HomeMy Public PortalAbout9471 OLEMA ST_Electrical__ 78.0663-CE606 10/74 APPLICATI s F ELECTRICAL PERMIT
4COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
+= BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
s
NEAREST n
FOR APPLICANT TO FILL IN CROSS ST.
0 TLETS N0. EACH FEE OWNER OR t
FIRM NAM
RECEPT $ $ AMAIL
DDRESS - $
LIGHT TOTAL FIRST 20
CITY TEL. NO.
SWITCHS J OVER 20 f0 PLAN CHECK
FIRST 20 (� 6 0 APPLICANT
LIGHTING TONAL
FIXTURES _s� OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TE NO. 9
PERMIT w/
RANGE DRYER_WTR. HTR. APPLICANT YJ qq
STA. COOK DISP. F.A.U. ADDRESS0' J
SPACE HTR. AIR COND. CITY at:e. TEL. N0. 11�
CLOTHES WASH. DISHWASH. REG NUMBER `�'i OT j CLASS.
FAN OTHER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND S.TATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF H ABOVE p•,
1 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTY. V
000ll
10 - 50 5.00 S GNAITURE TEE "4 A CD
50 - 100 10.00 DISTRICT N0. fR0CE BY t;SIED
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC SSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAS WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES S.00 WIRING ..7
TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES
POWER AUTHORIZED.
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.001 A/L5V
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. CA
5 8 9 N A.p8 2 1 52 0 es5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE (Pv ^
76p663-�E6¢6-1*72 APPLICATION FOR ELECTRICAL PERMIT lul
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
BUILDING AND SAFETY DIVISION •#L+L Z c JFOR APPLICANT TO FILL IN NEAREeldS
OUTLETS NO. EACH I F E E.7
OER OR
MFIRNAME +
RECEPAJ
T.V $ $ ADDRESS I .�
LIGHT TOTAL FIRST 20 .25 QO
CITY T. TEL. N0.
SWITCH cpap OVER 20 10 a• PLAN CHECK
LIGHTINGTOTAL FIRST 20 .25 1 3 APPLICANT
FIXTURES r OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY I o ' TEL. NO.
PERIT
RANGE DRYER_WTR. HTR. APPLICANT �/+(�/ G1Lr� C °
STA. COOK DISP. F.A.U. ADDRESS L j f/�J//�e�D� lvE
SPACE HTR. AIR COND. CITY T + C ; TEL. NO. o7-
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER L p CLASS.C,.��
FAN OTHER 1.00 O �1 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
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR '
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THL LEGAL OWNER OF THE ABOVE
- 10 3.00 DESCRIBED RESIDENTIAL PRO E TY. C7
V
PERMITEE
10 - 50 5.00 SIGNATURE b C
F
50 - 100 1 oA0 yVj
DISTRICT NO. PROC SED BY
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE .ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP / 3.00 0Lq UNDERSLAB WORK
n
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED rQ
UTILITY CO. NOTIFIED 0, ,"moi-
FINAL �2�s
PERMIT FEE (SUB TOTAL) ��I NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 -11,00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION YCK M.O. CASH
6 9'3,FEB 14 2 14.0 5A-98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE