HomeMy Public PortalAbout10258 OLIVE ST_Electrical__ 76p669-CE80810/72 APPLICATIO t ORS IACCTRICAL PERMIT11
COUNTY OF LOS-ANGELES
DEPARTMENT dF COUNTY ENGINEER FAODDRE
n a
BUILDING AND SAFETY DIVISION (i
TY
T
FOR APPLICANT TO FILL IN ST,
OUTL S N0. EACH FEE R
FIRM NAME
RECEPT._ $ $ MAIL qq LL LL
LIGHTi TOTAL FIRST 20
25 ADDRESS !J✓ G
CITY TEL. NO.
SWITCH_ OVER 20 ,10
PLAN CHECK
LIGHTING 'TOTAL FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS &
SPACE HTR. AIR COND. CITY L. N0. Z
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 1.00 1 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 STATE 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 THAI' I AM T E LEG OWNER OF THE ABOVE d
1 - 10 3.00 DESCRIBED RESIDE NTI ERTY CD
V
PERMITEE
10 - 50 5.00 SIGNATURE CD
F-
50 - 100 10.00 yVj
DISTRICT NO. ED BY
100 - 500 15.00 ^. (J $ �
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAS WORK
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
UTILITY CO. NOTIFIED
FINAL �f'3
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CAB H PERMIT VALIDATION I CK. M.O. CASH
j Arr, 1 4 9 873 JUN2 D 3.75- V
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
oes SA asM sera rae
APMCATMIq FOR PERM
DEPARTMENT OF 1$ftlli<.i<DIImIQ: AD SAFM
IF
COMM OF LOS ANDES ELECTRIC
J. FO CHIEF BI.
Fi
rs DISTRICT NO. ®ROUP ZONE PERMIT NO.
NAMEA A !i F] JL /ADDRESSCITY s_ TEL.NO. +� �- RC ,�� READY FOR DATE ISSUED
UNTY _ y �*� FIRST INSPECTION
CERT NO. t§ MRELi
APP;f.1iCAM FIM IN BRAWN d1JTLlliM POMON ONLY
JOB�E.� ®N ® ® ADDRESS t. �
NUMBER OF OUTLETS ON CIRCUITS LOCALITY. /� a'
LOCATION BY ROOMS
LIGHT OUTLETS. SW. PLUGS FpL7
CR
LIGHT
clRcuM w 113 c I ® _ F r. � AME 7.-Au .,. A��9J
AIL
CITY Z- -'t'k Al ice' C°_P L.NO.
I AM THE-UGAL POSSESSOR° OF THE AsoVE LOS
ANGW= COUNTY CERTIFICATE OF QUALIFICATION..
o -
ELF=RIC1AN.
I AM I=JJNAL CVAV i OF THE PROPERTY DESCRIBED
~ ABOVL: 10 • �' Ate"
F r
.cam,.-.��_
OWNER.
comEMONS
i
Q
_Z
S
O
- ��• •__
hN OUTLETS APPROVALS
FIXTURES Z ffi DATE INSPECTOR'S NAME
MOTORS H.P. E CONDUIT �SKIS TRANS. S WIRING "�y fi/1/VS
[NO. OF RANGES OR HEATERS E FIXTURES
U E. . • WER
ERMIT FEE 6 �� UTILITYCO.NOTIFIED
PUR '' IN r-si�flr+. 2 �'7 .
B K-A 12-43 25M
APM
�O]DEPARTMENT OF.BUILDING AND SAFETY f - CATION'FOR PERMIT
COUNTY OF LOS-ANGELES ELECTRIC
WM. J. LOX, CHIEF ENGINEER
NAME 01 �/i/�,t. �Q DIST,�R�ICT NO. GROUP ZONE PER MIT NO.
ADDR.E�S-S�� .- � /1JL!'Se. rJ94 )/ l ''1 �'V lJ Q
CCOUNTY./
IOU T / [�.rFJ�'rC1tJ!�� TEL.NO.�/ V p;'?f EIyED BY READY FOR FIRST INSPECTION
A
TRISSUED
CERT.NO (: EXPIRES/��9 JG! ���JJJ��` 1
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK AODBDRES ..°+=Irgc -�f�-&c�y V LI42
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION 13Y ROOMS
NEAREST
LIGHT OUTLETS l8w. PLUGS FO[r CROSS ST.
CIRCUIT A B C I D I E R G 1H IC NAME X.. :/ (..��(�A.;.+PJr ./�.
q 3 ADDRESS
CITYTEL.No..
L/1 I AM THE LEGAL POSSESSOR OF THE ABOVE LOS _
ANG`..CR COUNTY CERTIFICATE QF q(IALIFICATION�� .
ISLL'ECCrl�R�ICIANNN...
ABI OA g 4HIL r�-011YA1 R OF THE PROPWff DESCRIBED
•AQ ! -/ / / OWNER.
CORRECTIONS
is Z
0
[NO.
�I 6 IJ C J•. I
F OUTLETS O $ ' d APPROVALS
F FIXTURES � E S DATE INSPECTO.R•S NAME
F MOTORS H.P. $ CONDUIT / 1/I i
F SIGNS TRANS. ffi WIRING- ,R H TERS 1 $ J �' FIXTURES
LLANEOUS ffi POWERJ UTILITY CO.NOTIFIED Ad T FEE /i e.f� E I �...FEE � � �,.s � R FINAL O� &dr res r it f $r i. it
�-•-L�/r-r—I L�
76A663-CE80611-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS � ji P
BUILDING AND SAFETY DIVISION
LOCALITY' /
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE i
OWNER
RECEPT._ $ $ MAIL J�
LIGHT TOTAL
FIRST 20 25 ADDRESS- L.
OVER 20 CITY TEL. N0.
SWITCH_ f0 PLAN CHECK
LIGHTING TOTAL FIRST 20 .251APPLICANT
FIXTURES OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 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 I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
d
CALIFORNIA OR THAT I AM THE LEOAL NER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOV D CRIB RESIDENTIAL PROPERTY. V
SIGNATURE
10 — 50 OF PERM O
SO— 100 10.00
DISTRICT NO ASS ZON RO BY W
100 - Soo 15.00 a
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED J AA
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 FINAL
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. ca M.Q. CASx
iJt" 7 0 6 1 JUL 1� 2 D 6.0-0-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE V v