HomeMy Public PortalAbout4912 ROBINHOOD AVE_Electrical__ ,A66:_CFebb 5.62 APPLICATION FOR ELECTRICAPER. IT —
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. I EACH FEE
OUTLETS FIRST 20i __F$ 20 S OWNED
LIGHT MAIL
SWITCH. IADD'L 10 ADDRAO
OVER 20 --
LIGHTING TOTAL IFIRST201 .20 CITY TEL. O
FIXTURES } r ADD'L 10 ELECTRICIAN -��
RANGES CLO.DRYERS WTR.MTRS. 1.00 _ ADDRES / 7
GARB.DISP. STA.COOK CITY TEL.N �"✓
DISH WASH, AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(yi N.P.MAX.) gowir.50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIS,Z.F31C N G P ZONE P D
0 1 1.00 X)
1 3 1,50 INSPfCTION RECORD
3 a 2.00 200 1 "
8 15 2.50 *, O
15 50 3.00 V
50 100 5.00 ° O
F-
NO.TRANS
SIGNS: NO.LAMPS
SERVICEO.600V-NOT OVER 200A 1.00 �
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 Z OO
SUPPLEMENTARY PERMIT ISSUING FEE 11.001 1
TOTAL FEE ffizi LZ
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR' SIGNAT Rt
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER F THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE 1�'�` UTILITY CO.NOTIFIED
OF PERMITTEE- _ ------ ----�-----
FINAL
0 LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
1 SI1 - 6 9 5, :" V l
!6A868•CE808.-7.8.8 A®® ICA T I b' �. r0• 14• ELECTRIC
LECTRIC O.a R M .T
BUILDING AND SAFETY DIVISION
Department of County Engineer BUAp
ILDING '
County of Los Angeles ' ADDRESS /
JOHN A.LAMBIE. COUNTY ENGINEER
CASSATT D.,GRIFFIN,SUPT OF BUILDING LOCALITY'
NEAREST'
'FOR APPLICANT TO FILL.IN CROSS T.
PERMIT FEES ,
N ER OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES-
LL SWITCHES FEES CITY TEL.NO.
TO4'L OUTLETS '0' 59 $ A_Z�J' ELECTRICIAN /iJ " �P .
ELEC. RANGES 25 ADDRESS-
ELEC.
DDRESS" 'f� /
ELEC. HEATERS. 25 CITY A w - TEL.NO I (j
KW EA - STATE
FIXTURES 5' -LICENSE NO:
MOTORS 'DISTRICT N ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE . JGR��? P
NEW MVD. HP OVER INC. EACH _ ..
1h&LEss. 8 25 _ INSPECTION:'RECORD
Y 2, 5 1.0.0 /
S 15 1:80 ,,r•
15 50 2:50
50 ,'200 5.00 y h
Misc.
NO.SIGNS NO.TRANS.'
NO.SIGNS NO. LAMPS
u
FOR EACH PERMIT:
WIRING PERMIT $1.00
FIXTURE PERMIT $1.00'
SUPPLEMENTARY .50 APPROVALS
'TOTAL FEE 'DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP ICA ON` CONDUIT
AND STATETHAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL.COUNTY -ORDINANCES AND STATE_ LAWS REGULATING WIRING /..✓✓ /� /eL
ELECTRICAL WIRING. 'FIXTURES /I �'� i�J,I��✓ s1e1tE~.�-It �
I HEREBY CERTIFY THAT I PROPERLY REGIS D. F
LICENSED AS REGUiRED BY
ANGELES,CO POWER
CALIFORNIA OR THAT 1•A H6 LEGAL`0 E `.:. `
DESCRIBED RESID AL P ERTY. '. =LITY"CO.NOTIFIED !n.
SIGNATURE v
67;
OF PERMITTEE An -FINAL
ff-itz
IOHN A.LAM g ARTHUR C.VEIT.
BOUNTY ENGIN ATI®N SUPERVISING ELECTRICAL,ENGINEER•
CK Aq.O GASH - -
L AC.O 9 1 2&2 1LC1 JUid 1.1 2 6.7 0 o
ex _ 1A
78A983-CE808 3-89 APPLICATION FOR ELECTRICAL '
i
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /� ��
NEAREST n r
FOR.APPLICANT TO FILL IN CROSS ST. G T1/r
NO. EACH FEE A
RECEIPT. $ $ OWNER
MAIL
LIGHT TOTAL FIRST 20 .20-7.9-0
ADDRESS j Ae-V.-
SWITCH OVER 20 10 CITY '�yf TEL.NO. .22?/
PLAN CHECK Cl
LIGHTING TOTALFIRST 20 .20 o APPLICANT
FIXTURES I-/- 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.NO.
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 IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1'00 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
JJ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
1 1O 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWN R OF, AND INTEND TO
RESIDE IN, THE ABOVE DES BED RES[ TI PROPERTY. C
10 - 50 5.00 U
SIGNATURE u
so - 100 10A0 OF PERMITTEE Q
F
100 - 500 15.00 DISTRICT NO. GROUP ZON W
CL
TUBE,GAS
OR SIGN AND ONE CIRCUIT 3.00 -fl Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTE : 7+/f) 7/1 1PQ-',.l- ACA-1,61.1-V4
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 APPROV 9 DATE INSPECTOR'S SIGNATURE
G - TEMP. POWER POLE
7-4 UNDERSLAB WORK
ROUGH CONDUIT
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 FEEJOSEPH C. ROOHAN
D SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
! pr_ 5 7 6 OC -YLL10 2 D 5BON
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE