HomeMy Public PortalAbout10134 NADINE ST_Electrical__ �iTY 1q _ '� T�-
78A889 CE a. 1 BB APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTME14T QF BOUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER A.
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY T&/t PL� C-CT
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO ACH FEE
S OWNER E''GC'14 r-AH tJMe.
RECEPT_ MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS O .741 LF P AoIN�
SWITCH_ OVER 20 10 CITY /IIPI a dl?'y TEL NO
PLAN CHECK
LIGHTING �TOTALIFIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER—WTR HTR CITY TEL NO
STA COOK_DISP _F A U _ CONTRACTOR mL.l'OKI t Abi-i ni !C,
SPACE HTR AIR COND ADDRESS A- AF16HA SGA E.Atl'
CLOTHES WASH —DISHWASH CITY dbV ik��*`` TEL NO 9611-1.76-11
FAN—OTHER 11 00 LICENSE NO JCLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA 1 HEREBY ACKNOWLEDGE THAT 1 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
ELECTRICAL WIRING
0 - 1 1 00
//�� }y� ,f ) I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
/Yo, roK A,c 1 - 10 / 3 001 20 0 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
10 - 50 5 00 RESIDE IN THE ABOVE DESCRIPED RESIDENTIA PROPERTY ItO
50 - 100 10 00 SIGNATURE V
OF PERMITTEE E
100 - Soo 15 00 DISTRRIICT NO G P ZONE P SSEDSIGN GAS gIGN AND ONE CIRCUIT 3 00 V
TUBE OR
y O.
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES LI �7 Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 A 0
SERVICE OVER 600 VOLTS OR 200 AMP 5 00 A A/ T
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNOERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (501/ PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 y m UTILITYCONOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING EL CAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M O CASH
LAW4 3 4 2'S Afit 19 2 D 7.00- 4
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE OW440 /
76A80
DOS aw It ae APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUWnIG AND SAFETY
COof County Engfuser BUILDING 11>dtr{�t of Los ADDRESS w `
JOHN A LAMBIE COU ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LO•�.ALITY
FOR APTPLIICAANT TO FILL IN NEAREST
U
c Oss Sr
NUMBER I OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL NO
TOTAL OUTLETS 8
ELECTRICIAN 1,04
ELEC RANGES 28 ADDRESS
ELEC HEATERS 28
KW RA CITY TEL o
STATIr
FIXTURES PED LICENSE NO
MOTORS DISTRICT NO GRO ZONE BEnDT roe IBsP80TlDB
NUNaER HORSEPOWER FEE S II , I
NEW MVD HP OVER INC EACH J&
.LWW $ 28 INSPECTION R=BD
8 80
2 S 100
8 18 too
1S SO 2 80
80 200 800
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100 Q
FIXTURES $100
SUPPLEMENTARY 80 AmOvi"
TOTAL FEE $ Q DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 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 FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T49 LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL P
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE FINAL
JOHN A LAMBIE COUNTY ENGINEER IAL A ARTHUR C VEIT CHIEF ELECT INSPECTOR
CK NO N
U&3602ZR DEC 21 780
I�A
76AGGS CESO7 SB
APPLICATION FOR ELECTRIC PERMIT71
BUILDING AND SAFETY DMSION
Deportment of County Engineer BUILDING
County of LOB Angeles ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CABSATT D GRIFFIN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMff FEES
NUMBER OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES FEE CITY TEL NO
TOTAL OUTLETS @ s¢ S ELECTRICIAN LJ.914,fio,42
ELEC RANGES 28 ADDRESS
ELEC IISM010f6 28CITY TEL N i
KW EA STATE
FIXTURES g LICENSE NO
MOTORS DISTRICT NO I GROUP I ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE '
NEW MVD HP OVER INC EACH -500
14 a LESS s 213 INSPECTION RECORD
14 2 so
2 S 100
S 18 ISO
1s so 250
so 200 zoo
M ISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT $100 Q
FIXTURE PERMIT $100
SUPPLEMENTARY s0 APPROVALS
TOTAL FEE DATE INSPECTOR S SIGNATURE
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING FIXTURES
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER
CALIFORNIA OR THAT 1 AN6 T LEG 0 R OF THE ABOVE
DESCRIBED RESIDENTIAL P Y UTILITY CO NOTIFIED '
SIGNATURE
OF PERMITTEE FINAL
COUNTY
JOHN
ENG NE®2 AMBIE VAI+IDAT 8UPB72VIS NG ELBCTRICAL ENGINEER
L&43951—n JHA)N22 2 1.50