HomeMy Public PortalAbout10206 RANDWICK DR_Electrical__ 78A883-CEBi6;0/74 APPLICATION F R ELEG RICAL PERMIT
.=ir COUNTY QF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7AD �4 6 ' (.�� CBUILDING AND SAFETY DIVISIONnNEAREFOR APPLICANT TO FILL IN �.lU�OUTLETS NO. EACH FEE
FIRM NAME �
ADDRESS o �U�U
RECEPT._ S $ MAIL
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LIGHT TOTAL FIRST 20 .28 _
OVER 20 CITY ril; EL. NO.
SWITCH__ f0 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,25 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. N�O..PERM
f'�
RANGE ORYER_WTR. HTR. APPLII ANT Ol�`7�/ a 1%&1p
STA. COOK DISP. F.A.U. ADDRESS �Q
SPACE HTR, AIR COND. CITY 0VA TEL. N0, a- p
CLOTHES WASH. DISHWASH. REG NNUMBER CLASS. —
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMER 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 1.00 LICENSED A9 REQUIRED LOU ANGELES COUNTY AND STA }
CALIFORNIA OR THAI' I AM THE L OWNER OF ABOVE O„
1 — 10 9.00 DESCRIBED RESIDENT PROP Y. C.')
10 — 50 5.00 TEE
SIGNATURE O
SIGNA
50 — 100 10A0 DISTRIC NO P SED BY Lwl
100 — 500 15.00 0 Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTORFS SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 1 UNDERSLAS WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT n
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING r
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED e C
FINAL - V, h
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE '
TOTAL FEE 904
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
6 6 a ti"AY 4 2 D S.0 0 A"b
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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16A663C-.660613.1276 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN ,JOB /+ r�
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS' 162-4 W S'. Flli bar ' I9
1 &2 Finaily Sq. Ft. $ — $ LOCALITY ' MCI
Multi-family Sq.Ft. — NEAREST
Residential Swimming Pools CROSS ST.
PWNER OR
RM NAME rg-P.",fa/Iyc9,41,4
Outlets: Light,Switch&Receptacle ADDRESS 5/TP7 Y .
First 20 J
Additional Cir \, � Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT ;
First 20 ADDRESS
Additional
CITY Tel.No,
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ D.W. _
ADDRESS
Oven _ Dryer — W.M.
Top _ FAU _ W.H. _ CITY Tel,No.
Hood Fan LICENSE OR CD
Disp. A.C.
REG.. NUMBER Class. s,
z
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CD
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ly
Size&T pe HP,KW,KVA,or KVAR ELECTRICAL WIRING, y
Up to 1 Incl... ' f0 O Z
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY.
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
Services
DISTRICT NO. PRO. ED
�r O
�,0-200 Amp. Under 600 V
201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S
SIGNATURE
Over 1000 Amp.or Over 600 V
TEMP.POWER POLE
Temp. Power Pole&.Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Ejranch Circuits ROUGH CONDUIT
(Other) WIRING z—
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Feel FINAL
PERMIT ISSUING FEE NOTES
TOTAL FEEa A
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CA H
7 8 4tZDEG 20 2: •g 1 1.2 0
C17 r, 0)' t�y
SA663-CES06 5-62' APPLICATION FOR MECTR0CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING '
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY .
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH . FEE ,
LIGHT OUTLETS FIRST 20 ffi 20 ffi OWNER
ff AIL
ADD'L 1O ADDRESS
SWITCH. OVER 20 ,
LIGHTING TOTAL FIRST 20 ` .20 Am
CITY EL.NO.
FIXTURES }� ADD'L .10 EL.ECTRICI N
ON R 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY L.NO.
DISHWASH. / AUTO.-WASH.` STATE
SPACE HTRB. STA.APP.(V$H.P.MAX. — .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. GROUP ZONE 'PROCESSED BY
0 1 1.00 —I SSE S
1 5 1.50 INSPCTION RECORD;. !
5 S 2.00
8 15 2.50
",� ,.�#-+'.r.,� �`i iii , _ ;,7�•D�f , O
15 s0 5.00 jr
50 100 5.00
O
SIGNS: No.TRANS. W
NO.LAMPS
_
IL
N
SERVICE 0.600V-NOT OVER 200A 1.00 x: Z
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
t.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ffi
gn
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE IMBPECTOR'B SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT Ia
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING yy
ELECTRICAL WIRING: WIRING Sfu./:!L-� /i i
1 HEREBY CERR
CERTIFY THAT 1 AM PROPERLY REGISTERED AND/Olt
'.. •e 'C r�t� "',�
LICENSED AB REQUIRED B LOS ANGELES LINTY AND STATE OF ` FIXTURES
CALIFORNIA OR THAT 1 TH LEGAL NER F TH AB E
DESCRIBED RESIDENTIAL P POWER l �p
SIGNATURE UTILITY CO.NOTIFIED tee-7.(s
OF PERMITTEE FINAL_ ��
ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
6LIDATION
MO CASH