HomeMy Public PortalAbout6516 OAK AVE_Electrical__ in08-CIM084-60 APPLICATION FOR ELECTRICAL PERMIT '�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS C
JOHN A.LAMBIE,COUNTY ENGINEER •w-
WILLIAM A.JENSEN,'SUP•TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST `
CROSS ST
PERMIT FEES
OWNER
ITEM INUMBER EACH FEE MAIL !'
OUTLETS S $ ADDRESS
LIGHTS' RECEPT SW: .10
LiG URES .10 CITY a ,TEL O
CLO.DRYERS ELECTRICIAN
W A 1 E ,$O ADDRESS J
E HTRS wsHWASHER6 D CITY TEL.NO.
RB GE.DISPOSERS STATE J
WASHERS A.COOKING UNITS ,2$ LICENSE NO. v7
OVER DIST�RIC N. G Z P D
0 — V. .2$
,S0 INSPECTION ECORD
2 — 5 1.00
$ 1$ 1.$O 1 U �//�'E 0-i U
tY
so — 200 $.00 -
SIGNSi NO TRANS. n
NO.LAMPS g G. A .I�• Z
SERVICED-600V. /aty I f.00
SERVICE OVER 600V $.00 . '
MISC. /•
A
WIRING PERMIT 1.00
FIXTUNE PERMIT 1.00
SUPPLEMENTARY PERMIT ,$0
TOTAL FEE S
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S BI NATURE
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' ..p
LICENSED AS REQUIRED BY LOS ANGELES. COUNTY AND STATE OF FIXTURES 7� .� /- •/i.�IIJ. !•Cj.4!^.�
CALIFORNIA OR THAT I AM THE L6 OWNER OF THE ABOVE POWER V �/
r SIGNATUREDESCRIBED IDENT PROPERTY. UTILITY CO.NOTIFIED
OF PERMITTE 00
FINA
IDATION ARTHUR C.VETT.
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
LEO 0 3 9;a JAN 13_ 2 0 1230 �
76A883C_ceeese I2/75 APPLICATION FOR ELECTRICAL PERMIT
t
BUILDING A SAFETY DIVI ION
FOR APPLICANT TO FILL IN ,JOB
SS
New Residential Bldgs.&Pools
EACH NO. FEE ADORE /�J
777
1 &.2 Finaily Sq. Ft. $ — $ LOCALITY CAP
Multi-family Sq.Ft. — NEAREST
Residential Swimming Pools CROSS ST.
OWNER OR y
FIRM NAME
Outlets: Light,Switch&Receptacle 3 MALL
ADDRESS
First 20
Additibnal CITY i0 Tel. No. �7
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel. No.
PERIel
Fixed Appliances Not Over 1 HP APPLICANT ,
Range_ Heater_ D.W. ADDRESS
Oven _ Dryer W.M. GSc.�
Top _ FAU W.H. 'CITY TeI.No.;?
a
Hood Fan LICENS OR yyyy C
REG. NUMBER Class. '-'/L/
Disp. _ A.C.
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O
Size&Type HP,KW,KVA,or KV.AR ELECTRICAL WIRING. W
a.
Up to 1 Incl. I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 1O InCI. LICENSED AS REQUIRED BY LO ANGELES COUNT D STAT OF
CALIFORNIA OR TKAT AM E LEGAL OW OF T A VE
Over 1.0 to 50 Incl. .DESCRIBED RESIDE IA PR ER
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE.
fDNO. SSED.BY '
Services �`
0-200 Amp. Under 600 V _.201 -1000 Amp. Under 600 V OVALS DATE IN ECT0R'S
Over 1000Amp.or Over 600 V
SIGNATURE
R POLE
Temp.Power Pole&AppurtenancesB WORK
Sign with.One Branch Circuit
Additional.Sign Branch Circuits D'U'IT(Other) HORIZED
PERMIT FEE' (Sub-Total) 'UT.I LITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL aU2-
PERMIT ISSUING FEE
TOTAL FEE NOTES r0?y t
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK, M.O. CASH
7 1 2 ti DEC 10 .2 D 6.10 A