HomeMy Public PortalAbout4843 HELEO AVE_Electrical__ _76A663-CE806 4-68 O D O 0 .T�c-h- O D l� .
QppdOC�QUPO(n] ' FOR C�dEC�L3�C�Q p�L3Nnr�0� �.
COUNTY OF LOS ANGELES
DEPARTMENT. OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Y �'
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
T
NEARES
FOR'•APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE -
$ s OWNER
RECEPT._ MAIL
LIGHT TOTAL FIRST.20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS `
RANGE—DRYER_WTR.HTR.— .CITY TEL. NO. •-�--• !
STA.COOK,DISP._F.A.U._ b
CONTRACTOR
SPACE HTR. AIR COND. ADDRES �C� � s
CLOTHES WASH._DISHWASH:_ CIT TEL.
FAN—OTHER 11.00'
LICENSE.IJO: p .CLASS. lO.
MOTORS,TRANSFORMERS RATING' I
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TY PE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY.ORDINANCES AND STATE LAWS REGULATING.
ELECTRICAL WIRING.
0 - 1 1.00 - '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ELE COU AND STATE OF
CALIFORNIA OR THAT I AM T LEG NI AND INTEND TO
10 - 50 5.00 RESIDE IN, - THE ABOVE ESCR .E E NTIAL PROPERTY.
50 - 100 10.00 SIGNATURE• / O
OF PERMITTEE
C_')
100 - 500 15.00
DISTRICT G P Z N P OCESSED BY
TUBE, OR SIGN AND ONE CIRCUIT 3.00 d _ '� p
U
W
,'t MARQUEE ADDITIONAL CIRCUITS 1,00 NOTES! - - N
4 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
' SERVICE OVER 600 VOLTS OR 200 AMP .5 00 - -
' TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
0
TEMP. POWER POLE'
UNDERSLAB WORK
a ROUGH CONDUIT
WIRING d /I
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING',FEE 2.00 UTI LI TYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEEJOSEPH'C• ROOHAN09
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. rr CASH
;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE .
1
76A663 DBS SA 11-50 APPLICATION FOR PERMIT .
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS,ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP- ZONE: PERMIT NO
ELECTRICIAN �
RECEIVED BY READY FOR DATE ISSUED'
ADDRESS ,#2 / Y� FIRST INSPECTION
� -(
CITY ro P/' 'a � TEL. Np/'
COUNTY LICENSE NO. P b .� EXPIRES 110-34-s BUILDING
ADDRESS
PERMIT FEES
FEE
NUMBER EACH LOCALITY ( '
LIGHT OUTLETS - NEAREST -
CROSS ST.
RECEPTACLES' r'7
Gd f
WALL SWITCHES OWNER '
TOTAL OUTLETS Sc $ 7__ MAIL ..
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY. TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 -HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE 'ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING'ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE' ABOVE VALID LOS
NUMBER HORSEPOWER
ANGELES COUNTY LICENSE, ORI AM'THE. .LEGAL OWNER
FEE
NEw MVD. HP OVER I INC. EACH' OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
_ Z
1/2'a LESS $ .25 SIGNATURE OF
1/2' 2 -.50 PERMITTEE
A l�
2 5 1.00 'INSPECTION RECORD'
5 15 1.50 . .
15 50 2.50
50 200 5.00 .
200 Soo 10.00 .J
Sc_ 1000 15.00 Q
Z
OVER 1000 20.00 z
M. G'. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.) .
MOVED MOTORS (75%OF ORIG.)
MISC. -
SIGNS
NO. NO. TRANS. I.. APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: -
WIRING '$1.00 CONDUIT I®Q
FIXTURES $1.00 ' I Q Q WIRING,
vv
SUPPLEMENTARY .50 FIXTURES
POWER -
TOTAL FEE $. UTILITY CO. NOTIFIED ��
0FINAL -
e