HomeMy Public PortalAbout10237 OLIVE ST_Electrical__ i6A6b36E-806(11/78) APPLICATION FOR ELE'CTR_ICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY' y
FOR APPLICANT TO FILL IN JOB e:
New Residential Bldgs.&Pools JEACH NO.'j FEE ADDRESS..,
1 &2-Family,Sq.Ft. $ ,025 — $ LOCALITY
Multi-family Sq.Ft. 25..00.02 CROSS ST— NEAREST.
Residential Swimming Pools: OWNER OR
FIRM NAME ! '
Outlets:Rec iLight_LSw. LMA
First 20 .50 3 v ADD IL ESS.
Total No. Additional• 30 CITY r`eA��ple;�; ;Tei..N.a. '—�6y .
PLAN CHECK } ;
APPLICANT �.
Lighting Fixtures First 20 :50 ADDRESS
'Additional ••30 - --- •-- - -
Tctal No.�_ CITY Tel..Info.
Fixed Appliances Not Over 1•.HP PERMIT '
Ran g.a APPLICANT
�Hedter_D.W.
Oven_Dryer_�L W.M. ADDRESS
'Top _FAU _W.H._ CITY ::Tel.No. „
Hood_Fon —Other LICENSE OR
Dis Room Air Cond. — 2.50 REG.NUMBER Cl
P� ass..
1'HEREBY ACKNOWLEDGE THA :I HAVE READ THIS APPLICA-
Power Apparatus&Large Appl'ionces TION AND STATE THAT THE:ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES KIND STATE'tAWS
Size:&Type HP,KW,KVA,or KVAR REGULATING ELECTRICAL WIRING.
Up to 1 Incl.. 2'50 I HEREBY CERTIFY-THAT IAM PROPERLY REGISTERED AND/OR' V
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over l0 to 50 Incl. 12.50• CALIFORNIA OR THAT IAM THE,LEGA4 OWNER OF TIAE ABOVE.
Over 50 to,1'00'Inc.
25.00 DESCRFBED RES IAL PROPERTYt
40.00 PERMIT EE
Over_100 SIGNATURE u9
1IMIIIIIIIIIIIII
Services. DISTRICT NO.. P CESSE Y e
0-200 Amp.Under 600 V ' 12.50.
201.-1000 Amp. Under 600 V 25.00
Over 1000 Amp,or Over 600"V 50.00 . Z
O
Temp.Power P616&Appurtenances •10,00
Sigri with One Branch Circuit ' 10'.00
Additional Sign-Branch Circuits 2.00 INSPECTION_
Misc.Conduitsi.o_.00. INFORMATION W.&Conductors ON REVERSE :s
Other(See Complete Fee Schedule) Z ` ' f�5 i,: `1
SIDE
gfi! 00 0002
� ooiQ.SC
PERMIT.FEE (Sub-Total.t
Z
PLAN CHECKING.'FEE (97. -Fourth Permit Feet 0.
PERMIT ISSUING FEE .$7.00
TOTAL FEE >
INSPECTION FINALED • W
date: l�/ r�J `�� By
'6AW3CE-W"I;1.78" APPLICATION-FOR ELECTRICAL PERMIT' -
COUNTY OF LOS ANGELES BUILDING.AND SAFETY �. +
FOR APPLICANT TO FILL IN JOB / •��
New Residential Bldgs.&Pools EACH NO. - FEE ADDRESS QC..tve f
1 &2-Fomily,Sq.Ft: S .025 — $ LOCALITY 're-,,i3O`e- el.;may .�
Multi-family Sq.Ft. •02 — NEAREST
Residential Swimming25.00
Pools CROSS ST.OWNER.OR' "+
FIRM NAME
Outlets;Rec_" Light Sw. MAIL
First 20
50 ADDRESS •,(dZ �. ���LLii� .f74'
' ' _ '
Total No. Add itional.• .30 :CITY ` r•G�, lei.No- 0�`E
_ PLANCHECKi
' ,•_ APPLICANT_ _
Lighting Fixtures First 20' •50 AaDRES_S
s -
Total No.— n Additional 30 CITY Tel.Nd.
Fixed Appliances Not Over 1 HP PERMIT ' ---- r- -
Range_Heater_D.W._.; APPLICANT
Oven—Dryer_W.M.— ADDRESS -
Top _FAU —W.N.— CITY _ Tel.No.
-Hood—Fad _Other_ LICENSE OR.. +
Class.
Disp,'—Room Air Cond. 2.50. REG.NUMBER _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE,IS CORRECT AND AGREE TO
COMPLY WITH ALL-COUNTY' ORDINANCES"AND STATE.LAWS �` t
Size:&Type.H.P,KW,'.Incl. r KVAR REGULATING ELECTRICAL WIRING. m
Up Jo_.1,Incl. 2.50 I HEREBY CERTIFY THAT'I AM-PROPERLY REGISTERED AND/OR
5..00
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF, ps
Over 10 to 50 Incl. . .1 MO CALIFORNIA 00 THAT I AM.THE LEGAL OWNER Of THE,ABQVE O
25.00 DESCRIBED RESI LPROPERTIf, Cr -
Over 50 to T00 Inc. t;
PERNIITEE. W
Over.100 4.0.00 ' SIGNATURE - IL
Services - -
DISTRICT NO. .PROCESSED B'
0:200 Amp.Undec:60.0•V , 12:50
201-1000-Amp. Under"600 V k 25:00
Over 1000 Amp.or Over 600 V 50.00• - Z
O
•Temp,Power Pole&.Appurtenances. 10:00
Sign with One Branch Circuit.� 10.00 j
Additional Sign Branth Circuts 2'00 t INSPECTION y
INFORMATION
Misc.Conduits&Conductors u• r!6 9 0 9 A
10,00' ON'REVERSE _
Other 1See Complete.Fee Schedulel • '' SIDE u a 0 0 o o 2
Z
I . 20 01 9,50 '=
O G C 1 Y. O V :.
PERMIT FEE (Sub-Total)
Z 09,2:7-79
PLAN CHECKING FEE '' (One-Fourth Permif Feel O -
PERMIT ISSUING FEE $7..00 c
Z
TOTAL FEE, �v
INSPECTIONNA,.LLEEDD'' W
date:
/� Z�/c�� By
�s