HomeMy Public PortalAbout9550 PENTLAND ST_Electrical__ '6A8u3-CreTd¢ 3-69
"" APPLICATION FOR ELECTRICAL PERMIT
' COUN'TY OF LOS ANGELES
DEPARTMIENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION4FEE
ADDRESSl�i��!/Q ST
JOHN A. LAMBIE, COUNTY ENGINEER _
COLEMAN W. JENKINS, SUPERINTENDENT OF BULOCALITY
NEAREST
FOR APPLICANT TO FILL INCROSS ST. L�GGL�F .�- L�G�•
NO. EACH
RECEIPT.
$ S OWNER
_ MAIL
FIRST 20 .20 ADDRESS
LIGHT TOTAL _
CITY E L,C 6'r' TEL.NO _
SWITCH OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER_WTR. HTR, CITY TEL.N0.
STA. COOKDISP._F.A.U. CONTRACTOR Mifr,47e &��C�s
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY !,� TEL.N
FAN_OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
.ND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
CLCCTRICAL WIRING.
O — 1 1'00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTCRED AND/OR
LICCNSCD AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 — 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RES EN TIAL PROPERTY. /
10 — 50 5.00 C
SIGNATURE
50 — 100 110.00 OF PERMITTEE /
C
IOD — SOD 15.00 DISTRICT NO. GRO ZON PR C V
oeSIGN,GAS SIGN AND ONE CIRCUIT 3.00 r v
TUBE, OR Ad
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: !J
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50'x PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 O UTILITY CO.NOTIFIED 14s
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL oe 11/1
TOTAL FEE d JOSEPH C. ROOHAN
SUPERVISING ELECTR AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH
SEC RACK OF APPL ICATinN FAR cnMPL FTE Frr " wrnIi1 F G /��
L L
76A483-C�E:9Q�e 3-89 ? / 1 t (--'(;/ 4`
APPLICATION FOR ELECTRICAL PERMIT d
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ,/ ST
JOHN A. LAMBIE, COUNTY ENGINEER `
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITYNEARE
FOR APPLICANT TO FILL IN CROSS ST. C'G.,,41 ,� rf-F
NO. EACH FEE
RECEIPT. $ $ OWNER
LIGHT__/_ TOTAL FIRST 20 D .20 Cf
00 ADDRESS
SWITCH OVER 20 ,10 CITY arT TE �'�
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 ® APPLICANT
FIXTURES }� OVER 20 ,t0 ADDRESS
RANGE_DRYER_WTR. HTR. CITY QQ ,y TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTO�gd WZ52d
SPACE HTR. AIR COND. ADDRESS(/7aQ e, ; /9
CLOTHES WASH._DISHWASH. CITY Z-, ,QE eZ7:k TEL. •,��- � Q'
FAN OTHER / 1.00 LICENSE NO CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
O — 1 1.00 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I — 10 3.00 CALIFORNIA OR THAT i AM THE LEGAL OWNER OF. AND INTEND TO O
RESIDE IN, THE ABOVE DESCRIBED RESIDENTI PROPERTY. C
10 — 50 5.00 L
SIGNATURE l
50 — 100 1ODO OF PERMITTEE ' �� A
H
100 — S00 15.00 DISTRICT NO. GRO 20NE P O SED BY L
r u
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 Or v'Y' T + r ���+4 -,� v
TUBE, OR ` L
MARQUEE [ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL Q �(
TOTAL FEE �� - JOSEPH C. ROOHAN
r D - SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK: M.o. cABH
1 �
7 1 ,6 .2P- .00T 14 2 D1�/�I�, I/VI 5.2 O N a
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -,