HomeMy Public PortalAbout6538 OAK AVE_Electrical__ 76ASOm CEee8912/78 APPLICATION FOR ELECTRICAL PERMIT
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BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL INA/
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS (Vss3s ./✓- ® �nl��
1 &2 Finaily Sq. Ft. J000 $ — $ - LOCALITY
Multi-family Sq. Ft. — NEAREST
Residential Swimming Pools CROSS ST.
OWNER OR
FI FFM•N•ARIFE )VIC-Ae MARaD
Outlets: Light,Switch&Receptacle Q MAI L
First 20 :20 $ ADDRESS.66F f3 IV& Q
Additional l CITY i` Tel. No.
PLAN CHECK
Lighting Fixtures /^y APPLICANT
First 20 V ADDRESS
Additional
CITY /M Tel.No,
Fixed Appliances Not Over 1 HP APPLICANT N/C',
Range— Heater— D.W. ADDRESS &538 1U, We- 2qkv
Oven — Dryer —. W.M.
Top — FAU X W.H. CITY JZ,11 L 10— &44 Tel.No. . �-
Hood Fan LICENSE OR o
Disp. A.C. •,�� REG. NUMBER Class. v
1'HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 0
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY U
Power Apparatus&Large Appliances WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Size&Type HP,KW,KVA,or KVAR L.CTR'ICAL WIRING, H
Up to 1 Incl. U
1.HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPE Y.
Over 50 to 100 Incl. PERMITEE ,
Over 100 SIGNATURE
DISTRICT NO. PROCE ED BY
Services
0-200 Amp. Under 600 V UA 30
201 -1000 Amp.Under 600 V APPROVALS DATE SIGNATURE
CTURERE
Over 1000 Amp.or Over 600 V
SIG
TEMP.POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch.Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
]POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED �
PLAN CHECKING FEE (One-Fourth Permit Fee)
FINAL
PERMIT ISSUING FEE
'
TOTAL FEE a3
toNOTES
PLAN CHECK VALIDATIO® -4I 14p M. H J L ION CK: M.O. CASH
's"888• °°e 8.84+ . APPLICATION FOR ELECTRICAL fERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR.APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE .
OUTLETS FIRST 20 $.20 S 0I> OWNER'
LIGHT C MAIL
SWITCH. J OVER 20 .10 Va ADDRESS
TOTAL2 CITY ' TEL.NO.
LIGHTING F1RST20 20
FIXTURES ovDe 20 .10 ELECTRICIAN �O�d/! F e,6;o G
Lo.DR RB WTR.HTRS. 1.00 (/ ADDRESS cif /�' /.�/a��. ��� s�•
GARB.DI STA o CITY TEL.NO.
✓r�.AJ�
1 A AUTO.•WASH. STATES
SPACE HTRS. STA.APP.(Va H.P.MAX.) .50 Z D LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTT V IGRO P ` -P O BY
O f 1.00 t
t s 1.50 INSPECTION RECOR o0.
s B 2.00 V
S is 2.50
is so 3.00
so too 1 5.00 a
to
SIGNS: NO.TRANS- Z
NO.LAMPS
SERVICE O-SOOV=NoT OVER 200A 1.00 Q
SERVICE O•SOOV-OVER 200 A. 2.00
SERVICE OVER SOOV 5.00 j
Z
misc.
PERMIT ISSUING FEE 2.00 y Olt
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'$SIGNATURE
AND STATE.THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY -CONDUIT WITH ALL°COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. / WIRING ` .•./..a
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR -f�
LICENSED AB REQUIRED BY LOS ANGELES COUNTY ANC STATE OF FIXTURES Qv
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE •
DESCRIBED RESIDENTIAL-PROPERTY. POWER
SIGNATURE i UTILITY CO.NOTIFIED
OF PERMITTEE ev-
FINAL 1A
A—,
ARTHUR C. VEIT
CK MO.' CASH SUPERVISING ELECTRICAL ENGINEER'
_i:l,c 6 1 2 6 GGT 4 2 D 15.50-
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