HomeMy Public PortalAbout10137 NADINE ST_Electrical__ • �1
76M63CE 60616/781 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
ZO
New Residential Bldgs &Pools EACH NO FEE ADDRESS
132 6
1 &2 Family Sq Ft $ 025 — $ LOCALITY
Multi family Sq Ft 02 — NEAREST
25 00 CROSS ST
Residential Swimming Pools OWNER R
� FIRM NAME U�Z
Outlets RecLi ht Sw
Lig ,First 20 50 ADDRESS 60137
Total No Additional 30 CIT7QM ieles Tel No ..57Le
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Total No
Additional 30 CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D W APPLICANT
.42
Oven—Dryer_W M— ADDRESS
Top _FAU —W H CITY _ Tel No
Hood_Fan _Other_ LICENSE OR
Disp _Room Air Cond 250 REG NUMBER Class
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Yp 2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDLOR
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Y
Over 10 to 50 Incl 1250 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc 2500 DESCRIBED RESIDENT! L PROPERTY
Over 100 4000 SEE IGN TATU
SIGNURE
Services DISTRICT NO D PR S
0 200 Amp Under 600V 1250 ..7
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000 Z
O
Temp Power Pole&Appurtenances 1000
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits 200 INSPECTION >
Misc Conduits&Conductors 1000 INFORMATIONON REVERSE x
Other ISee Complete Fee Schedule) SIDE Z f36a9A
# . . . . . 2
PERMIT FEE (Sub Total) 2 • • • 9 0 0
PLAN CHECKING FEE (One Fourth Per it Feet O t• • • • 9 0 05
PERMIT ISSUING FEE $700 o U 4. 1 2�--7 9
TOTAL FEE >
INSPECTION FINALED
date By 4 as
T
76AGGS CKSOS IO Sf APPLICATION FOR ELECTRIC PERMItT- 1
BUtI.DING AND 3AFEPY DIVISION
Dgmft int Of County Engines! BUILDING
County Of LOB Angeles ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. +
PESW FM
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBER ITEM EACH FEE MAIL
ADDRESS
TOTAL OUTLETS S 10 ; O
ELEC RANGES WATER NEATERS CITY TEL NO
CLOTHES DRYERS ISO
ELIC SPACE HEATERS STAT Y COOK ELECTRICIAN
IRG UNITS GARBAGE DISPOSERS ADDRESS O
AUTO WASHERS DISHWASHER 28
LIGHTING FIXTURES 10 CITY TEL N
MOTORS STATE
HORSEPOWER LICENSE NO
H P OVER INC DISTR T NO I GRO ;r,1
READY POR INSPECTION
Va a LESS 25
2 so BSCOBD
2 — Is 100
s — 1s Iso
115 so 250
so — 200 500
M18C
SIGNS I NO TRANS
NO LAMPS
SERVICE O SOOV 100
SERVICE OVER SOOV Boo
WIRING PERMIT I 1 00
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT SO APPROVALS
TOTAL FEE is LAO DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING '
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVF� POWER
DESCRIBED RESIDENTIAL O 11
ATURUTILITY CO NOTIFIED
L�O�IAPZRMFTTZE
_RMFINAL � 1/�
COUNTY SNGINBE= VALIDATION su�vwINNG INLII CTRICAL IENGINESR
CK MO CASH
'A ,1599r AUS26 2 120 a
76^663 frESOG 1056 APPLICATION FOR ELECTRIC PERMIT 1
BUILDING AND SAFE'PY DMSION
DSpartmeat of Coflaty EBgfnow f
UILDING O
County of Loe Angeles DDRESS / 17JOHN A LAMBIE COUNTY ENGINEERCASBATTD GRIFFIN BUPTOPBUILDING OCALITYEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PE&M FEF$
OWNER
LIGHTS RECEPTACLES SWITCHES
NUMBERI I T E M EACH FEE MAIL
TOTAL OUTLETSs f0 S
ADDRESS
ELECRANGES HATER HEATERS CITY TEL NO
CLOTHES DRYERS 50 0 ELECTRICIAN
3 ELEC SPACE HEATERS "AT T COOK _
ING UNITS GARBAGE DISPOSERS ADDRESS
AUTO WASHERS DISHWASHER 25 ZZ
LIGHTING FIXTURES 10 CITY TEL
MOTORS STATE ;rF�y
LICENSE NO V
HORSEPOWER
H P OVER INC DISTRICT NO IGROUPI ZONE READY FOR INSPECTION
ya 6 LESS 28
2 so SP=01R RECORD
Y 5 too
5 15 150
15 50 250
50 200 5 00
MIBC
SIGNSI NO TRANS
NO LAMPS
SERVICE O SOOV too
SERVICE OVER SOOV 1300
WIRING PERMIT too
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT 50 APPROVALS
TOTAL FEE $ 75:-
DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A !CATION
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 AN PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT i AMTHB SAL OWNER OF THE ABOVH POWER
DESCRIBED RESIDENTIA R ERTY 1 ¢
SIGNATURE UTILITY CO NOTIFIED b !! . L✓""
OF PERMITTEE /
FINAL
JOHN A,J.AMBIE WMA ARTHUR C V�IT
COUNTY ENGINEER CK MO C^6N SUPSII2V18ING LECTRICAL ENGINEER
' Ar 0 2 4 0 L J- 16 2 1345 In