HomeMy Public PortalAbout4946 HELEO AVE_Electrical__ 76A663C- CE806B 12/75 APPLICATION FOR ELECTRICAL PERMIT
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BUILDING TY Dl`I�VISI
Al-
FOR APPLICANT TO FILL IN ,JOB
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS cJ 7 ttl L� O v--C-
1
/'�
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST
CROSS ST. Elsax
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Light, Switch & Receptacle MAI L
First 20 ADDRESS p�j 9
77
Additibnal CITY/ �� �a4 Tel. No. p (p5
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANTjr(�
Range Heater D.W.
ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY Tel. No.
Hood Fan LICE- E OR
REG. NUMBERC Class. Q
Disp. A.C. v
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Q
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
Size&Type HP,, KW, KVA,or KVAR �
Up to 1 InCI. C/3I HEREBY CERTIFY THAT I M PROPERLY REGISTE ED AND/OR
Z
Over 1 to 10 Incl. LICENSED AS REQUIRED BY S ANGELES COU - D STATE OF -�
CALIFORNIA OR THAT 1 THE LEGAL OWN THE TV.
Over 10 to 50 Incl. DESCRIBED REST TIAL OPERTY.
Over 50 to 100 Incl. PERMIT-EE
Over 100 SIGNATUR
DISTRICT NO. — P SSED BY„
Services � �
0-200 Amp. Under 600 V �.
201 - 1000 Amp, Under 600 VAPPROVALS DATE INSP TOR'S
Over 1000 Amp.or Over 600 V SI ATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
ROUGH CONDUIT
Additional Sign Branch Circuits
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED / 7
PLAN CHECKING FEE (One-Fourth Permit Feel FINAL
PERMIT ISSUING FEE
NOTES
TOTAL FEE �,Jj-
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CKy M.O. CASH
6 3 0'r-_JUL 15 2 9
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78A888-GE808 4-80 /A P:n U/-A �®� . F O ]) E II LS V' 11 Il O�`C ALJ Il ELI ill/V Il�T
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COUNTY OF LOS ANGELES _ —LP
DEPARTMENT OF COUNTY ENGINEER BUILDING'/ka
BUILDING AND-SAFETY DIVISION ADDRESS
JOI-IN•A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING 1
LOCALITY
FOR APPLICANT TO FILL IN. . NEAREST
- GROSS ST. . •
PERMIT FEES.
OWNER
'1 TE M NUMBER. EACH FEE MAIL, -
OUTLETS: ,$,•.- $ 'ADDRESS
.
LIGHTS RECEPTSW. :10 -
LIGHTING FIXTURES CITY TEL NO., 4 f ~s'
ELEC.-RANGES CLO. DRYERS' - - - - ELECTRIC[AIV
W'A T E R HEATERS :.5,0ADDRESS
ELEC.SPACE HTRS: DISHWASHERS _ - CITY ,/lr,,_.i TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS '.. STA.COOKING UNITS .25 LICENSE NO
MOTORS: OVER IN C. H:P D190-RICT NO.. GRGUP ZONE PROCESSED BY_
.25' .
+i2 — 2,.. f .50 a 6),. INSPECTION RECORD
2 — 5 1:00 a
O
5 15 1.50 W
15 — 50 2.50 u.
HO 200 >
5.0
S16NS: NO TRANS.
NO. LAMPS '
O'
G.
SERVICE 0.600V 1.00 W
SERVICE OVER 600V 5.00 `~
Misc.
WIRING PERMIT' r�
1.00
FIXTURE PERMIT 1.00
e SUPPLEMENTARY PERMIT 50
TOTAL FEE $ 3�
I HEREBY ACKNOWLEDGE'THAT I`HAVE READ.THIS APPLICATION t, APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE-TO COMPLY - -
WITH .ALL COUNTY ORDINANCES AND STATE' LAWS REGULATING 7 .CONDUIT -
d ,ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM -PROPERLY REGISTERED AND/OR ° WIRING ' -
LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE'OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL. OWNER OF THE ABOVE -
DESCRIBED REBID TIAL PROPERTY. ,y POWER -
SIGNATURE r Jf ' , J[ ' r ,y_. UTILITY CO. NOTIFIED
OF PERMITTE
,�"iw ._x- .. 'uexv -•^2sr;m- ¢ts .amn �x�+ a ,-c�...v.;,.a FINAL
VALIDA,TfON� ARTHUR C VETT
CK Mo(CASH SUPERVISING ELECTRICAL-ENGINEER'
5908 N. Kauffman, Temple City Bob Kanf
76A663-CE806 8/63 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 4946 N. Heleo
JOHN A. LAMBIE, COUNTY ENGINEER 1e
WILLIAM A. JENSEN, SUPTemple OF BUILDING LOCALITY p City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE _
OUTLETS FIRST 20 $20 $ OWNER H. M criDft
LIGHT MAIL '
SWITCH. .1 ADD'L 10 20 ADDRESS
OVER 20 G
TEL.NO.
LIGHTING I TOTAL FIRST 20 .20 CITY Tem le Cit
FIXTURES 1 ADD'L 10 ELECTRICIAN ,J
OV R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 560
GARB.DISP. STA.COOK
CITY Los Angeles TEL.NO. �'' -11653
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(1/.H.P.MAX.) .50 LICENSE NO. 195588
MOTORS: OVER NOT OVER H.P. DISTRICT NO. I GROUP Z NE I PR CESSED Y
O 1 1.00 1
1 3 1.50 INSPECTION RECORD
3 8 2.00 Ready for Inspection Nov. 5, 196
8 15 2.50 V
15 50 3.00
O
50 100 5.00 ~
V
w
SIGNS: NO.TRANS- (L
NO.LAMPS In
Z
SERVICE 0.60OV-Nor OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A. 2A0
SERVICE OVER 600V 5.00
MISC.
I
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ 2440
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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 O THAT 1 AM THE'LEGAL OWNER OF THE ABO E
DESCRIBED RE DENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED /
OF PERMITTE / /��
FINAL
'
0c,
IDATION ARTHUR C. vElr
MOCASH
SUPERVISING ELECTRICAL ENGINEER
'
L 7. 0 5 9\2 No" 3 2 n 2.40N
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