HomeMy Public PortalAbout5503 PERSIMMON AVE_Electrical__ 78^A683rC E,808 8-89 _ / 7 �•
APPLICATION FOR ELECTRICAL PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING Q
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS S1 ?
NO. EACH FEE /
S
$ OWNER DG
RECEIPT MAIL A A r
LIGHT TOTAL FIRST 20 .20 O ADDRESS
CITY TEL.
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. COOK_D I SP.I_F.A.U. CONTRACTOR 1- !C
SPACE HTR. AIR COND. ADD RES j5 orp45
CLOTHES WASH._DISHWASH.Z CITY. �fTEL.
671
FAN_OTHER 2, 1`00
43 LICENSE NO. •CLA V
1•
MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 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 AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
I — 10 3.00 CALIFORNIA OR THAT 1 AM TH HER OF, AND INTEND TO
RESIDE IN. THE ABOVE DES ED I ENTIAL PROPERTY. C
10 - 50 5.00
SIGNATURE 9350 - 100 10A0 OF PERMITTEE 93
100 — SDD 15.00 DISTRICT NO ` GAw 7*;FP 9ED BY
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 4 • ®v / V
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: -/j9C) y` Q,VF Cu/T
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 AaviI�A/d r c D svAo l'C'fev �
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTORS SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING _2 _%Q ��✓/7Fi
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 Q UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL dg —7D ;k
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINMR
PLAN CHECK VALIDATION CK. M.0" PERMIT VALIDATION CK. M.o ASH
� �'�.5 3 1 8O JUrl10 2 D 6.8 0'`
SEE BACK OF APPLICATION FOR COMPLETE FFE SCHEDULE. ��
w'
VA669 CE-806(6/78) APPLICATION FOR. ELECTRICAL PERMIT
COUNTY OF LOS ANGELES, BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB r
New Residential Bldgs;&Pools EACH NO. FEE ADDRESS
1 &2-Family,Sq.Ft. $ .025 $ LOCALITY
Multi-family Sq.Ft. .02 — NEAREST
25.00 CROS5 ST.
Residential Swimming Pools OWNEROIR
FIRM NAME
Outlets:Rec Light Sw. MAIL
First 20 .50 1 1f ADDRESS
Total No. Additional .30 C11Y ' Tel.N S'
PL CH K
AP LICAAttvvT
Lighting Fixtures First 20 •50 AD R S
Additional .30
Total No. CIT Tel.No.
Fixed Appliances Not Over 1 HPPE Mv.
Range—Heater—D.W.— A .PLI. NT
Oven—.Dryer—W.M. ADDRESS
Top —FAU —W.H._ CITY Tel.No.
Hood_Fan —Other LICENSE OR
Disp.—Room Air Cond. 2.50 REG:NUMBER Class.
I HEREBY ACKNOWLEDGE THAT I HAVE'READ THIS APPLICA-
Power Apparatus&Large Appl lances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP,KW,KVi4,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Yp REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 2.50 C
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF U
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE INO
Over 50 to 100 Inc.
25.00 DESCRIBED RESIDE NTI 'L PRO.ERTY. 0
Over 100 4.0.00 PERMITEE
SIGNATURE
Services DISTRICT NO. R CES Y
0-200 Amp.Under 600 V 12.50 v
201-1000 Amp.Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50:00 Z
O
Temp:Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10:00
Additional Sign Branch Circuits 2.00 INSPECTION >
Misc.Conduits&Conductors
INFORMATION UZu
Other(See Complete Fee Schedule) 10,00 ON REVERSE
EERSE ;2 3 8 1,711
ffonoo . 2
IL
?•O O 0 050
PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth Permit Fee) OZ o 0 0 0 50
PERMIT ISSUING FEE $7.00 '� 0 0 7— 7 9
TOTAL FEE �,J�
INSPECTION FIN LED � /�^
date: 6/s-/?9 ey (I,,q ¢�$ 1d�, ®,.
DEPARTMENT OF BUH.DING AND SAFETY ApYLU;ATlU1V FOR YLUlvlil'
COUNTY OF LOS ANGELES ELECTRIC
W.M. J. FOX CHIEF ENGINEER
Z '� �/ ^%yf� ," /l`r`i^ DISTRIPM."O. GROUP ZONE PERMIT NO.
NAME ..,:_ r, . �� "%-�_'� A: r
ADDRESS[f: F S I., Y
J �^0�,,,,FuG 4d - [ y RECEII/ED�BY READY FOR �TEI55U��
CITY F�"7rfi� /-rv.. r. TEL.NO.I. Jl�i A'�b-. CJ�xJ FIRST INSPECTION /
COUNTY 9�VXS �j
CERT.NO. F ' EXPIRES '
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORD DDRESs �•- �► ® _sn fi'�/.
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS IFI ' CROSS
CIRCUIT A B C D E F G H W NAME .(%J P`e f!--i''';!�i�— a''a 9/«P
y W
Z AD RES t cal��
C1714d��4�(�'.sLZ y�!�'ll�.n/J
1 AM THE LEGAL !OBSESSOR. OF THE ABOVE LOS
ANGELES COUN r C lFl TS OF QUALI6ICAZIQN., r
�EI:ECTRICIAN.
I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVB
OWNER.
1 CORRECTIONS
J
Q
Z
R
a
TOTAL qq pA
NO. OF OUTLETS Z � 7+ H APPROVALS
+I
NO. OF FIXTURES sB D'ATE�/ INSPECTOR'S NAME
kNO.
MOTORS H.P. v $ CONDUIT ,�0
SIGNS TRANS. ffi WIRING
RANGES OR HEATERS / E FIXTURES
LANEOUS ffi POWER
FEE IB 4 UTILITY CO.NOTIFIED FINAL r lip,