HomeMy Public PortalAbout6238 HART AVE_Electrical__ 76A663-CE806 1/70 nPPCnMN FOR/ E CCMCAL ?�C R ff
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS �Zj�' �/i�
JOHN A. LAMBIE. COUNTY ENGINEER �~ /
COLELOCALITY
MAN W. JENKINS, SUPERINTENDENT OF BUILDING �v�
NEAREST Jnr
' FOR APPLICANT TO FILL IN CROSS ST. /"!/"
OUTLETS NO. EACH FEE
OWNER /
RECEPT._ MAIL 7 777
-
LIGHT, TOTAL FIRST 20 .P0 �� CDDRES �"' EL. N
SWITCH_ 4 OVER 20 ,Ip -
PLAN CHECK
LIGHTING FIRST 20 20 APPLICANT
TOTAL ADDRESS
FIXTURES OVER 20 10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
' STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 U 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 LICENSEDAS RED IRED'BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED .RESIDENTI AL'PROPERTY.
7
SIGNATURE a
10 — 50 5.00 OF PERMITTEE
V
50 — 100 10.00
DISTRICT NOCLASS 1GR2UP
ZOS
— 500 ts.00 P SED BY
1100
SIGN, GASV
SIGN AND ONE CIRCUIT 3.00 NOTES: W
0—
TUBE,
TUBE, OR N
MARQUEE ADDITIONAL CIRCUITS 1.00 Z.
SERVICENOTOVER 600VOLTSOR200AMP 2.00 cZ
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5.00 ,
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
_ - UNDERSLAB WORK -
TEMP LIGHT OR RECEPT, SYSTEM 3.00
ROUGH CONDI UT s
WIRING
-
PERMIT FEE (SUB TOTAL) FIXTURES ,
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 gs v
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 160
JOSEPH C. ROOHAN
TOTAL FEE s SUPERVISING ELECTRICAL ENGINEER,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o. CASH
V {' 6 � fljy 1 8 2 'D J._2 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE all
I/