HomeMy Public PortalAbout6145 HART AVE_Electrical__ 76A663CE-806,11 ;78; ' l PPUCQMN FOR ELECT AL.-"pEQMU
COUNTY OF LOS ANGELES BLIIL.DING AND SAFETY '
FOR APPLICANT TO FILL IN _ JOB
New'Residental Bldgs *&Pools - " EACH, NO: :M FEE ADD.RESS,..- x 1
T&2-Family,Sq. Ft. $ 025 — $ LOCALITY
A&C—
"',02_ _ NEAREST
Multi family Sq. Ft CROSS ST' `
Residential Swimming Pools',. 25.00:' OWNER OR:
FIRM NAME-
Outlets Rec Light Sw. MAIL
First'20 ..50 S100, �ADDRES5
Allr
Total No: - Additional 30' CITY �� Tel. No..
PLA
A PIICANTK.
L�ighting Fixtures First 20 .50 ADDRESS
' ,:,Additional .: 30 - '
Total No.. CITY J Tel,No.
Fixed,Appliances Not Over 1 HP... PERMIT ^^
•Range_Heater_D.W_ APPLICANT , )
O"ven_Dryer—W.M. ADDRESS r?R/
Top' _FAU W.H.— . CITY, TeI;..Noo2p,�Ol„
Hood Other
LICENSE OR
Disp._Room Air Con_d„ 2.50 _ REG.NUMBER
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA-
Power Apparatus&Large Appliances' TION AND STATE THAT,THE,ABOVE`IS CORRECT AND AGREE TO
]',COMPLY-WITH�AUL COUNTY ORDINANCES A'ND"STATE"L""AWS
Size&Type HP, KW, KVAor KVAR 2 S0REGULATING ELECTRICAL;WIRING.
Up to l In .
500_ -1-HEREBY"CERTIFY-THAT-I AM PROPERLY'REGISTERED:`AND'/OR """�
' Over.1 to 10-1ncl LICENSED AS REQUIRED BY LOS-ANGELES-COUNTY AND STATE OF CC.,
Over'10 to-50-Ind •1 2.50- DESCR-OBED RESO-ID T AALIPRQPERTY LEGAL'OWNER OF'THE.ABOVE0.
Over 50 to 100 Inc: 't 25.00 Zf
40:00 PERMITE
- E„,
Over 100 SIGNATURE
Will
Services, DISTRICT NO'-' PRO CE fD'BYF
0-200 Amp.Under 600 V 12.50
201-1:000 Amp"Under 6'00.V _.. ,•25.00..:'
Over 1000 Amp.or Over 600 V '50.00 Z
O
Temp. Power Pole&Appurtenances 1 0.00
Sign with One Branch Circuit
10.00 ,•�' 4 . Q
Additional Sign Branch Circuits- 2'00
INSPECTION > '
Misc:Conduits&Conductors 10'00
:INFORMATION
10'.00 Lei z 0.8 1,.'5
A
Other(See Complete Fee'Schedule)'
-ORI REVERSE -_ ' -
SIDE. -z. •#10�0,o;0'o 2
J
;2 0•0 1.,' 0 0 .
PERMIT-FEE '(SubwTotal) ' ;0 0 0,]:Z C v
PLAN CHECKING FEE',' -`(One-Fourth Permit Feel O Q'� 1
•p'r � •-/.• `^Ill 'moi. ~'
PERMIT ISSUING FEE $7.00 '`�•. G
TOTAL,FEE .oZ.QU y
INSPECTION FINALED g
W
date: r� Y By
i
76A66C -CE.#'806 5-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS /ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER
1 T E M NUMBER EACH FEE MAIL
OUTLET • / S $ ADDRESS
LIGHTS RECEPT. SW. ` .10 ',
CITY TEL. NO.
LIGHTING FIXTURES 10
ELEC. RANGES CLO. DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL
GARBAGE DISPOSERS AUTO r STAWASHERS STA.COOKING UNITS .25 .MOTORS: OVER INC. H.P. G P P O DB
OL
I/2— 2 .5o INSPECTION ECORD
r
z— 5 1.00 �
5— 15 1.50 U
Is— 50 2.50
O
50— 200 5.00 U
L.0
NO TRANS. d
SIGNS: V1
NO.LAMPS /1 Z
SERVICE 0-600V 1.00 UCl
SERVICE OVER 600V 5.00
I
misc.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S C'
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA ION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LE AL O NER OF THE ABOVE
DESCRIBED RESID PROPERTY.I POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITTEo62&4'9,'-Z-
FINAL
,--VALIDATION ARTHUR C. VEIT
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
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