HomeMy Public PortalAbout6258 HART AVE_Electrical__ 76A663A-C�E806A 4/72 APP(I CA1UMH F®R �CLI�C E I—G'C;XQAL PERM
COUNTY OF LOS ANGELES ll
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY Q..e
NEAREST f "101
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACHI FEE OWNER
y
(Od /.
RECEPT.� $. $ �, ADDRESS �-
MAIL
LIGHT TOTAL FIRST 20 CT 8 bo
OVER 20 ..... CITY Lo • /, - TEL. N0.
SWITCH �� O PLAN HECK
LIGHTING . 1 TOTAL FIRST 20 V0
APPLICANT
FIXTURES
)j OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY
PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY L•
CLOTHES WASH. DISHWASH. Y.f OO LICENSE NO. S.
FAN OTHER I 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 O
HP. KW. KVA. ELECTRICAL WIRING. C7
IND. HEATERS, ETC. �
SIZE & TYPE OVER TO O
I HEAEBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR F
0 — 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF V
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 1O RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE `
C
10 - 50 OF PERMITTE
50 - 100
DIS TRI�,T NO. CLASS a� ROLE S BY
100 - 500 L,{)+I
SIGN, GAS SIGN AND ONE CIRCUIT NOTES: ga�
TUBE, OR ''
MARQUEE ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM
ROUGH CONDI UT
WIRING �P ,7
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL (�� c _
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
7.6:3�°:a ,.18.._.,2:. 1 `7.0 ..
7GA663-CE606 10/72 APP UCAIMN FOP,Q ELEMMALS PERM �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 'Oe
BUILDING AND SAFETY DIVISION ADDRESS
f
LOCALITY
NEAREST ��„
FOR APPLICANT TO FILL IN CROSS ST. � ih.�" '"i ZS '�_ ,
OUTLETS NO. EACH FEE OWNER OR
$ $ FIRM NAME
RECEPT._ ,� MAIL r1
T FIRST 20 l- 25 ,K / ADDRESS v.
TOTAL
CITY ° TEL
LIGHT NO. �ja
SWITCH 0, OVER 20 .10
.PLAN CHECK
LIGHTING FIRST 20 ,25 � �
-.PLAN
TOTAL
OVER 20 ADDRESS
FIXTURES A_ .10
RESIDENTIAL 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 OR
REG. NUMBER CLASS.Q-�
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.
SIZEf,& TYPE OVER TO
I, HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 1.00 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE },
1 - lO 3.00 DESCRIBED RES] ENTIAL PROPERTY a-
SIGNAPERMITEE
10�- 50 .5.00 SIGNATURE
O
50 - 100 10.00
DISTRICT N0. PROCESSED~BYV
W
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
'MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT I
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING ~
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES g '�
POWER AUTHORIZED t ��
UTILITY CO. NOTIFIED s
A
FINAL r � �
PERMIT FEE (SUB TOTAL)
NOTES:V `6-/Or_ 7-/
r LL L.''�i{�i�°• fee,
PLAN CHECK FEE 4
PERMIT ISSUING FEE 3.00
TOTAL FEE
-
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
9 .5 8�fi� 2 2 7.5 2'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE •✓/1
E3S S-A 12-44
RIM
DDEP �'1@�EI���7�OF BUILDING AND S '� , PY.i��'I®1V FOR PE
COUN g g OF LOS ANGELES ELECTRIC
I
WM. .1. FOX CHIEF ENGINEER
Q NAME f }� DISTRICT NO. GROUP ZONE PERMIT NO.
22
ADDRESS .!/"✓� .�...7v�cA'.P.d- �'.`/'�;�' sy�/rf. �F'sIII
WCITY �,' s c rel TEL.NO. ! RECEIVED FIRST INSPECTION READY 1701� DATE ISSUED/
J COUNTY
W CERT.NO. EXPIRES
APPLICANT FId, IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK A DRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS lsw. PLUGS FIu7 CROS
19'
CIRCUIT A B C D E F G H Ir. NAME
Z MAIL
ADDRESS sJ
O0
CI ( TEL.NO.
1 AM THE,ktrGAL POSSESS R OF TH ABOVE,. LOS
ANGELES COUNTY CER 7 O •QU FICATY N..
