HomeMy Public PortalAbout4911 HALLOWELL AVE_Electrical__ 76A663C- CES068 12/75 APPLICATI N FOR ELECTRICAL PERMIT
110l
BUILDING D SAFETY `DIVISION
FOR APPLICANT TO FILL IN JOB LLD b�
EACH NO. FEE ADDRESS
FResitdential
Bldgs.& Pools •�
Sq. Ft. $ — $ LOCALITY J, CIT
q. Ft. — NEAREST
wimming Pools CROSS ST
OWNER OR �^
y, Z t,� FIRM NAME
Outlets: Light, Switch & Rec+sptacle AMAIL DDRESS f
First 20 /
Additional CITY (Yea.1 LETel. No. 440
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 Z ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT.
Range Heater_ D.W. ADDRESS
Oven "Dryer W.M.
Top FAU W.H. CITY el. No
Hood Fan LICENSE OR
REG NUMBER Class. Q
Disp. A.C. c3
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (—
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. W
LU
Up toll Incl. HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over tO to 50 InCI. DESCRIBED RESIDE AL PROP RT '
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE—
DISTRICT NO LMOZqSSED B
Services
0-200 Amp. Under 600 V v
201 - 1000 Amp..Under 600 VI ECTOR'S
APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V
TEMP. POWER POLE
Temp. Power Pole&•Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign-Branch Circuits ROUGH CONDUIT_
(Other) WIRING
FIXTURES
]POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL S-d -22 1
PERMIT ISSUING FEE
TOTAL FEE 'sNOTES
PLAN CHECK VALIDATION CK. M.O CASH PERMIT VALIDATIONCK. M O. CASH
2 4.S
-MAY 12 2 ® 1 3.0 0 •°�
r? V�
t ,
76A663`E-8Q6(8/78) APPLICATION OR'ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
ADDRESS II /-��{��Y✓6�• Lh
New Residential Bldgs &Pools EACH NO FEE
1 &2-Family,Sq Ft $ 025 — $ LOCALITY'^ y�� �"
Multi-family Sq. Ft - 02 NEAREST p 174 421- 6:'CROSS ST �Q � /7.�
Residential Swimming Pools 25 00
FIRM NAME
�1
Outlets RecLight Sw S0 ADDRESS
First 20 S Il< L EVC
Total No Additional 30 CITY /id� Tel No df Z�
PLAN CHECK
_ APPLICANT
Lighting Fixtures First 20' 50 ADDRESS Z2 M77)7"
Additional 30
Total No CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D W _ APPLICANT
Oven—Dryer_ W M— ADDRESS
Top _FAU WH,— CITY" e 1'- -!j' Tel'-No Ix
Hood_Fan —Other LICENSE OR
Disp —Room Air Cond 2 50 �' ' ' REG NUMBER „ ,Class
IHEREBY'ACKNOWLEDGE'THAT'I HAVbREAD THIS APPLICA.
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT,AND AGREE TO
Size&Type HP,'KW,'KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2 50 REGULATING ELECTRICAL WIRING t
Up to 1 Incl 1HEREBY CERTIFY THAT I AM PROPERLY'REGISTERED AND/OR
Over 1 to 10 Incl 500 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl 12 50 CALIFORNIA OR THAT I AM•THE LEGAL OWNER OF THE ABOVE
DESCRIBED
Over 50 to 100 Inc 25 00 -RESIDENTIAL PROPER Y 0
4000
PERMITEE
Over 100 SIGNATURE '
Services DISTRICT NOP_ CES D BY
0- 200 Amp Under 600 V 12 50 "" O 0(,
(_,. -_
201-1000 Amp Under 600 V 25 00 -: '
Over 1000 Amp or Over 600 V 5000 / ~SZ
p
Temp. Power Pole&Appurtenances 10.00 Q
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits 2:00 INSPECTION >
u
Misc Conduits&Conductors 1000 INFORMATIONON REVERSE _
Other(See Complete Fee Schedule) $IDE u 2 0 2 3,4 A
2
2o .o2250"
PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth'Permit Feel 0 °z - 22505
PERMIT ISSUING FEE $7.00 c 0 A 1 4-78
Q
TOTAL FEE >
- r
INSPECTION FINALED X
W
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date 117 L � Bye%�� Gli:�(f �✓-. Os
P
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