HomeMy Public PortalAbout4928 MCCLINTOCK AVE_Electrical__ 76A663A-CES06A 4/72 APPLICATION OR ELECTRICAL PERMIT CLI
+ COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS GC.�� D
LOCALITY C/
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. /-'
OUTLETS NO. EACH FEE r
S $ OWNER
RECEPT.6> MAIL �]�
FIRST 20 Q JI ADDRESS /� . �
LIGHT TOTAL !J R
Ck
CITY TEL. N0. "V
SWITCH OVER 20
PLAN CHECK
LIGHTING 1 FIRST 20 APPLICANT
T TO ADDRESS
FIXTURES OVER 20
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND: CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE N0. CLASS.
FAN OTHER I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY C7
MOTORS, TRANSFORMERS. RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING v
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. a
SIZE & TYPE OVER TO p
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR
0 - 1 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG L OWNER OF, AND 1 T ND T
1 - 1O RESIDE IN, THE ABOVE DESCRI ED RE IDE TIAIA R ER y
Z
SIGNATURE
10 - 50 OF PERMITTEE a
50 - 100
DISTRICTNO. CLASS ROt SSED BY
100 - 500 �6
SIGN, GASSIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOT OV ER 600 VOLTS OR 200 AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES
TEMP LIGHT OR RECEPT. SYSTEM UNDERSLAB WORK
ROUGH CONDI UT f
WIRING
r
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) ^7
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL � �' 7 Yl
PERMIT ISSUING FEE
TOTAL FEE fJ
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. =CASH
s 9 l�OCT 22 2 D 1 3.4 0 e
� V7P
S9
DBS-9A I1 X39 APPLICATION FOR ELECTRIC PERMIT 1
BS-SA
DIVISION OF BUILDING AND SAFETY
Department of County Engineer BUILDING
County of Los Angeles ADDRESS
If—
JOHN A.LAMBIE,COUNTY ENGINEER
CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
EAR ST.
PERMIT FEES J Q_
NUMBER OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
D WALL SWITCHES FEE CITY TEL.NO.
TOTAL OUTLETS 0 ELECTRICIAN
ELEC.RANGES 25 ADDR S �!
ELEC.HEATERS 25
KW EA C TEL.N
STATE
411 FIXTURES 8 LICENSE NO.
MOTORS DISTRICT NO. I GROUP I ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE _rIF
NEW I MVD. HP OVER INC. EACH
00
8LE89 .28 INSPECTION flrnARD
Yz 2 • .Bo
2 S 1.00
8 i8 1.80
18 80 2.80
80 200 8.00
M ISC.
e
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00 V
SUPPLEMENTARY ,80 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS GELES COUNTY AND STATE OF
CALIFORNIA OR T AT i A GAL OWNER OF T E ABOVE POWER c
DESCRIBED RESIDE TIA OPER + ; ✓ y�
SIGNATURE UTILI rY CO.NOTIFIED IS I '�"I :} :•�.�
A
OF PER FINAL
IOHN A.LAMBIE.COUNTY ENGINEER VALIDATION ARTHUR C.VEIT.CHIEF ELECT.INSPECTOR
CK NO CASH
Ta 6 3 8 E 'L"i 1?r:Y 2 5 2 4.2 5
l" -ZA