HomeMy Public PortalAbout9929 NADINE ST_Electrical__ '6A663CEA`11 "8' APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
EACH NO. FEE ADDRESS _ S
New Residential Bldgs.&Pools
1 &2-Family,Sq.Ft. $ .025 — $ LOCALITYp
Multi-family Sq. Ft. .02 NEAREST.
Residential Swimming Pools 25.00 OWNER OR
/I�� FIRM NAME �• W
Outlets:Rec–L_Light_Sw. /it MAIL
First 20 •50 ` ADDRESS W,07
Total No. Additional .30 CITY �P jam.--ed TPI,No
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 •50 ADDRESS
Additional .30
Total No. CITY - Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D.W._ APPLICANTADDRESS
Oven_Dryer_W.M.
,y S
Top _FAU _W.H._ CITY &b Tel.No
Hood_Fan —Other LICENSE OR
Disp.—Room Air Cond. 2.50 REG.NUMBER Class.
I HEREBY ACKNOWLEDGE THAT 4 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
2.50 REGULATING ELECTRICAL WIRING. O
Up to 1 Incl -1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR W
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pc
12.50 CALIFORNIA OR THAT I THE AL OWN E OVE
Over 10 to 50 Incl. •O
Over 50 to 100 Inc. 40.00 PERMIT EE
25.00 DESCRIBED RESID PERT
rj
Over 100 SIGNATDISTRICT NOI)RE . JF��ESSEY y
of—
Services Z
0-200 Amp.Under 600 V 12.50
-201-1000 Amp. Under 600 V 25.00 s(/
Over 1000 Amp,or Over 600 V 50.00 Z
O -464 1.2 A
Temp. Power Pole&Appurtenances 10.00 F 2
0 � ee � e
Sign with One Branch Circuit 10.00 '
Additional Sign Branch Circuits 2'00 INSPECTION > 2 1 b.50
INFORMATION
Misc.Conduits&Conductors 10.00 509
ON REVERSE _ 4'
Other(See Complete Fee Schedule) SIDE Z Q Z 9 9
�a
PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth Permit Feel
i`
PERMIT ISSUING FEE $7.00 O
TOTAL FEE >
INSPECTION FINALED
W
date: �>f � ByF ®s
d
70A666C- C66068 1=,76 APPLICATION FOR ELECTRICAL PERMIT,.
4 �I
BUILDING D SAFETY DIVISI _
FOR APPLICANT TO FILL IN SOB @ ,
New Residential Bldgs.&Pools
EACH NO.1 FEE ADDRESS z
1 &2 Finaily Sq. Ft. $ — $ LOCALITY ;
Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST.
OWNER OR
FIRM NAME
Outlets: Light,3(Hitch&Receptacle MAI L
First 20 D ADDRESS
Additibnal CITY Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional 160
CITY Tel, No.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANTi
Range Heater-1— D.W. _ ADDRESS
Oven Dryer _ W.M.
Top FAU W.H. CITY �f dA Tel. No. �e_
Hood _ Fan LICENSE OR d
Disp. A.C. REG. NUMBER Class. r—lioC
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 0
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING H
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. W
o_
Up to 1 Incl. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Z
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OP
CALIFORNIA OR THAT 1 A THE L AL O f1ER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RHSID T
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
t000r
Services
DISTRICT NO. ESSED Y
'
0-200 Amp. Under 600 V ��
201 - 1000 Amp. Under 600 V APPROVALS DATE I PECT
Over 1000 Amp.or Over 600 V SIGNATUURREE
TEMP. POWER POLE
Temp. Power Pole&AppurtenancesUNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING , S
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED 1
PLAN CHECKING FEE (One-Fourth Permit Fee) —7-791
FINAL
PERMIT ISSUING FEE
TOTAL FEE �0 NOTES
i
;- -. 0 �j.� T1NI(i.•�•�i•h��. CASH PERMIT VALIDATION CK. M.O. CASH
POLICYHOLDER: `' �5 4 v-NOV 4 2 ® 1 'a.1 0 a
P01 IrV NIIMRFR'- a23 G'rrn.
1
7BA883 OBS SA 11-e0 APPLICATION FOR PPM
DEPARTMENT OF BUILDING AND •SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1:
WILLIAM J. FOX. CHIEF ENGINEER
DISTRICT NO. GROUP I ZppNE PERMIT NO.
FORA PUCANT TO FI IN Z . f1 �O ✓
ELECTRICIAN , V
JW.Qr1VED BY READY FORATB ISSUED
ADDRESS ` FIRST INSPECTION '�—/ife_
Jam'
CIT TEL. M .
' s
COUNTY LICENSE NO. 167 O ')1— EXPIRES BUILDING ) \
PERT FEES ADDRESS
MI
FEE om
NUMBER EACH LOCALITY
LIGHT OUTLETS -NEAREST
RECEPTACLES 1,3 CROSS ST. `nom•
WALL SWITCHES OWNER �•••
TOTAL OUTLETS .5c MAIL
ELEC. RANGER 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 47 s 14-15.1 7
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC.. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS. AND STATE LAWS REGULATING ELECTRICAL'WIRING.
MOTORS 1 CERTIFY THAT I POSSESSTHE. ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTI PROPESCRIBED ABOVE.
New Mvo. HP OVER INC. EACH
1 e LEss S 25 SIGNATURE O
1a 2 .50 PERMITTE
2 s 1.00 INSPECTION RECORD
s 15 1 1.50
is 50 2.50
so 200 5.00
200 Soo , 10.0o J
500 1000 15.00 Q
2
OVER 1000 '20.00 (�
M. G. SET/FREQ:CHANGER-HP O
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS 75%OF ORIG.)
MOVED MOTORS 75%OFOR16.
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS___
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 I 00
CONDUIT
FIXTURES $1.00 op WIRI G
SUPPLEMENTARY .00 FIXTURES
POWER
TOTAL FEE ffi O UTILITY CO. NOTIFIED
FINAL
-76A663-CE806 10/72
APPLICATI0VWWflLECWCAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS 9q�9 �4t�lNt S7-
BUILDING AND SAFETY DIVISION
TY 1 J
FOR APPLICANT TO FILL IN T '
ST. j1J JV QZ
OUTLETS NO. EACH FEE ME
RECEP.T._ $ $ MAIL �
LIGHT TOTAL
FIRST 20 25 ADDRESS A
OVER 20 CITY T 67TEL. NO.pl8j 8
SWITCH_ IO PLAN CHECK
FIRST 20 Zy APPLICANT
LIGHTING TOTAL
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT >�
RANGE DRYER_WTR. HTR. APPLICANT L S . />•ZRiQ�
STA. COOK DI SP. F.A:U. ADDRESS 9 fjjj
SPACE HTR. AIR COND. CITY jj f, TEL. NO.
CLOTHES WASH. DISHWASH. - LICENSE OR CLASS.
REG. NUMBER
FAN OTHER - 1.00 DO I 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 CERT-IFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1pp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI 1 AM THE LEGAL OWNER OF THE ABOVE
1 — 1O 3.00 DESCRIBED RPERTY
EBID T L. P
V
10 — 50 5.001
PERMITEESIGNATURE I=
O
50 — 100 10.00 DISTRICT NO. PROCE D BY t3
W
100 — 500 15.00 , CIO
Zt _
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC SStGRATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 y� TEMP. POWER POLE
SERVI CENOTOVER600 VOLTS OR 200AMP 3.00 v UNDERSLAB WORK
SERV16EOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT• SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
r
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE 17v
a'
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE