HomeMy Public PortalAbout4929 HELEO AVE_Electrical__ 76x663-CE84)6 3-69
COUNTY OF LOS ANGELES
1 PERMIT ..
DEPARTMENT OF COUNTY ENGINEER BUILDING t /
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER �t s
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY C 41�
... NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
$ $ OWNER (.�
RECEIPT. MAIL ,
ADDRESS
LIGHT TOTAL FIRST 20 .20 -
SWITCH OVER 20 .10 CITY�$�"7 /�(. CIS TEL.NO,2g
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20APPLICANT. _
FIXTURES OVER 20 .,10 ADDRESS
RANGE DRYER_WTR. HTR. CITY TEL.NO.
STA. COOKDISP. _F.A.U. CONTRACTOR
SPACE HTR. AIR CON —" _ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO.
FAN OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
O - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Oft II
M' LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
�+ I - 10 3.00 3 yV CALIFORNIA OR THAT I AM LEGAL OWNER OF, AND INTEND TO CL
RESIDE IN, TH ABOVE D C IBED RESTT'3AL PROPERTY, O
10 — 50 5.00 U
SIGNATURE _
50 — 100 10.00 ;.OF PERMITTEE 0.
100 - 500 15.00 DISTRICT NO GR P ZONEr PRO ESSED BY W
f�
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 t'� Lo
TUBE, OR _ Z
MARQUEE ADDITIONAL CIRCUITS 1.00NOTE S: —'
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 Jr!.
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
' TEMP.'POWER POLE -
d UNDERSLAB WORK
t ROUGH CONDUIT
R WIRING
,PERMIT FEE (SUB TOTAL) '; FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 2 V� "i UTILITY CO.NOTIFIED
14
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 n FINAL _ �9
TOTAL FEE vu C JOSEPH C. ROOHAN
_ SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK.` M.O. ASH` PERMIT VALIDATION CK. M.0 CASH
t,AC. 60 q� AW26 1 0 5.00 f
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE I
76A663-CE806 3-69
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 3jr 7- 7T777777
BUILD I G 9 e jJ
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER �e
COLEMAN W. JENKINS, SUPERINTENDENT OF.BUILDING LOCALITY N
i FOR APPLICANT TO FILL IN NEAREST CROSS
CROSS ST. L CQ,.- S 4r-
NO. EACH FEE
$ $ OWNER .� 4 •l+`- !t G'�J
RECEIPT._ MAIL
LIGHT TOTAL FIRST 20 •20 ADDRESS V /
CITY ��' -� TEL.NO.�-�ij
SWITCH OVER 20 .10 PLAN CHECK
LIGHTING TOTAL IFIRST 20 ,20APPLICANT
FIXTURES OVER 20 ,10 ADDRESS
RANGE_DRYER WTR. HTR. CITY TEL.NO.
STA. COOK DISP. F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO.
FAN OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP, KW. KVA, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. -
O - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR (1
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d
RESIDE IN, THE ABOVE D BED RESIDE L PROPERTY, 0
10 - 50 5.00 V
SIGNATURE p�
50 - 100 10,00 OF PERMITTEEzlm—1 F-
- 0
100 - 500 15.00 D15 TRICT NO. , GROUP ZONE PROCESSED BY W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: WAZ
SERVICE NOT OVER 600 VOLTS OR 200 AMP ! 2.00 0 ;
f
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
-
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 CJI FINAL
TOTAL FEE !/ V JOSEPH C. ROOHAN
s. SUPERVISING ELECTRICAL ENGINEER _
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
.1 b a-9"" s 4 2 D3.0 ON
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE