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HomeMy Public PortalAbout5619 HALLOWELL AVE_Electrical__ 76A663 APPLICATION FOR ELECTRIC PERMIT 1 DBS-5A 12.54 DIVISION OF BUILDING AND SAFETY •� Department of County Engineer County of Loa Angeles BUILDING / / / .• [/ WM. J. FOX. COUNTY ENGINEER ADDRESS-,Lee CASSATT D.GRIFFIN. SUPT OF BUILDING - FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES CROSS ST 1 `l FEE NUMBER EACH LIGHT OUTLETS OWNER - RECEPTACLES MAIL ADDRESS WALL SWITCHES _J '/ TOTAL OUTLETS 5E $ s CITY ! G TEL. NO. 7 ELEC. RANGES 25 ELECTRICIAN- fi t' l z e- ELEC. HEATERS 25 ADDRESS KW EA CITY TEL. NO.' FIXTURES 5 LICENSE NO. NUMBER OF LIGHT CIRCUITS DIS7T NO. GROUp� ZONE 1 I READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS -J'�'I� MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD. HP OVER INC. EACH _ I12&LESS $ .25 1/Z 2 .50 2 5 1.00 5 15 1.50 I 15 50 2.50 I 50 200 5.00 MISC. C7 NO. SIGNS NO.TRANS. NO. SIGNS NO. LAMPS FOR EACH PERMIT: WIRING 51_00 a 4 FIXTURES $1.00 d C1 SUPPLEMENTARY .50 3 E,c APPROVALS TOTAL FEE $ DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT D _ ANSTATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER CALIFORNIA OR TH AM THE_LEGA OWNER OF THE ABOVE DESCRIBED RESIDE IA PA /' /// UTILITY CO.NOTIFIED /I�1"Z -� ' SIGNATURE OF PERMITTEE FINAL WILLIAM J. FOX,COUNTY ENGINEER VALIDATION 2 3.0 0 n o3773� MAY16 BY ® � DEPUTY 1 - - DBS-595A 12-J4 APPLICATION FOR ELECTRIC PERMIT D65. :•`DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING ' WM..J. FOX, COUNTY ENGINEERADD1ti'E55 CASSATT D. GRIFFIN,SUPT OF BUILDING FOR APPLICANT TO FILL IN LOCALITY PERMIT FEES NEAREST - CROSS ST. FEE NUM ER EACH LIGHT OUTLETS • __= OWNER 1. n RECEPTACLES MAIL ADDRESS_T WALL SWITCHES / - - TOTALOUTLETSJ�- _50 S (00 CITY TEL. NO. ELEC. RANGES '25ELECTRICIAN ELEC. HEATERS 25 ADDRESS ��-_ -,�S �� / KW EA - CITY TEL. NO. FIXTURES"' �- 5 LICENSE NO. NUMBER-OF LIGHT CIRCUITS - - DISTRICT NO. GROUP ZON READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS O NUMBER -- HORSEPOWER FEE INSPEr' R ORD NEW MVD. HP OVER INC. EACH I/2&LESS S .25 V ./2 2 ,50- 2 5 1.00 - - 5 15 1.50 15 50 2.50 � 50 200 5.00 - MISC. - NO. SIGNS NO. TRANS. NO. SIGNS NO. LAMPS -FOR'EACH PERMIT:-' ' WIRING - $1.00 FIXTURES $1.00 _L Q SUPPLEMENTARY .50 - APPROVALS TOTAL FEE S3 DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 'APPLICATION CONDUIT AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ' WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRINGAl I ELECTRICAL WIRING. 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS ANGELES .COU TY AND STATE OF POWER CALIFORNIA OR THAT L AL 0 - R OF THE ABOVE DESCRIBED RESIDENTI L P OP Y. UTILITY CO. NOTIFIED (g/ SIGNATUREOFPERMITTEE FINAL N7/// '/�llttllA /7 WILLIAM J. FOX, COUNTY ENGINEER VALIDA S 36 5 LL AUG S 2 3.3 O eY rOEPUT- V 76A66: CE-8(3619/78) APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ADDRESS Fedsidential Bldgs.&Pools EACH NO. FEE -Family,Sq. Ft. $ .025 — $ LOCALITY -family Sq. Ft. .02 — NEAREST ential Swimming Pools 25.00 CROSS ST. OWNER OR " / � FIRM NAME Rec Light�Sw. MAIL / First 20 .50 d ADDRESS SONo. Additional 30 CITY Tel.No. PLAN CHECKAPPLICANT Fixtures First.20 .50 ADDRESS Additional 30 No. CITY Tel. No. ppliances Not Over 1 HP PERMIT e_Heater_ D.W. APPLICANT_Dryer_W.M.— ADDRESS Top _FAU — W.H._ CITY Tel.No. Hood_Fan —Other LICENSE OR Disp.—Room Air Cond. 2'50 REG.NUMBER Class. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA- Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Size&Type HP, KW, KVA,or KVAR 250 REGULATING ELECTRICAL WIRING. . 6 Up to 1 Incl. 0I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Over 10 to 50 Incl. 12.50 CALIF NIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRI RESIDENTIAL PROPERTY. 0 Over 50 to 100 Inc. 25.00 ' 0 Over 100 40.00 PERMIT EE SIGNATUR CS Services DISTRICT NO. 12.50 PR SSE B g 0-200 Amp.Under 600 V 201-1000 Amp, Under 600 V 25.00 V Over 1000 Amp.or Over 600 V 50.00 Z O Temp. Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10.00 Additional Sign Branch Circuits 2'00 INSPECTION > lo.00 INFORMATION U Misc.Conduits&Conductors Uj Other(See Complete Fee Schedule) ON REVERSE u •2 SIDE Z J F� O.O 0 0 0 2 d 2ao � QQQ PERMIT FEE (Sub-Total) 000 � T � PLAN CHECKING FEE lone-Fourth Permit Feel O 011.2 0 7 PERMIT ISSUING FEE $7.00 "� o J TOTAL FEE > INSPECTION FINALED W date: By c ©s