HomeMy Public PortalAbout9084 OLIVE ST_Electrical__ 76AG63-CES06 11-71
APPLl ATION FOR E TIM t�6p MIT 7
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY �� ^
FOR APPLICANT TO FILL IN FOR
CROSS ST.
OUTLETS NO. EACH FEE
' $ $ _OWNER g d C�
`RECEPT.�r MAIL
LIGHT �O TOTAL FIRST 20 0 25 d-0 ADDRESS • dl 17Z`E.
SWITCH-2- 9.6 OVER 20 10 •..� CITY TEL. N0. -9,/�p f
PLAN CHECK VO
LIGHTINGTOTAL FIRST 20 �j .25 APPLICANT
FIXTURES _j6__ OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT 45 d
STA. COOK DISP. F.A.U. ADDRESS j. 3 Cl 15', 4jr.,-1 LD n
SPACE HTR._ p AIR COND. CITY E[ TEL. NO.�j33� �/ 4`V
CLOTH/ES&ASF(' I DISHWASH. LICENSE NO. `b ` CLASS.(,` 116)FAN r �O.TH{{ER 1.00 !A I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
(J�✓ 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 1O 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Q
SIGNATUREjE U
10 - 50 5.00 OF PERMITTEE v • O
501- 100 10.00
DISTRICTNO. CLASS PROC SED Y ll.1
100 - 500 15.00 .5p-
,
"96 h
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 a 6�
APPROVALS DATE INSPECTORIS SIGNATURE
SERVICEOVER600VOLTS OR'200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, IN APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 9.00IiNDERSLAB WORK 10•
ROUGH CONDIUT
WIRING
FIXTURES / 7 C ��• /i���9ro-s�
s r
PERMIT FEE (SUB TOTAL) '� ,rh POWER AUTHORIZED
PLAN CHECK FEE
UTILITY CO. NOTIFIED
� f� ���'� �e� '�'•�'•�r
PERMIT ISSUING FEE 3.00- 3 FINAL [j- / ?�� ����/rrd6r^7✓�
TOTAL FEE /,(. !cfD
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
3 1 4&NOV 2
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1
791Aeee-CEeos,M.-APPLICATIO_ N FOR 'ELECT . IC .PE R M I 1•
-COUNTY OF LOS ANGELES .
DEPARTMENT-OF COUNTY ENGINEER BUILOI:NG
BtMDING AND SAFETY DIVISION ADDRESS
_.JOHN A.LAM M,County-> w =
TT D. GNU=.Sup t'.of' uilding; LOCALITY
NEAREST
FOR.A'P,PLICANT TO FILL:.IN' CROSS ST. ._
PERM FEES
IT.E M NUM1919RI EACH FEE _OWNER
OUTLET $' $ .J MAIL
LIGHTS RECEPT. SW. ,1'O' ADDRESS -
LIGHTING FIXTURES AoCITY: TEL.NO.
ELEC.RANGES CLO.DRYERS -
ELECTRIC '.
WATER HEATERS .90'
ELEC.SPACE HTRS. DISHWASHERS ADORES
GARBAGE DISPOSERS AUTO.- CITY T O.
,..._ /�
,
was9MM'STA. ooKING uNIr3 . 2$ STATE LICENSE NO. f/
AL
MOTORS: OVER ' INC. H.P.
0— V2 29 DISTRI GR R ADY
2 - - s 1.00 INSPECTION RECORD ` =
s — .ts �.so•' -
1s — 90 2.60
90— 200 9.00
SIGNS-. NO.TRANS: -
NO..LAM.PS -
SERVICE 0-900V 1.00
SERVICE OVER GOOV 9.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT i.00
SUPPLEMENTARY PERMIT SO
TOTAL'FEE $ APPROVALS
I.HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS.,.APP CA DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE.IS CORRECT AND:AGREE TO CO PLY ^
WITH ALL COUNTY ORDINANCES AND STATE' LAWS REGULATING" r CONDUIT / fl
ELECTRICAL WIRING. WIRING
•I HEREBY' CERTIFY'THAT I AIN PROPERLY REGISTEREDAND/OR
LICENSED AS. REQUIRED BY''LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AN THE LEGAL OWNER OF THE'ABOVE POWER
DESCRIBED RESIDENTI PROP TY.
SIGNATURE UTILITY CO.NOTIFIED Ak�.
OF PERMITT p �.
ATION ARTH U R C.VEIT.
C15/
K MOCA$HSUPERVISING ELECTRICAL ENGINEER. '
, ' � � -