HomeMy Public PortalAbout10528 OLIVE ST_Electrical__ APPLICATION FOR E ECTRIC PERMIT 1
COUNTY OFLOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS O (4r�F I v G S
JOHN A. LAMBIEr COUNTY ENGINEER ��.
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY / /•
FOR APPLICANT TO FILL IN NEAREST '
MIT
P J FEES CROSS ST.,
1 T E M NUMBER I EACH FEE OWNER jo�®as 6v
OUTLET $ $ MAIL
LIGHTS RECEPT. SW. .10 o ADDRESS
LIGHTING FIXTURES .10 0 CITY /+ TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN La°LF 014..f
WATER HEATERS .50 ADDRESS F;L.7vC�.flB-,--d.&Aa v
ELEC.SPACE HTRS. DISHWASHERS CITY &,k ja& TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
2-
MOTORS:—OVER INC. H.P. DISTRIC NO. gaQUP I Z NE I P CESSED BY
O— 1/2 .25 `AJey .
V2- 2 •50 INSPECTION RECORD
2— 5 1.00
5— i5 1.50 ,
i5— 50 2.50
1 rte/
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE O-SOOV 1.00 Is pa
SERVICE OVER 600V 5.00
MISC.
WIRINGPERMIT 1.00 Qp
FIXTURE PERMIT 1.00 Q
SUPPLEMENTARY PERMIT .50
TOTAL FEE $ �Q
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING _ x H2O- O �
LICENSED AS REQUIRED S_Y..kOS ANGELES COUNTY AND STATE OF FIXTURES >��
CALIFORNIA OR THATg
THE EO OWNE TH8 ABOVE y
DESCRIBED RESIDENTI POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
SEES
FINAL /
C-KDATION ARTHUSUPERVISING ELECTRICAL ENGINEER
MO CASH
uo o o a �.'.; 0 1 0.5 4 u
r
76A663-CE60610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGE4ES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS '
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH I FEE OWNER OR
FIRM NAME c
RECEPTAt $ $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
OVER 20 CITYP TEL. N0.
SWITCH_ .10 PLAN CHECK
LIGHTINGTOTAL c�FIRST 20 25 /C APPLICANT
ADDRESS
OVER 20
FIXTURES �� .10
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS 62 IO o1
SPACE HTR. AIR COND. CITY of of TEL. NO. /d
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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI 1 AM THE LEGAL_ OWNER OF THE ABOVE
1 - 10 3.00 DESCRIBED RESIDENTIAL PROPERTY.
V
PERMITEE `
10 — 50 5.00 SIGNATURE CD
50 — 100 10.00 DISTRICT N0. ES D BY LJ
CL
100 — 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSA R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES C // ,•���' ��
• r-
POWER AUTHORIZED )
UTILITY CO. NOTIFIED .i�i '�� �r,,�'✓I1 fn_+. �A
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
10$ 0 3 3kCT 24 - 2 A 1 2 5 A98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE