HomeMy Public PortalAbout5750 RIO HONDO AVE_Electrical__ i6A883 CE 8068 10,77 APPLICATION FOR ELECTRICAL PERMIT
16;F COUIyTY 012 LOS ANGELES / ,,
DEPARTMENT OF COUNTY ENGINEER ADDRESS ii 4ej
BUILDING AND SAFETY DIVISION
FOR APPLICANTTO FILL IN LOCALITY T eMV Cj
New Residential Bldgs.&Pools EACH NO. FEE CROSS T. rTL(.�/�
1 &2-Fomily,Sq.Ft. $ .025 — $ OWNER T.
Multi-family Sq.Ft. 02 — OR
FIRM NAME. 1 Q I.
Residential Swimming Pools 25.00 MAIL
ADDRESS 1-0 PU0 HOXCLO
Outlets:Rec Light Sw. CITY ' Tel.:No.
i First 20 :50 PLAN CHECK"
Total No. _ Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT'Tocol No. APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W.— ,CITY Tel.-No.
Oven—Dryer_W.M. LICENSE OR.
Top —FAU —W.H.— REG.NUMBER Class.
Hood_Fan _Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. CD
Over 1 to 10 Incl. 5.00 c-1)
Over 10 to 50 Incl. 12.50 PERMITTEE G
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 .40.00. DISTRICT NO. P ESS Y oI"
Services
0-200 Amp.Under 600 V 12.50• INSPECTOR'S
201-1000 Amp.Under 600 V 25.00 APPROVALS SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP:POWER POLE
UNDERSL{1B WORK
Temp.Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT n
Additional Sign Branch Circuits 2.00 WIRING —"7 .
Misr.Conduits&Conductors 10.00
FIXTURES r/
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED _
FINAL
PERMIT FEE (Sub-Totol) NOTES.
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00
TOTAL FEE (].
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION K. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - ''
76A663�-CE 806 6-62 APPLICATION FOR ELS TRI AIS PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING �® ��
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER p+ •
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY ✓
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $.p.0 $ OWNER Y/
LIGHT MAIL
A00'L .10 ADDRESS
SWITCH. OVER 20 ,-
TOTAL CITY TEL.NO.
LIGHTING FIRST 20 .20
FIXTURES ADD'L ,10 ELECTRICIAN
OVER 20
RANGE CLO.DRYERS WTR.HTRS. 1.00 WQ ADDRESS
GARB.D1SP. STA.COOK CITY TEL.NO.
DIaNWABH. AUTO.-WASH. STATE t'0
SPACE HTRS. BTA.APP.(1A H.P.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOTOVER H.P. DIS �NO. ZO P IF BY
O 1 1.00
1 s 1.50 'R r INSPECTION RECORD
5 B 2.00 iff.n� •rI" ` ,!
..f••1 +.� �� � � =kis,,.
8 15 2.50 ` ✓ ` c
• ,�P+ +tom-' 7�
15 50 5.00 IV �.
a
so 100 5.00 .O
V
SIGNS: NO.TRANS-
NO.LAMPS O
SERVICE 0-600V.NOT OVER 200A 1.00 QQ
SERVICE O•BOOV:OVER 200 A. 2.00 0.
y
SERVICE OVER 600V 5.00 Z
MISC.
PERMIT ISSUING FEE 2.00 Q
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE i 0
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT ,� p
WITH ALL-COUNTY ORDINANCES'AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRINGVir
'.1
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR e Y
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 6
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER �/ slh
SIGNATURE UTILITY CO.NOTIFIED (5,/ 0
OF PERMITTEE FINAL s.9��f31 l
VALIDATI ARTHUR G. VEI`ir
CK MO CASHD SUPERVISING ELECTRICAL ENGINEER
Ln6o 3 2 0 4 TPR 28 2 D 4.0 0-