HomeMy Public PortalAbout6259 RENO AVE_Electrical__ 76AGGS-CESOG 3-68
-APP"LICATION FOR ELECTRICA PERId11T ��
40-UNTY OF LOS ANGELES
( DEPARTMENT OF COUNTY ENGINEER BUILDING
r BUILDING AND SAFETY DIVISION ADDRESS Z S79 AJO- ea Af0
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKI'NS, SUPERINTENDENT OF BUILDING LOCALITY =
gm Oak
FOR APPLICANT TO FILL IN NEAREST CROSS
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CROSS ST. (�
NO. EACH FEE
$ $ OWNER
RECEIPT. // MAIL
LIGHT FIRST 20 ADDRESS
/�O CITY d TEL.NO.
TOTAL .20
SWITCH— OVER 20 LJ 10 PLAN CHECK
LIGHTING TOTA FIRST 20 •206 APPLICANT
FIXTURES } OVER 20 •10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.N0.
FAN_OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE I5 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 / 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABO E D CRIBEDY�LTY. \�
10 - 50 5.00
SIGNATURE C
50 - 100 10A0 OF PERMITTEE y`
\c
100 - 500 15.00 DIST G O ZONE PROC 5 O C
0
SIGN GAS SIGN AND ONE CIRCUIT 3.00 °
TUBIF, OR,
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 1
ROUGH CONDUIT -3-70 9
WIRING TT
PERMIT FEE (SUB TOTAL) FIXTURESIt
PLAN CHECK FEE (50% PERMIT FEE)
No AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
Y
TOTAL FEE JOSEPH C. ROOHAN
i SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
iffn 5 1 3 99 r29 2D 11.10 v
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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76A553-CESOG 1_68 APPLICATION FOR ELIECTRICAPERMIT �I�JII
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
DD
BUILDING AND SAFETY DIVISION ARESS 6L % /V•' ®G IJ�
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS S.T.
NO. EACHI FEE OWNER I �1" N/ j
RECEPT:._ �. A7"�
MAIL � pp
LIGHT TOTAL FIRST 20 .20 ADDRESS S /�/ti
SWITCH_ OVER 20 .10 C,ITY .y/ TEL. NO. jC&o b
PLAN CHECK
LIGHTING ITOTAL, FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 [ADDRESS
RANGE—DRYER—WTR.HTR.— TY TEL. NO.
STA.COOK_DISP.—F.A.U._ CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTH.ES•WASH._DISHWASH._ CITY TEL. NO.
FAN—OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES, AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 ,
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA-OR TH I A HE LEGAL NER OF AND INTEND TO
10 - 50 5.00 RESIDE IN, THE BOV ES'CRIRED ESI E TIAL PROPERTY. O
SIGNATURE U
50 - 100 10.00 OF PERMIT ad
too - 500 15.00
rpDSTRICT ZONE P O D B gj
SIGN GAS SIGN AND ONE CIRCUIT 3.00 }� W
TUBE, OR H
MARQUEE ADDITIONAL CIRCUITS 1.00
NOTES• Z
SERVICE NOT OVER 600'VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, IN APPURTENANCES .3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
i
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIED a
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE oav- JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. AS
LAAO�5'5. 4• &S J&19 2 D 4.Q Q N �
:E'BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
768663-CE606 10/7 EL
APPLICA N F ECWCAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS d�'�
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR
$ $ FIRM NAME
RECEPT._ J- ADDRESS
AIL
LIGHT TOTAL FIRST 20 .25
a� CITY TEL. NO. ... Q
SWITCH 7 OVER 20 .10 PLAN CHECK
FIRST 20 25 APPLICANT
LIGHTING TOTAL
J OVER 20ADDRESS
FIXTURES .101
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH: REGNUM ER '� CLASS.0_S
FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT I 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 & TYPE OVER TO
I 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 I AM THE LEGAL OWNER OF THE ABOVE
1 — 1O 3.00 DESCRIBED RESIDENTIAL PROPERTY. + CD
V
PERMITEE
10 - 50 5.00 SIGNATURE I O
H
50 - 100 10.00yV�
DISTRICT NO. 1FROC95SED BY o..
100 - 500 15.00 , G
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC306sir.NATuRE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING 7-19 mT "
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES: �JoO� D 0 ',Vr
PLAN CHECK FEE ,
PERMIT ISSUING FEE 3.00 3
TOTAL FEE o(�
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION cK. o. CASH
6 2 8LAjUN 20 -0 2 A�18
-SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /