO E PR C D
0 -'- %2 .2s
1/2 — 2 .50 IN PECTION ECOR
2 — s 1.00
5 — 15 1.50 Ov
Is — 50 2.50 0'
O
50 — 200 5.00 U
NO TRANS. UJ
SIGNS: a
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 $Cd
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION _ APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT `-
ELECTRICAL WIRING, WIRING
1 HEREBY CERTIFY THAT I AM PROPER REGISTERED AND/OR
LICENSED AS R Q IRED BY LOS ANGEL OUNTY AND STATE OF FIXTURES
CALIFORNIA OR T AT I M THE LE AL W B OF THE ABOVE JJ
DESCRIBED REST TIA ROPERTY. POWER
SIGNATURE
OF PERMIT T UTILITY CO. NOTIFIED .07
FINA
IDATION ARTHUR C.VETT.
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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