HomeMy Public PortalAbout9434 OLEMA ST_Electrical__ r
7663-CE806.10/74
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APPLICATION FELECTRICAL PE MIT
COUNTY OF LOS ANGELES
'' DE14ARTMENT OF COUNTY ENGINEER JOB
,q,
BUILDING AND SAFETY DIVISION 6\_
LOCALITY +
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH FEE FIRM ER R
NAME T-
$
RECEPT.LL`IO MAIL
LIGHT TOTAL FIRST 20 (J Zg 40
ADDRESS
CIT �h.c\ TEL. NO
SWITCH OVER 20 ,10
PLAN CHECK
LIGHTINGTOTAL 1 .10
FIRST 20 .Zg 00 APPLICANT
FIXTURES
T
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE DRYER_WTR. HTR. APPLII CAN
STA. COOK DISP. F.A.U. ADDRESS® ") i p,;y e!�:. c3b ✓ ti,
SPACE HTR. S_AIR COND: CITY`&,*. y TEL. NO f'f✓,. �'
CLOTHES WASH._\_DISHWASH. LICENSE OR
NUMBER CLASS.
FAN OTHER 1.00 U(� 1 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 CERTIFY THAT 1 AM PROPERLY REGISTERED AND/Op
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. C3
PERMITEE 1r
10 - 50 5.00 SIGNATOR /r`/ �is' C3
SO - 100 10.00W
DISTRICT NO. 1 OC SED BY p
100 - S00 15.00 /1 Z
. V
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOFISSIGNATURE '
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP%oojII, 3.00 UNDERSLAB WORK
SERVICEOVER 600VOLTS OR 200AMP 10,00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING d� ✓�
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED ,,sa
FINAL ,r
PERMIT FEE (SUB TOTAL) NOTES;
PLAN CHECK FEES"C_'
PERMIT ISSUING FEE 1 3.00 a i
TOTAL FEE i
1
PLAN CHECK VALIDATION CK. M.O. CASH /i PERMIT VALIDATION �c`KY,� M.Q. --�CASH
.6:2 OVULIL .24 2 .1 7.7 0 8t,8
-SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ✓ �f
76A663 DB9 5A 11-50 -'�• APPLICATION FOR PERMIT . -
DEPARTMENT OF BUILDING AND SAFETY ®�
COUNTY OF LOS ANGELES �i
WILLIAM J. FOX, CHIEF' ENGINEER
FOR APPLICANT TO FILL IN DISTRI O. GROUP Z13NE ' PERMIT N.O.
ELECTRICIAN' V
RECEIVED BY READY FOR DATE ISSUED
ADDRESS - FIRST INSPECTION �•�/- /�
CI L.NO f J `
COUNTY LICENSE NO. EXPIRES BUILDIADDRESH J •
PERMIT FEES -
FEE
NUMBER EACH LOCALITY
LIGHT.OUTLET9 NEAREST �Sf',
RECEPTACLES OROBB HT.(t/�'�A
akla
WALL 9WIT(rHEH OWNER
TOTAL OUTLETSMAIL
LlU .5c $/) �—
- •
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC.` APPLICATION AND STATE THAT THE ABOVE IH CORRECT
NUMBER OF,LIGHT CIRCUITS AND AGREE TO. COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF,RECEPTACLE CIRCUITS AND STATE LAWB REGULATING ELECTRICAL.WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER' HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVc. •(•IP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
t/2 LE9H $ .25 SIGNATURE OF
V2 a .50
PERMITTEE-
2
ERMITTE -a :s 1.Do INSPECTION RECORD
5 15 1.50
15 s0 2.50
50 200 5.00 _
200:0 500 1.13.00 -J
500 1000 15.00 Y` z
OVER 1000 20.00 ---1--A� �� � ��
M.G. SET/FREQ. CHANGER-HP a
WELDERS:AC-KVA O
GENERATORS - KW
ar
TRANSFORMERS - KVA
TEMP. MOTORS (75% DF ORIt3:)
MOVED MOTORS (75% OF ORIGJ f t
MISC.
i
SIGNS
N O.
NO.TRAN 9.
NO. NO.LAMPS APPROVALS
FOR EACH PERMIT. DATE INSPECTOR'S NAME
WIRING $1.00 j a .; CONDUIT A j 1171
RES
FIXTU $1.00 Q WIRING
llr f S
SUPPLEMENTARY .5O FIXTURES
c
y� POWER
'TOTAL FEE $/ a V UTILITY CO.NOTIFIED /J. -
'i FINAL V /�p��l
ceBa610-6Y APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING -
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER or
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY
FOR APPLICANT TO.FILL IN NEAREST
PERMT FEES cRoss.ST.
ITEM NUMBER. EACH FEB OWNER
OUTLETS: $ $ MAIL
LIGHTS RECEPT. SW. .10 ADDRESS
LIGHTING FIXTURES .10 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50 ADDRESS O
ELEC-SPACE HTRS. DISHW HERS
CITY
GARBAGE DISPOSERS AUTO.-
STATE.
WASHERS STA.COOKING UNITS .25 P� LICENSE NO.
MOTORS: OVER INC. H.P. DISTRI T O. G O P ZONE PR CESSED BY
0— +/s .25
7/2— 2 .50 INSPECTION RECORD
2— 5 1.00
1.50
IS— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 G 0
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULAtING CONDUIT
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY .REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGEYES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR 7HAi 1 THE OFiHB ABOVE
DESCRIBED RESIDE ITI OP$RYY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERM!TTE
FINAL. OCF+,.Yr r
®pXX .MATZON SSV$Ij
MO CASH SUPERVISING ELECTRICAL ENGINEER'
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