..c2
• � E E RIGPAN. -
I AM THE LEGAL.OWNER OF THE PROPF,RTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
1,
J:
Q
Z
M
- C
TOTAL
NO. OF OUTLETS $ APPROVALS
NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR'FiEATERS $ FIXTURES
MISCELLANEOUS _ $ /��//�� POWER
PERMIT FEE ° $ Z6 UTILITY CO.NOTIFIED q
TOTAL FEE V FINAL 1 �-
76A663-CE80�"10/72
!/"Y1
.. IyP��CAklON OR ELSE M��ALS PERM
r.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 'OB
BUILDING AND SAFETY DIVISION ADDRESS N, AOP
LOCALITY
NEAREST
FOR APPLICANT 'TO FILL IN CROSS ST.
R
OUTLETS NO. EACH E
FEE OWNOR 17
$ $ _FIRM NAME
`RECEPT.-t MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS iq
)
. � CITY TEL... N0.
SWITCH OVER 20 .10
PLAN CHECK
FIRST 20APPLICANT
LIGHTING TOTAL .25 �(� I
OVER 20ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE-DRYER�WTR. HTR. APPLICANT (,�'P c
STA. COOK DI SP.-F.A.U. Y ADDRESS loa S -
SPACE HTR, AIR COND.Z CITY fl TEL. NO.
CLOTHES WASH. DI.SHWASH, LICENSVOR ICLASS.
''11 REG. NUMBER
C/ I
FAN 02 1.00 O I 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 REOU IRED BY LOS ANGELES COUNTY AND STATE\OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE. ABOVE
1 - 10 3.00 DESCRIPED RESIDENTIAL PROPERTY. CD
/� ` ^ �
PERWIITEE ( h ' ` n4 \�-
10 - 50 5.00 SIGNATURE /\l �( �J i9..�a+niya.+��' p
50 - 100 10.00 DISTRICT NO. OCESS D BY U
W
CL
100 - S00 15.00 % co
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS- DATE INSPECTO SIGN9,TURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
'SERVICENOTOVER600VOLTSOR20OAMP 3.00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED r T
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUBTOTAL) Q NOTES: '
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 '31Q 6
TOTAL FEE 0
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA ID.A TION CK. M.O. CASH
APF 1 O .
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A667C (CE-8178) -9/75
APPLICATION( FOR PLUMBING PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN (PRINT OR TYPE) BUILDING
NUMBER FIXTURE OR ITEM @ FEE ADDRESS
WATER CLOSET LOCALITY -
NEAREST
BATH TUB CROSS ST.
SHOWER �-v OWN
LAVATORYMAIL
Q"� ADDRESS
SINK CITY TEL. NO.
DISHWASHER ONTRACT-OFt
CLOTHES WASHER
ADDRESS
SWIMMING POOL RECEPTOR
CITY
LAWN SPRINKLER SYSTEM
STATE LIC
WATER HEATER LICENSE NO. CLASS d
O
DISTRICT NO. GROUPrNEq�PR7C SSED BYGAS SYSTEM OUTLETS _. 67 0 OUTLETS OVER {�� O
5 PER SYSTEM INDUSTRIAL w
WASTE APPROVAL N
INSPECTION RECORD �y Z
Plan check fee
PLUMBING PERMIT ISSUING FEE $ °
TOTAL FEE a
Plan check applicant f
NameAPP ROyJ ,LSA DATE IN PE'CTOF!�S SIGNATURE l All 4e-
UNDER ISL'6'W0RK
Address ATrLr- e. ROUGH �L4rUMBING CCdb Z
City, < C Tel. No. GAS PIPING
I HEREBY CKNOWLEDGE THAT HAVE READ THIS APPLICATION GAS VENT
AND STATE T AT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING HOT WATER HEATER
PLUMBING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR PLUMBING FIXTURES
LICENSED ASREOUIRED BY LOS ANGELES COUNTY AND STATE OF GAS TEST
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. UTILITY CO. NOTIFIED
' SIGNATURE
OF PERMITTEE FINAL .�. - �1,'-7
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK.� M,O. CASH
2-2.50----