HomeMy Public PortalAbout6155 OAK AVE_Electrical__ 16A663 CE if, 0 ,o,�z APPLICATION FOR ELECTRICAL PERMIT
_ y,`'COUNTY 012 LOS ANGELES _
•�` DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS' /S� D
FOR APPLICANT TO FILL IN LOCALITY G
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
$ 025 - $ 7 CROSS ST.
1 &2-Family,Sq.Ft. OWNER OR
Multi-family Sq.Ft. •02 — FIRM NAME
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets:Rec4?_6ALight_%rJ_Sw. CITY Tel.No.���-
..er�� � First 20 :500 PLAN CHECK
Total No. �Z Additional :30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT G
Total No. APPLICANT Ak'-ftAlel
Fixed Appliances Not Over 1 HP ADDRESS • ` •2e �y—
Range—Heater—D.W._ CITY , Tel.No.
Oven—Dryer_W.M. LICENSE OR
Top —FAU —W.H._ REG.NUMBER Q Class. fQ,
Hood_Fan =Othef--7 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Di _ Room AiLLCond.. 3 ` 2.50 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
xlw e �VA-
��� ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus& arge Applian
Size&Type HP,KW,KVA,or KVAR I.HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY'AND STATE OF CALIFORNIA OR THAT I AM :a,-
-
THE to 1 Incl. 2.50 THE LEGAL OW��7 BOVE DESCRIBED R IDENTIAL PROPE CD
Over 1 to 10 Incl. 5.00
Over 10 to 50 Incl.. 12.50 PERMITTEE c
Over 50 to'100 Inc. 25.00 SIGNATURE
Over 100 40.00.' DISTRICT NO. rO7:CES1'kD B y
Services
0.200 Amp.Under 600 V 12.50 1 I ECTOR'S
201.1000 Amp.Under 600 V 25.00 APPROVALS DATE• GNATURE
Over 1000 Amp.or Over 600 V 50.00 d. -TEMP.POWER POLE
UNDERSLAB WORK
Temp.Power Pole&Appurtenances 10.00 -
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
2,00 •
Additional Sign Branch Circuits WIRING '
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL —��
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-t-ourth Permit Feer ,s..
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. `' CASH
9 0.5 ti�lit� a.6 2 0 3 7e9 0
r-
SEE.BACK OF APPLICATION FOR COMPLETE SCHEDULE
1A68 fC es.;�.e,
APPLICATION F®, ELECTRIC L- PEkMtT
COUNTY OF LOS ANGELES
DEPARTMENT OF,COUNTY ENGINEER BUILDING'
BUILDING•AND SAFETY DIVISION ADDRESS. i
JOHN.A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO. FILL IN CROSS ST.
I T E M NO. I EACH FEE
OUTLETS• IRST 20) ^ $20 $ M OWNER
LIGHTS RECEPT./D SW. �`� MAIL
OUTL ADWL UNITS) ADDRESS
LIGHTS RECEPT. •SW/Ir
W .10 _
LIGHT& G FIXTURES:'( [RST 20) 2O i CITY TEL.NO.
LIGHTING FIXTURES: (ADDITIONAL). .101 ELECTRICIAN
RANGES CLO.DRYERS • WTR.HTRS. : 1.00 ADDRE
GA STA.COOK P
CI TEL.NO.,w
DlSHWASH. AUTO.-WASH. - STATE
SPACE HTRBA.APP'.(V.H.P.MAX.) .50 LICENSE NO.
MOTORS: . OVER NOT OVER, H.P. .• DISTRICT O.• G. OU .ZONE P ESSED
1.004.
1 s I.S0 INSPECTION RECORD•
s s 2.00 D-
s. 1s 2.50 O
• 1s,• so •. 3.00 _
0
so 100 5.00 G
SIGNS: NO.TRANS. y
NO."LAMPS _ .z
SERVICE 0.600V-Nor OVER 200A '1.0041.
SERVICE 0.600V-OVER 200.A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT'16BUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE. 1.00
TOTAL FEE . $
I HEREBY ACKNOWLEDGE THAT I HAVE READ,THIS APPLICATION APPROVALS DATE INSPECTORISSIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,/"•'� !
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING. '7 Q,y '
ELECTRICAL WIRING. WIRING /.." .,�� r 'L C rK
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED 'AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE '
DESCRIBED RESIDE L_ PROP RTY. POWER /
SIGNATURE , UTILITYCO:NOTIFIED
OF PERMITT FINAL
LIDATION .AR I••1.. R C. VETT'
CK MO. 'CASH SUPERVISING ELECTRICAL ENGINEER
-0;LACo8'••3-9M JUN-2 7 2- D. 16.10-
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