HomeMy Public PortalAbout6136 IVAR AVE_Electrical__ 76A663C- CE81)69..12/75 &PPU p M FOR ELECYRE&d PERM
B 1 ING AND S//�/_✓I�TY DIVISION
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.& Pools
EACH NO. FEE ADDRESS 3 i
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST ,
Residential Swimming Pools CROSS ST.
OWNER OR
FIRM NAME
Outlets: Light, Switch & Receptacle MAI L
ADDRESS
First 20
Additibnal CITY Tel. No.
PLAN CHECK
APPLICANT
Lighting Fixtures
First 20 1 'ADDRESS
Additional CITY Tel. No.
PERMIT .I C..
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater_ D.W. ADDRESS X `
Oven Dryer W.M. "
Top _ FAU W.H. CIT" //YC �xTel. Np. JJ��
Hood Fan CENSE OR
G. NUMBER o
REClas . V n"
Disp. A.C. oC.D,
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
_ AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY O
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (--
ELECTRICAL WIRING.
Size&Type HP, KW, KVA,or KVAR a
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR rn
z
Over 1 to 10 Incl. LICENSED AS REQUIRED ED BY LOS ANGELES COU S V AND STATE OF
CALIFORNIA OR THAT 1 AM HE LEGAL R OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED OR
P :E TY.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE 1001
DISTRICT NO. SSED B
Services *A
0-200 Amp. Under 600 V /
201 - 1000 Amp. Under 600 V APPROVALS DATE IN ECTOR'S
Over 1000 Amp,or Over 600 V SIGNATURE
TEMP. POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING 1Z4-7-;'
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
TOTAL FEE NOTES
Iv
® cP—FiSvPGM'M(?nEN(SA ' l yCASH PERMIT VALIDATION K.' M.O. CASH
POLICY HOLDERe;
3-N f.E i 2'4 3 .3.0 0 ,&
POLICY NUMBER:.' Al (? ►ted?
76A663C- C�E806B 1275 &PPLEMON FOR C�LC�C��MUL PERM
B 1 TING SAFZ7Y DIVISION
FOR APPLICANT To FILL IN - JOBj �•/,/J�
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS36 `/ry
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST..
OWNER OR
FIRM NAME
Outlets: Light, Switch& Receptacle MAI L
First 20 ADDRESS
Additional CITY Tel No.
PLAN CHECK
APPLICANT
Lighting Fixtures
First 20 ADDRESS
Additional '
CITY Tel.
✓No.
PER
IT
Fixed Appliances Not Over 1 HP APPLICANT (—
Range Heater D.W.
ADDRESS
Oven Dryer W.M.
Top FAU W.H. CITY Tel. No.
Hood Fan LICENSE OR J» O
REG. NUMBER Class. "/v CS
Disp. A.C.
"1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION O
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY V
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W
Size;&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING.
cn
Up to 1 Incl. z
I" _ I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED Y LOS ANGELES C LINTY AND STATE OF
CALIFORNIA OR THAT ATH EGAL N OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDE OP RT
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATUR
DISTRICT NO. ESSED Y
Services f� 1;G
0-200 Amp. Under 600 V v
201 - 1000 Amp. Under 600 V APPROVALS DATE I SPECTOR'S
SIGNATURE
Over 1000 Amp.or Over 600 V
TEMP. POWER POLE 'li X72
Temp. Power Pole&Appurtenances
UNDERSLABWORK
Sign with One Branch Circuit
Additional Sign Branch Circuits
ROUGH CONDUIT 00,
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTI LITYCO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit-Fee) FINAL
PERMIT ISSUING FEE '
NOTES
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
01 8 SE'P 23 1 2.0'0 Aj
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i
76A663C- CES06B 12/75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
EACH NO. FEE ADDRESS
New Residential Bldgs.& Pools -
1 &2 Finaily Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. — NEAREST
CROSS ST.
Residential Swimming Pools OWNER OR
FIRM NAME
Outlets: Light, Switch & Receptacle MAIL
First 20 ADDRESS
Additional CITY Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel. No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT z
Range Heater D.W. ADDRESS :>I'>"' i
Oven Dryer W.M. o
Top FAU W.H. CITY Tel. No. v
Hood Fan LICENSE ORLLj
REG. NUMBER Class. u
Disp. A.C.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING S�
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. O
Up to 1 Incl. I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR �
W
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
Services DISTRICT NO: PROCESSED BY
0-200 Amp. Under 600 V
201 - 1000 Amp. Under 600 VINSPECTOR'S
Over 1000 Amp.or Over 600 V APPROVALS DATE SIGNATURE
TEMP-POWER POLE
Temp. Power Pole& Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE NOTES
TOTAL FEE " r
LAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
_. .. a
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