HomeMy Public PortalAbout5550 PERSIMMON AVE_Electrical__ 76A669-.;Eb76;/70 APPLICATION FOR ELE TRICAWER T
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �5y5- 99�f v�
BUILDING AND SAFETY DIVISION ADDRESS rC/�
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE MCI
$ $ OWNER f(f
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 •20 ADDRESS
OVER 20 CITY TEL. NO. �Y
SWITCH_ .10 PLAN CHECK
LIGHTING TOTAL F •10
IRST 20 20 APPLICANT
FIXTURES
OVER 20 ADDRESS
APPLIANCES CITY yy��./�,,�s pTEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. / APPLICANT �GjeAVAfl—
STA. COOK DISP. F.A.U. / ADDRESS gwrO/ l
SPACE HTR. AIR COND.� CITY ,V,j�0,2V-,4 TEL. N
CLOTHES WASH. DISHWASH. LICENSE NO. _26 CLASS.
FAN OTHER 1.00 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
O 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 B TYPE OVER TO
I HEREBY CERTIFY TH I AM ROP L EGISTERED AN /OR
0 — 1 1.00 LICENSED AS REQUIRED Y LOS GE 0 T AND STA OF
CALIFORNIA OR THAT 1 HE GAL 0 0 AND I D TO
1 — 10 300 RESIDE IN, THE A V D RIP. D 1 TY.
O.
SIGNATURE Q
10 — 50 5.00 OF PERMITTEE U
50 - 100 10.00 DC
DI�®N0�CLASS GROUP IZON PR S Y O
100 — 500 15.00 (ff� j
W
SIGN, GASSIGN AND ONE CIRCUIT 3.00 NOTES: D-
TUBE, OR N
MARQUEE ADDITIONAL CIRCUITS 1.00 z
SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (60% PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JO PH C. ROAN
TOTAL FEE O SUPERVISING ELEC-MlitAL ENGINEEP.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
/
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
78Ab89-CEN06 9,87 APPLICAT ON FOR ELECTRICAL PERMIT
+COUNTY OF LOS ANGELES
DEP�IRTMENT OF COUNTY ENGINEER BUILDING t i
SUIL'DAG AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. AC FEE
�J
RECEPT $ $ OWNER — e
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY TEL. NO. 3 Llv4
LIGHTING FIRST 20 .20 CONTRACTOR
FIXTURES j.T0aAL
OVER 20 AD ADDRESS ea-
RANGE—DRYER—WTR.HTR._ CITY. TEL. NO. ®-7
STA.COO K_DISP._F.A.U._ LICENSE NO.
SPACE HTR. AIR COND. 1 HEREBYCKNOW EDGE THAT I HA READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN-OTHER 1..00 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
MOTORS.TRANSFORMERS RATING LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVQ DES RIB RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTEE t
1 — 10 3.00DISTRICT GR ZONE P E D B 0
10 - 50 5.00 O
50 - 100 10.00 NOTES:
W
100 - 500 15.00 ) d
H
SIGN,-GAS SIGN AND ONE CIRCUIT 3.00 .'
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 De)
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
IRUGH CONDUIT
ISSUING FEE 2,00 - 41
INGTURESSUPPLEMENTARY ISSUING FEE 1.00 WER AUTHORIZEDPERMIT FEE LITYCO.NOTIFIED
PLAN CFIIECK FEE (50% PERMIT FEE) FINAL 0.1i 0
TOTAL FEE JOSE H C. ROOHAN
SUPERVISING ELEC ICAL ENGINEER
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.G. CASH
20 6.8ar
.E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
D.B.B.BA 25M BETS 193-47 APMCATI `N FOR �J�Al.JiJ.
DEPARTMENT OF COIJNTY OF LOS ANGMG ELES �� EEE�✓� ��IC
/WM. ,t.�,FOX CHIEF ENGINEER
NAME..(U tv// �:rr_ .11.e'.���jjGI����� I``,r ��� 1 DISTRICT N GROUP ZONE PERMIT NO
ADDRESAV/1 UJ//.+ RGi1.4&PAISI."•' �ff d.r-,s_,
�I CITY(SL r YL{-, V/ - TEL NO.�✓/��r tJ /.•7r Y V� READY FORINSPECTION EDD
`� y� FIRST INSPECTION
CERT NO.�.�11�e_�� 4J EXPIRES ac.7t�`4
APPLICANT FILL IN WILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESSk %�Q�/P
NUM13ER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST -�
LIGHT OUTLETS 8W. PLUGS F93IT
CIRCUIT A 113 C I D I E F IG IH S NAME
Z MAIL
ADDRES �r .�,\ (/ u�� /i`✓tet.�i� _7Z �_�`
r 1 O
CITY �L./ el� TEL.NO 1,//P/`�L�
AN6ppAAM Tkic LEGAL �R CAUNTY CERT OF THE ABOVE L08
S O,� QUALIFICAT.I�1
- � t/ ,� .I.�,��,
ELECTRICIAN.
r , 1 OA�THU LMMAL OWNBR OF TillsPROP67Y DESCRIB®
' 1 OWNER.
f CORIuXIONS
J
Q
Z_
L7
R
O
TOTAL �j /r
NO. OF OUTLETS J / S /• r APPROVAL 4/S
NO. OF FIXTURES 17 S U D/ATE!l INSPECTOR'S NAME
NO. OF MOTORS H.P. S CONDUIT
NO. OF SIGNS TRANS. S WIRING , v
NO. OF RANGES OR HEATERSS FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE S LIT-UTILITY UTILITY CO.NOTIFIED
TnTAL.FWR 0 ffi Com' .Z i 1 FINAL --- --- j •r�t (� `