HomeMy Public PortalAbout6130 HART AVE_Electrical__ OBS SA 2W:1
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DEPARi MENi' ®F � A, S �PPU�:A'�� FOR �'
COUNTY OF IOS ANGELES
M. HIEFF&qlfS5NK! ELECTRIC
�evaME �,/�� DtSTt2JfC�fdO. GROUP
ZONE PERMIT
/MiT IRt�+b/./
U ADDRESS
CITY r�}} TEL.NO. RECejI IYgD BY FIRST INSPECTION j,� �
WCOUNTY D
CERT. EXPIRES
APPLICANT ML M HFAVMY ®UTLINM PORTION ONLY
JOB
D CREION OF WOR ADDRESS �t•1r7 �'-
NUMMM OF OUTL6IS ON CIRCUITS LOCALITY �S mss„ A' r S. M
LOCATION BY ROOMS
CEARSBT I
LIGHT OUTLETS ow. PLU(813 Poi r [ sl tAt�t d
CIRCUfT- A B C D E F G H I NAME
�.A��.:.'�1:�ice• �r/����,1-1_f-�'��� a�f
MAIL �.•
G B •II G .� ADDRESS
q y
O CITY M l 4 i+ TEL.No.
1 AM THE LEGAL POSSESSOi2' OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
ELECTRfCiAN.
I AM THS LEGAL OWNER OF THE PROPERTY DESCRII9ED
ABOVE
f OWNER.
CORRECTIONS
J
a
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0
ToTA y
NO. OF OUTLETS E
APPROVALS
NO. OF FIXTURES O DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCE,L US $ POWER
PERMIT FEE $ UTILITY CO.NOTIFIED
TOTAL FI=E FINAL ��UO t 1 O '`Z/Yv
�^r kfr��II1I '/(� Iwo/ �r�} p} �C�-�y ((/�(/[��II1� I�y������V� � .
76A6Cr3yCE8061,68 Lr-VU ll UV�!r-�1���11�J !1 OR IS�IS��IJ\1�V�AIAL EUbUV T � .
• COU�1Y OF-LOS ANGELES
%E ARaIMENT OF COUNTY ENGINEER BUILDINDyVp kr
UI!<bI G'AND SAFETY DIVISION ADDRESS
—
JOHr*-A."LAWrElE• COUNTY ENGINEER h
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
+,,.;�..-'4F..- '4`�.. ^,r'... �..r,�.'r.,; ,.T_; - _,r-• NEAREST
. FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
IZ $ $ OWNER /�'✓o/�
�. RECEPT�.y/ - MAIL
'
LIGHT
//� 6TOTAL FIRST 20 40 .20 ADDRESS���U o2J / `�
SWITCH / � OVER 20 .10 U' CITY C• TEL. NO -! / »:
PLAN CHECK
;., LIGHTING ) TOTAL, FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
I, RANGE—DRYER<WTR.HTR._ CITY TEL. NO. '
_- STA.COOK_DISP. F.A.U._ CONTRACTOR
SPACE HTR.—AIR COND. ADDRESS
- CLOTHES WASH.vDISHWASH._
6 CITY TEL. NO.
FANOTHER 1.00 LICENSE IJ O. CLASS.
`. MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. .I HEREBY 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 i
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
�tx
CALIFORNIA OR TH A HE LEGAL OW OF, AN INTEND TO d
�- 10 - 50 5.00 RESIDE IN, T DES CRIPED S DENT PROPER Y. 0
•' SIGNATURE V
4� 50 100 10.00 'OF PERMIT EE K
100 - 500 15.00 -: .� :^:.3: _ .-�. : ' .�'•'cr,:=�.. - ^.i Q
DISTRICT NO GRQ�JP Z E PRO
CESSED BY V
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 �L (��(� _ W
TUBE, OR CL
x. MARQUEE ADDITIONAL CIRCUITS 1.00N
NOTES:
.� Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP [ 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 y� 4• -
�/ CR /GC `-G.tc
Ir-! TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS . ", DATE INSPECTOR'S SIGNATURE
le
`TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
rPERMIT
E (SUB TOTAL)
, FIXTURES
K FEE (50% PERMIT FEE)
POWER AUTHORIZED
UING FEE - 2.00 � UTILITYCO.NOTIFIEDTARY PERMIT ISSUING FEE 1.00 FINAL 7/70
JOSEP C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK_ M.D. CASH
05 U.2 0- JUll11 2 0 16-.0 0-
`
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ! Ls''/"'✓ '