HomeMy Public PortalAbout4818 PERSIMMON AVE_Electrical__ �76A 63-CE806 ,,;7, e APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
aDARTMENT OF COUNTY ENGINEER BUILDING
• BUILDING AND SAFETY DIVISION ADDRESS y",�Jy.� Ur.
LOCALITY
FOR APPLICANT TO FILL IN NEAREST 4
CROSS ST. V � V 549
OUTLETS NO. EACH FEE ��
OWNER
RECEPT._ $ $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
OVER 20 CITY TEL. NO.
SWITCH_ f0 PLANCHECK
LIGHTING FIRST 20 .25 APPLICANT
FIXTURES
TOTAL
OVER 20 ADDRESS
.10
RESIDENTIAL APPLIANCES CITY TEL. NO.
' PERMIT
RANGE DRYER_WTR. HTR. APPLICANT ,+ V1
STA. COOK DISP. F.A.U. 'ADDRESS. �j 0
SPACE HTR. AIR COND. 'CITY AtjyY} p. TEL. NO. &_73 Z V)
CLOTHES WASH. DISHWASH. LICENSE NO. 2_S '3 CLASS.9-
FAN OTHER 1.001 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING j 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
CALIFORNIA OR THAT AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 9.00 RESIDE IN, THE VE DESCRIBED REBID IAL PROPERTY. 8
SIGNATURE
10 - 50 5.001 OF PERMITTEE +- O
50 - 100 10.00 G
DISTRICTNO. jCS
ZON PR S Y NJ
100 - 500 15.00 D 3 0.
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00
SERVICEOVER 600 VOLTS OR 200AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEM P S ERVI CE,POLE,&APPU RTENAN CES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) /
UTILITY CO. NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 LnFINAL
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LfwU 7 9 7 7:. SEP 11 2 D 8.00
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
8A689•CE808 10-82 APPLICATION .FOR ELECTRICAL PERMIT i'
1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Q�,p.CiYI
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,.SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH I FEE
OUTLETS FIRST 20 $2O $ OWNER
LIGHT- MAIL
SW ITCH. A..'L ADDRESS
OVER 20 .10
TOTAL CITY TEL.NO.
LIGHTING FIRST 2O .EO
FIXTURES .10 ELECTRICIAN
OVVERER 2O
RANGES CLO.DRYERS NRR.HTRS. 1.00 ADDRESS , •I
ti� STA..COOK J
DISHWASH. AUTO.-WASH. CITY TEL.NO.
STATE • (�'
SPACE HTRS. STA.APP.(Vg H.P.MAX.) .SO LICENSE NO. j§
MOTORS: OVER NOT OVER H.P. DISTRICyTO. GRO ZO E PROC SED BY
O 1 1.00 {/ ip
1 3 1.50 INSPECTION RECORD,
a
8
is 2.50 J'
15 so 3.00
50 100 5.00 _ �0
SIGNS: NO.TRANS. -+ - .o A7 � 1IIITTT�LJJJ
NO.LAMPS G
SERVICE 0-SOOV-Nor OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00 G f
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSP OR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ojeo4�
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT,1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL 11 -191 buy
LF ARTHUR C. VETT
• CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER '
Lia 2 5 5 4 JUN 7 2 D
3.50 Ncc
76A663-y8E80611`,71 ...APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS d/0/8 aN
BUILDING AND SAFETY DIVISION
LOCALITY'7eM. /`m
NEAREST
JCROSS ST. A COc7�IQ ��{ RGt
FOR APPLICANT TO FILL IN .
OUTLETS N0. EACH FEE ,�pp y.
OWNER W► !.O VA Al. co
RECEPTAIA1_4 $ $ MAIL (�
LIGHT
TOTAL FIRST 20 0 25 0 ADDRESS r4®► }�
J�{ lj
6W OVER 20 10 CITY aqiTca-t EL. NO.
SWITCH I / 1�+9 418 1 ® PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 6 .25 S ®® APPLICANT
)}
OVER 20 �'.0 ADDRESS
FIXTURES f0
RESIDENTIAL APPLIANCES CITY ®® TEL. NO.
RANGE DRYER�WTR. HTR. IT
APPPERLICANT tir� �ie C. {C.
STA. COOK DISP.,I-LF.A.U. ADDRESS, y AmLc&
SPACE HTR. AIR COND.-J&_ CITY TEL. NO. t44-' �
CLOTHES WASH. DISHWASH. LICENSE NO. Zy '7jq CLASS.CO
FAN_a_OTHER AO 1.00 d� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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 A TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 11.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10. 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. V
SIGNATURE d,
10 - 50 5.00 OF PERMITTEE • O
50 100 10.00
DISTRICT NO. CLASS VVNA PROCES D BY W
100 - 500 15.00 �O _ a
U)
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP ' 3.00 ju
®®
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVI CE,POLE,&APPU RTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING `l
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED 42
PLAN CHECK FEE
FINAL 73
PERMIT ISSUING FEE 3.00
TOTAL FEE �� ! Q
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA ATION CK. M.O. CASH
A.o n 5 Q Q �,11111412 2 D 14 1.3 Of--
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ..