HomeMy Public PortalAbout4837 RIO HONDO AVE_Electrical__ 76A663-CEB06 3-69 q Gal/ d/ T26-p&,e!:7L^,— &
APPLI TION E ECTRICA PERMIT
COUNTY OF LUa nNGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN .
NO. EACH FEE
RECEIPT $ $ OWNER
. L MAIL
LIGHT� TOTAL
FIRST 20 .20 ADDRESS Z
SWITCH g OVER 20 ,10 CITY TEL.N0.
PLAN PRECK
LIGHTING U-7—
TAL FIRST 20 ,20APPLI ANT
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 IFTEL.NO.
FAN_OTHER 1.00 , O� 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 IS 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 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '
1 - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO C
RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. c
10 — 50 5.00 IL
SIGNATURE
so — 100 10A0 OF PERMITTEE
100 - 500 15.00 DISTRICT NO. GR�.}L ZONE. jPROCFSSFDB
r�OFle�
0
SIGN,GAS SIGN AND ONE CIRCUIT 3.00
TUBE, OR 2
MARQUEE ADDITIONAL CIRCUITS 1.001 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, BI APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK i G�
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (509b PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
V �
SUPPLEMENTARY PERMIT ISSUING FE 1.00FINAL
TOTAL FEEJO P .H CROOHAN
SUPERVISING ELECTRI L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
A _ s o 3 $� D�c15 2 D 9./6//bbON
/
SEE BACK OF APPLICATION FOR COMPLFTF FFE SCHFOULF k
806 8-69 - -• - _ ?
fµ APPLICATION FOR ELECTRIC L PERMAT
COUN�� OF LOS ANGELES
DEPARTMENT'�fe CQUNTY ENGINEER BUILDING
BUILDING SAND SAFETY DIVISION gDDRESS
JOHN f,A._ LAMBIE, COUNTY ENGINEER r
COLEMAN-W. JENKIVVS,•SUPERINTENDENT OF BUILDING LOCALITY
FOR.APPLICANT`TO FILL IN - NEAREST -
CROSS ST.
NO. EACH FEE
$ $ OWNER
RECEIPT._ - MAIL '
LIGHT. TOTAL FIRST 20 .20
ADDRESS
-N CITY TEL.NO.
SWITCH \OVER 20 •. .10 PLAN ECK
LIGHTING TOTAL FIRST 20 ,P0 APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS
RANGERYER I WTR. HTR. CITY TEL.NO.
STA. COOK2�1SP.f F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO.
FAN_OTHER 1.00 op
LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS.,.ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO. WITH ALL COUNTY 0RD,,19ANCES AND STATE LAWS REGULATING
v ELECTRICAL WIRING.
O'- 1 1.00 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED R DE IAL PROPERTY. C
10 - 50 5.00
SIGNATURE LJ/Z�iJ�ilf�itr-�► C
50 - 100 10D0 OF PERMITTEE c
100 - SOD 15.00 DISTRICT_NOO. GROU' ZON PRO E t
SIGN GAS SIGN AND ONE CIRCUIT 3.00 '_V �� V
TUBS, OR
MARQUEESADDITIONAL CIRCUITS 1.00 NOTE :
� 1
SERVICE NOT OVER 600 VOLTS O2 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 -71
i
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS IGNATy1RE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT r�
WIRING
PERMIT FEE (SUB TOTAL). FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL .
TOTAL FEE ,0.,1 JOSEPH C. ROO.HAN
• [tel/ SUPERVISING ELECTR L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
TAr, 3762-- FE819 2 D 7.00- %,
SEE BACK OF APPLICATION FOR COMPLFTE FEE SCHEDULE
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