HomeMy Public PortalAbout5926 HART AVE_Electrical__ ��- �- ate-- ,
76A663-CE806 1/70 A0PUCAMN FOR ELECT U Qd PERMR
C.QUPITY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGS92 Hart
BUILDING AND SAFETY DIVISION ADDRESS 9 �g
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY eple XX City
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. �/j/j y �✓
OUTLETS N0. EACH FEE
OWN ERValentine
I $ J $
RECEPT. i MAIL
-
l FIRST 20 � � ADDRESS Same
p
LIGHT TOTAL CITY TEL. N0. 287-1097
SWITCH 1 OVER 20 10
PLAN CHECK' A uatic PO l5 Ince
LIGHTING FIRST 20 APP-LICAN.T . q
TO�AL
OVER 20ADDRESS
FIXTURES .10 .
APPLIANCES CITY Arcadia TEL. N0.
c_�_
RANGE. DRYERWTR. HTR._ PERMIT APPLICANT (� `^�•'�
STA. COOK DISP. F.A.U. ADDRESS _ 1e--ta/yr
SPACE HTR. AIR COND. CI Tx_ p TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. S63283 CLASS. C53
FAN' OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH 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
0 - 1 1.00 LICENSED AS REQUIRED BY LOS A ELES COUNTY AN STATE OF
CALIFORNIA OR THAT I AM THE L L OW OF, INTEND TO
2 1 - 10 3.00 00 RESIDE IN, THE ABOVE DE E P•ED SIDE PROPERTY.
1-3659000 BTU 10 - 50 5.00 00 SIGNATURE 0
OF PERMITTEE
i
50 - 100 10.00
DISTRICTNO. CLASS GROUP Z PR C SS Y 0
100 500 15.00 J• O V
SIGN, GASW
SIGN AND ONE CIRCUIT 3.00 NOTES,: -? L N
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 �
SERVICENOT OVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIU
WIRING
4 FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSIE HC. f200HAN
TOTAL FEE SUPERVIS N ELECT CAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LAL-0 5. 7 7 7 1 IMAI 1 2 D 1 2.0 0-
SEE
NSEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE806 11-71 APPUtAMN FOR Q ELEC UMC AL PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 6 7 .
LOCALITY (
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ;m S
OUTLETS NO. EACH FEE
OWNER
RECEPT._ MAI ADDRESS aZ •A! 9 T
LIGHT TOTAL FIRST 20 .25 1
OVER 20 CITY T 110
TEL. N0. V
SWITCH= .10 PLAN CHEC
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL.,NO.
PERMIT
RANGE 'DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. - ADDRESS
-71 41
SPACE HTR. AIR COND. CITY 60Mo TEL. NO.a Q1
CLOTHES WASH. DISHWASH. LICENSE N0. CLASS.
FAN OTHER 1.00 1 HEREBY,ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE•THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS,_TRANSFORMERS RATING WITH 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
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF, AND INTEND TO
I - 10 3.00 RESIDE IN, THE ABO DESCRIBED RESIDENTIAL PROPERTY. O
10 - 50 5.00 SIGNATURE _ IM
OF PERMITTEE% O
50 - 100 10.00
DISTRI,CTNO. - CLASS ZONE PROCESSED BY W
100 - 500 15.00 i ® N
G.
15 z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00
CIO
TOTAL FEE
lz 0-
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VALIDATION CK. M.O.
L 0. 6 2 � D...
ALIb ,� JAN J 7 a D F.0 0-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
" 76+663-CE806 1-67 Q° PPUCA°- IMN FOR REC UMC AL PERWT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
rF
"%n' NEAREST 1.FOR APPLICANT TO FILLINCROSS ST. ;1
T. 1 TOTALH FEEUTLETS FIRST 20 $.20 $ OWNE} MAIL
H ADD'L 70ADDRESSOVER 20.TOTAL FIRST 20 .20CITY TEL. NO.ING FIXT RES ES ( OVER 20 •70CONTRACTORDRYERS WTR.HTRS. 1.00 ADDRE SSP., STA.COOK s w CITYTEL.NO. !i .! /�H.. AUTO.-WASH. - a O LICENSE NO.STAtE
TRS. BTA. APP L. 4'� .SO
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE RO ESSED B
O t 1.00
I a 11.50 INSPECTION RECORD
'3 8 2.00
8 75 2.50 � ��'" _J ` '.""5,..1�.,�1N•.� �!'t..
15 SO 3.00 �a f/ >
50 100 5.00 o- lJ
A it
SIGNS: NO.TRANS"
NO.LAMPS
SERVICE 0-600V-Nor OVER 200A 1.00. u
W
SERVICE 0-600V-OVER 200 A. 2.00 n'
N
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 - APPROVALS DATE INSPECTOR'S SIGNATURE
I
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
'�•' UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYROUGH CONDUIT
WITH ALL COUNTY.ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING of
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND�/OR / V
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO rt POWER
RESIDE IN,THE ABOVE D CRIBED RESIDE TIAL PRO TY.
7
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEEi
FINAL
~LIDATION JOSEPH C. ROOHAN
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK
IL -0 8. : &E�� SEP P5 6.40