HomeMy Public PortalAbout9537 OLIVE ST_Electrical__ 7GA553-C SOG 1/70* APPLICATION FOR ELECTRICAVPERMIT� LI
COUNTY OF LOS ANGELES
DEF)fflTMENT Off' COUNTY ENGINEER BUILDING y.� C.
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BUILDING AND SAFETY DIVISION ADDRESS , L� V l%;C-
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY �p f�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING le. C84
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FOR APPLICANT TO FILL IN CROSS NEAREST
T. j Ci+L111J ✓
FRECEPT.-.L
TS NO. EACH FEE
OWNER
$ $ MAILTOTALFIRST 20 2p ADDRESS gsvn-ea-w-e.OVER 20 CITY �� G TEL. NO.�f0 PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 .20 APPLICANT
FIXTURES .f0
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OVER 20 ADDRESS
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 1.00I 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 _ 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE N. THE ABOVE DES ISED SIDENT PROPERTY.
SIGNATURE // 0-
10 - 50 5.00 OF PERMITTEE O
V
50 - 100 10.00
DISTRICT NO. CLASS GROUP ZONE P BE Y OG
100 - S00 15.00 _
SIGN, GAS NO ONE CIRCUIT 3.00 NOTES: d
SIGN A 71/
TUBE, OR to
MARQUEE ADDITIONAL CIRCUITS 1.00 Z
SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00 `L
SERVICEOVER 600 VOLTS OR200AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMPSERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
PERMIT FE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
�,�7 UTILITY CO. NOTIFIED
PERMIT ISSUING FEE �V FINAL /
SUPPLEMENTARY PERMIT ISSUING FEE 1A0
J03EFlH C. ROOHAN
TOTAL FEE , " SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION(o M.D. CASH
�('„1 8 3 6R AUG 5 2 D 4.0 0 %,
8EE BACK OF APPLICATION FOR COMPLETE SCHEDULE _ -
76A663-CE6061_66 APPLICATION FOR ELECTRICAL. PER
COUNTY OF LOS ANGELES
{ DEPARTMENT OF COUNTY ENGINEER BUILDING Ar�
BUILDING AND,SAFETY DIVISION ADDRESS V C'
JQHN A. LAMBIE. .COUNTY ENGINEER
COLEMAN W. J.ENKINS, SUPERINTENDENT OF BUILDING 'LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
�a NO. 'AC FEE •�
RECEP'Iys $ $ OWNER ♦C.� lJ�.fr�J
MAIL
LIGHT TOTAL FIRST 20 20 .20 &Q ADDRESS
IT
SWITCHa_ � OVER 20 .10 CITY TEL: NO.
LIGHTING FIRST 20 .20 // PLAN CHECK
J.TOTAL
f/ � (p APPLICANFIXTURES I OVER 20 .10 ADDRESS
RANGE-!!!:6RYER-!!!!!!'WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP.Lf_fF.A.U._V_ CON TR'AC'TOR
SPACE'HTR.�AIR COND; ADDRESS
CLOTHES WASH.LDISHWASH.�. CITY qi TEL. NO.
FANJ�fOTHER 1.00 LICENSE NO. w � CLASS.(2-/
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I. HAVE READ THIS APPLICATION
SIZE A TYPE OVER TO AND STATE THAT THE ABOVE 15 XORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.-
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TOOL
10 --so 5.00 RESIDE IN, THE ABOVE DESCRIBED _RESIDENTIAL PROPERTY. O
SIGNATURE u
50 - 100 1.0.00 OF PERMITTEE w
100 - 500 15.00 O
fN
21CT O. G UP ZONE P C SED Y UTUBSIGNE, OR SGAS IGN AND ONE CIRCUIT 3.00 aMARQUEE ADDITIONAL CIRCUITS 1.00 S• Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00APPROVALS DATE INSPECTOR'S SIGNATURE
POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT IVIT 14-7
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (SO% PERMIT FEE) n POWER AUTHORIZED
PERMIT ISSUING FEE 2.00' L. o UTILITY_CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FE-El 1.001 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION GK. M.O. CASH
Ar,,8 6 .9: 1 9;18 b 2 D 2 4.90^' a
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �Z�/Y