HomeMy Public PortalAbout5645 HELEO AVE_Electrical__ 76A663-CEBD6 4'68 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
ITEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS meD
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY l �/'� `/i
.
NEAREST /
FOR APPLICANT TO FILL IN CROSS ST. 4i V P
NO. AC FEE
RECEPT.7 S $ OWNER b Re t ,e6-.eip
/ MAIL
LIGHT---1 TOTAL FIRST 20 .20 U ADDRESS ��/Jc
SWITCH_ OVER 20 .10 CITY Iti TEL. NO., // -`Y� 5
PLAN CHEC
LIGHTING TOTAL FIRST 20 .20 �.V APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP. F.A.U._
coNTRAc roR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH._ CITY TEL. NO.
FAN—OTHER 1.00 LICENSE IJO. CLASS.
MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE B TYPE OVER TO AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
O - 1 1.00 ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
I IO 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE Or
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 50 5.00 RESIDE IN, TME ABOVE O CRIP.ED RESIDENTIAL PROPERTY.
SIGNATURE
%/J/ y
50 - I00 10.00 OF PERMITTE j/ Zl V
too - soo 15.00 DISCI RIOT )O. G P 7�N PR ESSED BY o
TUBE. A SIGN AND ONE CIRCUIT 3.00 JL (J 21 /f
MARQUEE ADDITIONAL CIRCUITS IGD )) )) // W
NOTES: � N-PYd Q;Q/ /OLGI h
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 GY3 i-06
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 - nuG
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT 4
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE I50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 (�
UTILITY CO.NOTI FIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE "�l JOS C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
M1 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION _CK. -M.O. GASH
LPr, 1 21 7� JUL 3 0 2 0 4.8 0 f
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A663-CE6064r8 APPLICATION FOR ELECTRIC PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION 61 UIUILDINDING
JOHN A. LAMBIE. COUNTY ENGINEER ODRESS.�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST _
CROSS S
NO. AC FEE
FFX
EPT,L
$ $ OWNER e f d 96-.2/)/
MAIL _ f e--
T_ TOTAL FIRST 20 .20 Q ADO RE SS - _- z,G�a�yG per/
CH_ OVER 20 .10 CIT TEL. NO -�LdJ {O
PLAN CH CK
TING iTOTAL FIRST 20 .20 APPLICANT It
URES /( OVER 20 .10 ADDRESS
RANGE_DRYER_WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP. F.A.U._ CONTRAC FOR
SPACE HTR.-AIR COND.
ADDRESS
CLOTHES WASH._DISHWASH._ CITY TEL. NO.
FAN-OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
O - I 1.00 ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 10 3.00 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
t0 50 5.00 RESIDE IN, THE ABOVE DES PICED RESIDENTIAL PROPERTY.
50 - 100 10.00 SIGNATURE d
OF PERMITTE U
too - 500 15.00 DIST ICT GRO P NE P OCESS BY p
TUBE. OR 'SIGN qND ONE CIRCUIT 3.00 E U
MARQUEE W
A001 TIONAL CIRCUITS I.00 NOTES: <L
h
Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP S.00
TEMP SERVICE, POLE, 8 APPURTENANCES 3.00 APPROVAL6 DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUa
PERMIT FEE (SUB TOTAL) WIRIFIXPLAN CHECK FEE (50% PERMIT FEE) POWPERMIT ISSUING FEE 2.00UTIL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEP C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
LA,r,1 2 9 5 AUG 5 2 U
1 .40-
-E
.40 EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
TEMPLE CITY
7BA663•CES06 8.62. APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /d
BUILDING AND SAFETY DIVISION ADDRESS �T
JOHN A. LAMBIE, COUNTY ENGINEER n ,
WILLIAM A. JENSEN, SUPT OF BUILD..- LOCALITY G C/
NEAREST
FOR APPLICANT TO FILL IN CR055 sT.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 ';C $.20 5 OWNER
LIGHT MAIL
elyAWLswlTCH. �s —iOVER 20 .10 -O ADDRESS
LGHTING TOTAL F1 20 CITY TEL. NO.
l O i R20
FIIXTURES II S ADo•LSTl�� 3
1O ELECTRICIAN
BY R 20
RANGES CLO.DRYERS WiR.HTRS. 1.00 ADDRESS
GARB.DISP STA.COOK
3 CITY TEL. NO. (fes
DISHWASH. AUTO."WASH. STATE •�
E HTPa. STA.wpp.I .Mwx. .50 LICENSE NO.
MOTORS: OVER - NOT OVER H.P. DISJCT N Gi UP P F05EEO BY
O 1 1.00 ti
1 3 1.50 INSSPEE TION RECORD
3 8 2.00
8 f 5 2.60
15 80 3.00
50 100 1 5.00 v C✓^� —_ O
SIGNS: NO.TRANS�
NO.LAMPS C
1O1-
SERVICE O"600V-NOT OVER 200A 1.00 W
SERVICE O"6OOV-OVER 200 A. 2.00
N
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTA13Y PERMIT ISSUING FEE 1.00
TOTAL FEE ®/
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS tHURVEIT
INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTYORDINANCES ANO STATE LAWS REGULATING ELECTRICAL WIRING. WIRINGIHEREBYCERTIFY THAT 1 AM PROPERLY REGISTERED AND/ORLICENSED AB REQUIRED BY LOS ANGELES COUNTY ANO STATE OF FIXTURESCALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEDESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIEDOF PERMITTE
CYgLI O CAS A
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
L.IlUC4 1 6 z�z MAY 22 2 D 1 5.90
Aluo 3 iidi113. L
'°AB°' "B°G '°"' APPLICATION FOR ELECTRIC L4ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Joe
BUILDING AND SAFETY DIVISION ADDRESS y AV LOCALITY GM J C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. w
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
REG EP T._� S $ MAIL
FIRST 20 Z5 ADDRESS;
LIGHT_ TOTAL _
OVER 20 CITY TEL. NO.�
SWITCH_ .1O PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES .lo
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO,
PERMIT
RANGE_DRYER WTR. HTR._ APPLICANT
STA. COOK DISP. f F.A.U._ ADDRESS �� -
SPACE HTR. AIR CORD. CITY / MoQlTEL. N0. - p
(a OTHES WASH, OISHWAS H._ LICEREG.NSE UM9 CLASS.
PIRC)(.h EiJT REG. NUMBER
FdN 1 OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ARID
O STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC, HP. KW. KVA. ELECTRICAL WIRING.
51ZE & TYPE' OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS RE BY LOS ANGELES COUNTY AND STATE OF
THAI I y
CALIFORNIA Ofl THAI AM THE LEGAL OWNER OF TryE ABOVE
1 - 10 3.00 OESCRI P.ED RESIDENTIAL PROPERTY. V
PERMITEE }/.( CC
10 - 50 BOB I SIGNATURE O
U
50 - 700 1000 DISTRICT NO. PROCES EO BY W d
ti
100 — 500 15.00 S ( 6 16 z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'$AGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1,001TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSER VICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED _
FINAL
PERMIT FEE (SUB TOTAL) Q NOTES:
PLAN CHECK FEE �r .. �f�fJ� ®�✓[J�
PERMIT ISSUING FEE
TOTAL FEE Co. o
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK. M.O. CASH
1
6.0 O A9Z.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /