HomeMy Public PortalAbout8618 HALDEMAN ST_Electrical__ 76A683-CE806468 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS b
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
J L $ $ OWNER
RECEPT ZIle
MAIL
LIGHT TOTAL FIRST 20 , ,'�/ ADDRESS jS v I�YIV
SWITCH 135i OVER 20 10 CITY J - TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 O APPLICANT
FIXTURES �� OVER 20' 10 ADDRESS '
RANGE—DRYER—WTR HTR CITY TEL NO
n/� ��••••GG r,
STA COOK_DISP _F A U ._ CON-TRACTOR rT�/-i'l�i ���__�')
SPACE HTR AIR CONO ADDRESS ,'O3
CLOTHES WASH ^DISHWASH._ CITYW+tp;'kQI1_ TEL NO
FAN OTHER 1 00 I LICENSE INO Ze �"O CLASS. ('�
MOTORS,TRANSFORMERS RATING '
IND HEATERS, ETC HP KW KVA I HEREON ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION -
SIZE & TYPE OVER TO AND'STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERT IFY'THAT I AM-PROPERLY REGISTERED AND/OR
1 — 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF _
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO T
10 — $O $ 00 RESIDE IN, THE ABOVE jEsrR1rED RESIDE NTIA PROPERTY O
SIGNATURE 4 U
'50 - 100 10 00 OF PERMITTEE
100 - 500 15 00 ~
DIST T NO G P ZO E P LU
TUBE; OR SSIGN IGN AND ONE CIRCUIT 3 00 CL.
Z_
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES-
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
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE' UTILITY CO NOTIFIED >
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE
JOSE C. ROOHAN
'
SUP IStINGE LECT AL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH FERMI, TION, CK' M 0 CASH
Li��,O 7 q 3N5..MAR 7 ,2 A 5. 5" .
;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '
16A488-Cfi8084-60 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADDRESS of AV-
JOHN A.LAMBIE. COUNTY ENGINEER (�
WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES ^y,
OWNER 1
I T E M NUMBER EACH F E MAIL
OUTLET / s $ ADDRESS
LIGHTS RECEPT 8W, .10 - -
LIGHTING FIXTURES / ,10 /
CITY "' TEL NO.*
ELEC,RANGES CLO. DRYERS ELECTRICIAN iC -
WATER H EATERS .50 ADDRESS'S QC '
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
ARBAGE DI OSER � AUTO.- STATE _
LICENSE NO. :-l&l75-r� C�'1TTb'
WASHERS STA. COOKING UNITS .25
MOTORS: OVER INC. H.P. DISTRICT NO: GROUP ZONE PROCESSED BY
O — 1/2 .25 ,.� .•5.ti.4�i ' �
V2 - 2 .50 INSPECTION RECORD
2 — 5 1.00
5 Is 1.50 V 0
15 SO 2.50 O
50 200 5.00 U
NO TRANS. UJ
SIGNS: 0-
NO.
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 f
1HEREBY 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 CER Y THAT 1 AM PROPER Y REGISTERED AND/OR
LICENSED AS Q IRED BY LOS ANGELES OUNTY AND STATE OF FIXTURES
CALIFORNIA O T AT I APM THE LEPAL WN OF THE ABOVE J
DESCRIBED RES TIA ROPERTY. POWER
SIGNATURE E�l .�� � UTILITY CO. NOTIFIED
OF PERMIT
FINA
�IDATION ARTHURC.VETT,
MO CASH SUPERVISING ELECTRICAL ENGINEER
LACO 2 9 8 9 1 F EB 2'!{. 2 A 9 .8 5