HomeMy Public PortalAbout9120-9122 LONGDEN AVE_Electrical__ ?6A663 DBS 5A 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY 09
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI—NO. GROUP �E PERMIT
RMIT NO.�
ELECTRICIAN
r RE IVED BY READY FOR DATE ISSUED '
ADDRESS FIRST INSPECTION C
CITY TELCN =
COUNTY LICENSE NO. EXPIRESBUILDING e
q�
PERMIT FEES ADDRESS ,
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST •
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER ,
TOTAL OUTLETS Sc $ MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. i APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WIT14 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 FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
%Z & LESS It .25 SIGNATURE OF 45w"
%z 2 .50 PERMITTEE
2 S 1.00 INSPECTION RECORD
s 1s 1 1.50
_ 15 50 2.50
SO 20D B.00
200 sO0 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 C3
M.Q. S£T/FRE4• CHANGER-HP
WELDERS:AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (7s% OF ORIG.)
MOVED MDTORB (7S% OF ORiB.)
MISC.
SIGNS
NO. NO.TRANS
APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING -..1
SUPPLEMENTARY .60
FIXTURES
(y® POWER
TOTAL FEE III UTILITY CO.NOTIFIEDI #-t,
v r �
FINAL
v m
76 A663-C E606 1074- PUCAI ® q0 En �CA�L OyuM PER (I
COUNTY OF LOS ANGELES 1� �L u u
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY- �M &F
NEAREST (It ,n
FOR APPLICANT TO FILL IN CROSS ST �l"C�f►'t�
7RECEPT.
ETS NO EACH FEE WNER OR
s Is FIRM NAME
MAILFIRST 20 ADDRESSTOTAL 25 OVER 20 CITY W1 TEL. NO Z-$_ 10 PLAN CHECK
LIGHTING TOTAL I
FIRST 20 28 APPLICANT
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY ' TEL. No.
PERMIT
RANGE ORYER--/--WTR. HTR ' APPLICANT /
STA. COOK DISP F.A.0 ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO
CLOTHES WASH. , DISHWASH LICENSE O CLASS.
REG. NUMB
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY EGILEADOVE
-
0 - 1 100 LICENSED AS RE LOS ANGELES CO NTY
CALIFORNIA 0 THAI I AM HE LEG OW R Cl
-
DESCRIBE- 1O 300 DESCRIBED SIDEN AL PRO ERT Y O
U
10 - 50 800 PERMITEESIGNATURE
C:'50 — 100 , 1000
DISTRICT N0. 1INS!31PYRE
B100 — 500 1a00 O �,SIGN, GAS SIGN AND ONE CIRCUIT 800 APPROVALS DATE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
-
ADDITIONAL
300 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 800 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES
7-1
POWER AUTHORIZE
/ UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 300 -3 ,10
TOTAL FEE SOD
PLAN CHECK VALIDATION CK. M O CASH PERMIT VALIDION {/ cK.' - 0 CASH
.2 9 5:"AUG 26 2 U ^;! 5.0 0 Aga.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A683 CE 806R 10/77 -
`7
COUNTY OF LOS IlVlI/LANGELES IIID IIILLL������ITIS lLrtil l�l IfNy (I`V!!/p1\l 1pb U rr��{L7tO�tI11gV9tU1
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS
BUILDING AND SAFETY DIVISION
FOR APPLICANTTO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE NEAREST
1 &2-Family,Sq Ft $ 025 — $ CROSSST
Multi-family Sq Ft 02 — OWNER OR
FIRM NAME
Residential Swimming Pools 2500 MAIL
`/ ADDRESS
Outlets Rec_40_ ght_Sw CITY Tel No
First 20 50 PLAN CHECK
Total NoAdditional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Additional 30 PERMIT
-Total No APPLICANT 1
Fixed Appliances Not Over 1 HP ADDRESS Pd eyA V
Range—Heater_D W CITY(:;Of gFel No /j
Oven —Dryer_W M
LICENSE OR
Top — FAU —W H REG NUMBER C
Class
Hood_/f``on _Other_ ( j I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp �'Keom Air Cond 250 �/ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING
r
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
2 50 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM d
Up to 1 Incl THE LEGAL OWNER F THE ABOVE DESCRIBED RESIDENTIAL PROPERTY p ,
Over 1 to 10 Incl 5 00 c�
Over 10 to 50 Incl 1250 PERMITTEE— ,4d:�: G
Over 50 to 100 Inc 2500 SIGNATURE
Over 100 4000 DISTR�NO ^I CE BY d
G �Vj' z
Services / v d
0- 200 Amp Under 600 V �/ 1250 INSP OR S
201 1000 Amp Under 600 V 2500 APPROVALS DATE SIGNATURE
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurtenances
1000
Sign with One Branch Circuit _1000 ROUGH CONDUIT
Additional Sign Branch Circuits 200 WIRING
,
Mlsc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedules POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fees
r
PERMIT ISSUING FEE $700
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH -PERMIT VALIDATION CK M 0 CASH
1 4 1 JUN 23 2 U 2 5.0 ,&W
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ��t
75A663�CE806 1-70 N nn PPUCAMN OR
Ian Q �C�i111 PERN1Uf
� COUNTY OF LOS ANGELES I�CLI (r-JLl UVu U _
DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISION BUILDING q� Z.Z L (,DCN �V
ADDRESS `
JOHN A. LAMBIE, COUNTY ENGINEER 1
COLEMAN W. JENKINS SUP RINTENDENT OF BUILDING LOCALITY "'�rPLC ClT
11 NEAREST VkA RT
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO EACH FEE
$ $ OWNER -76�o AS 2
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 20 ADDRESS •2Z_ C-L �.1
CITY TEL. NO.71 j -kglo
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGTOTAL �_FlRST 20 20 APPLICANT
FIXTURES
OVER 20 101
ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP F.A.U. ADDRESS
74
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE IN, TH DESCRIPED REML PROPERTY
SIGNATURE
10 - 50 500 OPRMITTEE0'�' Q'��` 0
50 - 100 1000 pd
7FE
T NO CLASS GROUP RO SSED BY 0
100 - 500 1500 8 -( • r
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES: h
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600VOLTSOR200AMP 200
APPROVALS DATE CTOR'S SIGNATURE
SERVICEOVER600VOLTSOR200AMP 500
TEMP POWER POLE
TEMP SERVICE, POLE, &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT, SYSTEM 300
,ROUGH CONDIUT /
WIRING
11
PERMIT FEE (SUB TOTAL) FIXTURES
- y
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED '3
PERMIT ISSUING FEE - 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL
JOSEPH C. ROO N
TOTAL FEE SUPERVISING EL L ENGINEEP.
PLAN CHECK VALIDATION CK M 0 CASH PERMIT LIDATION CK M 0 CASH
5 5 7&"-'SEP 10 D a�
9.OQ - "
I - •
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '