HomeMy Public PortalAbout5429 RYLAND AVE_Electrical__ 7GA663-CF-666 3-69 1
APPLICATION FOR ELECTRICAL PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRE
NG
BUILDING AND SAFETY DIVISION SS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGITY
FOR APPLICANT TO FILL IN ST
ST.
NO. EACH FEE
$
RECEIPT. $ OWNER_ p
LIGHT TOTAL FIRST 20 .20 ADORES
SWITCH OVER 20 ,10 CITY 6/u : TEL.N0.
PLAN CHECK /
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS /
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR �. "IWA 17—
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY �V/ TEL.N0. ,[3
FAN_OTHER 1.00 LICENSE N0 /� CLASS. a-ld
MOTORS,TRANSFORMERSRATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 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 TH IA ROP R Y STEREO AND/ R
LICENSED AS REQUIRED G E U Y ND STAT OF
1 - 10 3.00 CALIFORNIA OR THAT GA O R N N TO
RESIDE IN. THE ABOV D I D R A R /
10 - 50 5.00
50 - 100 SIGNATURE
10DO OF PERMITTEE
100 - 500 15.00 DISTRICT NO. GROUP ZONE PR SE
� u
SIGN GAS SIGN AND ONE CIRCUIT 3.00 ✓ u
TUBE!, 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 INSPECTORS SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
1;/
PERMIT FEE (SUB TOTAL) FIXTURES �4s
POWER AUTHORIZED
PLAN CHECK FEE (SO% PERMIT FEE) +
PERMIT ISSUING FEE 2.00 O UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL r�
TOTAL FEE oa JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. sH
E �r�3 9 4 �.� FAR 4 2 0 6.0 oN
SEE BACK OF APPLICATION COR COMPLETE FEE SCHEDULE
76A663 DBS 6A 7-51 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC i
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT-,NO. GROUP ZONE PERMIT NO.
FOR APPLICANT TO FILL IN 5 � GSSvLS�.
V,,T A
ELECTRICIAN nJ/�f •� /� PG/ 3"!C. REC VED READY FOR DT.7
T 'IBBU D
ADDRESS 9-/>' O~d l!'id/aem !J - " L��/sr FIRST INSPECTION q/ �+
CITY f /71,14 f TEL NO.� r.4-Ma t/ .2= J • _]
NINE
COUNTY LICENSE NO. EXPIRES 4-34-013 BUILDING p I/ 'ta /
PERMIT FEES ADDRESS 1 a
FEE LOCALITY !
NUMBER EACH
LIGHT OUTLETS NEAREST
RECEPTACLES OR ON ST.
ti`s
WALL SWITCHES OWNER
TOTAL OUTLETS 50 111 [.r- MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES ko 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MIH!. APPLICATION AND STATE THAT THE ABOVE 18 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWN REGULATING ELECTRICAL WIIANG.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE REBIDENTIAL PROPERTY D SCRIBED ABOVE.
Nr-w MVD. HP OVER INC.
EACH
!/2 6 LESS $ .25 r�
SIGNATURE OF ,
PERMITTEE---
V2 2 .50 - - -�
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 51313 10.00 J
_ 500 1000 15.00 a
OVER 1000 20.00 m
M.G. SET/FREQ. CHANGER-HP
WELDERS!AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIG-)
MOVED MOTORS (75% OF' CRIB.)
M ISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT! DATE INSPECTOR993 NAME
WIRING 161.00 �_ CONDUIT ; /
FIXTUREN $1.00 o WIRING f.C�lSr�/% ._/ !
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ / UTILITY Co.NOTIFIED f
FINAL '�-� 1•�t i7 -/��