HomeMy Public PortalAbout10414 OLIVE ST_Electrical__ r6A663CE-806(11 /781 APPLICATI N FOR ELEC RICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
1 &2-Family,Sq.Ft. $ 025 — $ LOCALITY G•f
Multi-family Sq.Ft. .02 — NEAREST
Residential SwimmingPools 25.00 CROSS ST. &,CJW 4441
OWNER
IRM NAME � ,V
Fh
Outlets:Rec Light Sw. MAIL
First 20 •50 ADDRESS 10'0 0 &1;1A wo
Total No. Additional .30 CITY fi
70,414Q Tel.Noll
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 •50 ADDRESS
Additional •30
Total No. CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D.W.
APPLICANT
Oven—Dryer—W.M. ADDRESS J,,i� .7
Top _FAU —W.H._ CITY .- Tel.No.
Hood_Fan —Other LICENSE OR
Disp._Room Air Cond. 2.5.0 REG.NUMBEIf Class.
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 HP,KW,KVA,or KVAR 2 50 REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 1 HEREBY CERTIFY THAT I P,M PROPERLY REGISTERED AND/OR :. ij
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS.ANGELES COUNTY AND STATE OF W.
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE. LEGAL OWNER OF THE ABOVE O
DESCRIBED RESIDENTIAL PROPERTY.
25.00 p.
Over 50 to 100 Inc. {9
40.00 PERMITEE
Over 100 SIGNATURE 12.50 N
Services DISTRICT NO. PROCESS BY
0-200 Amp.Under 600 V 25.00
201-1000 Amp. Under 600 V
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp.Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits 2'00 INSPECTION >
10.00 INFORMATION- W
Misc.Conduits&Conductors ON REVERSE ' x r.
OtherlSee Complete Fee Schedule) SIDE u t���7.9 f
U O O a O
d
50
PERMIT FEE (Sub-Total)
oou ; C1 J)0
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE $7.00 c �) 1). N$;�
TOTAL FEE �j >
INSPECTION FINALED _ /' W
date: /,/f By ®s
76A663-CEX0612/75APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS D
F012 APP61CANTFiL.L. IN LOCALITY
New Residential Bldgs& Pools EACH NO. FEE NEAREST
1 & 2-Family,Sq. Ft. $ .025 — $ CROSS ST.
OWNER OR
Multi-family Sq. Ft, •02 — FIRM NAME ,
Residential Swimming Pools 20.00 MAIL
Q� ADDRESS
Outlets: Light,Switch & Receptacle O CIT Tel.No..
First 20 •50 PLAN CHECK
Additional j .30 Lo I _.APPLICANT
7 ADDRESS
Lighting Fixtures
First 20 .50 CITY Tel.No.
Additional .30 0 PERMIT - s
APPLICANT
Fixed Appliances Not Over 1 HP ADDR
Range_Heater--I—D.W:_ CITY _ Q d Z Ii-el.No. Z;L 2',-/7
Oven_Dryer_W.M._ LICENSE O. .
Top_ FAU _W.H._ ' REG.NUMBER Class.e- (�
Hood_ Fan ___
2,00 I HENEBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
DIS
p•-A.C• --� AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Power Apparatus& Large Appliances ELECTRICAL WIRING.
Size&Type HP,-KW, KVA,or KVAR I HEREBYCERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Up to 1 Incl. 2.00 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE A.
Over 1 to 10 Incl 5.00 / DESCRIDED RESI EN L PROPERTY.
/�_.
Over 10 to 50 incl. 10.00 PERMITEE SIGNATURE I)C(/ 'va., �
Over 50 to 100 Incl. 20:00 o �
Over 100 30.00 DISTRICT NO. PR SSE
Services v 0
LLI
0- 200 Amp. Under 600 V 12.50 INSPECTOR'S Q.
201.1000 Amp. Under 600 V 25.00 APPROVALS DA SIGNATURE IR
Over 1000 Amp. or Over 600 V 50.00 ]TEMP.POWER POLE
Temp. Power Pole&Appurtenances 10.00 UNDERSLAB WORK.
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING ?7
(Other)
FI XTU R ES
POWER AUTHORIZED
UTILITY CO.NOTIFIED g+ 9
FINAL
PERMIT FEE (Sub Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $6.00 ,
TOTAL FEE 7.9 oC
PLAN CHECK VALIDATION CK. M.O. CASH PERMIt"VALIDATION CK. MA. CASH
3• �9AR 1 2 .11
1 .9
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE