HomeMy Public PortalAbout5325 1/2 SANTA ANITA AVE_Electrical__ -1
76A669 C6 668R 16,77 APPLICATION FOR ELECTRICAL�PERAIT/�R'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB —
BUILDING AND:SAFETY DIVISION ADDRESS
FOR APPLICANT TO FILL IN LOCAELITY
New Residential Bldgs.&Pools EACH NO. FIEECROSS ST.
1 &.2•Family,Sq.Ft. $ 025 — $ OWNER ORi�-
Multi-family Sq.Ft. ,02 — FIRM NAME
Residential Swimming Pools 25.00 ADDRESS v C '
J ten-✓T
Outlets:Rec Light_Sw. CITY L-r orl Tel.No.
First 2Q .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional 30 PERMIT
Total No.: APPLICANT YaS
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W.— CITY Tel.No.
Oven_Dryer_W.M. LICENSE OR r
Top —.FAU —W.H.= REG.NUMBER 4 p ClaI
Hood—Fan _Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
bisp. —ROOm Alf 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
Siie&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.3
Over 10 to 50 Incl. 12:50 PERMITTEE
Over 50 to 100 Inc: 25.00 SIGNATURE V�1
Over 100 40.00 DISTRICT NO. PROC EDBY a
Z
.Services -
0.200 Amp.Under 600 V� 12.50 Z• I ECTOR'S
201.1000 Amp.Under 600 V 25.00 APPROVALS DATE GNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
Temp.Power Pole:&Appurtenan
A�W. 10.00 UNDERSLAB WORK
Sign with One Branch Circuit �r 10.00 ROUGH CONDUIT
2.00 . WIRING o" r
Additional Sign Branch Circuits
.Mist.Conduits&Conductors 10..00
FIXTURES r
Other(See Complete Fee Schedule). POWER AUTHORIZED
UTILITY CO.NOTIFIED f a—
FINAL
PERMIT FEE (Sub-Total) NOTES �@
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE j q.M
PLAN CHECK VALIDATION CK. M.O.. CASH PERMIT VALIDATION. CK. M.O. CASH
r -
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
7aA663-CEB0612/7SAPPLICATION FOR ELECTRICAL PER 1 °-
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEARES
BUILDING AND SAFETY DIVISION ESS ti
FOR PP AN F LOCALITY • .�
��Aj PIP C I
New Residential Bldgs& Pools EACH NO. FEE T
1 &2-Family,Sq. Ft. $ .025 — $ OWNSST. D-Multi-famil Sq. Ft. ,02 — FIRMN_ ME ,
y FIRM NAME LJ�D , diO
Residential Swimming Pools 20.00 MAIL
ADDRESS
Outlets: LO4 /O
ight,Switch & Receptacle L�A +� :A2, PLAN CHECK
Tet.No. ' —
Additional :30' •7 APPLICANT
ADDRESS
Lighting Fixtures
First 20 .50 CITY Tel.No.
Additional .30 PERMIT
APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_HeaterD.W._ CITY Tel.No.
Oven_Dryer_W.M._ LICENSE OR
Top—.FAU _W.H._ REG.NUMBER Class. .
Hood_ Fan ___
2.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
DIS
p4_A.C. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
•
Power Apparatus& Large Appliances ELECTRICAL WIRING.
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
Up to 1 Incl. 590 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE
Over 1 to 10 Incl.
5.00 OESCRME.D RESIDENTIAL PROP
�
Ovei 10 to.50 ICI. 10.00 PERMITEE �
77R
Over 50 to 100 Incl.
20.00 SIGNATURE. 1>�7 I gD
Over 100 30.00 DISTRICT NO. P ESS Y
Services
0- 200 Amp. Under 600 V 12:50 INSPECTOR'S
11051
201-1000 Amp. Under 600 V 25.00 APPROVALS DA SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE s�
UNDERSLAB WORK �' rt•`
Temp.Power Pole&Appurtenances .10.00
Sign with One Branch Circuit 10.00 ]ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
(Other) s1"FIXTURES
POWER AUTHORIZED
UTILITY CO.NOTIFIE
FINAL
PERMIT FEE (Sub-Total) NOTE
PLAN CHECKING FEE (One-Fourth Permit'Fee)
PERMIT ISSUING FEE $6.00
TOTAL FEE (p .2•
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. CASH
02 5-0367 .29 2 D ' 6 2 Q ,&,'x,.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
16A663-GEBO610./72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 53a3 -.53� J19/11rF) /911/ g►
LOCALITY
NEAREST
FOR .APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH. FEE OWNER OR WI-LI-1#177
�//Q„�J FRO
�• '
$ $ FIRM NAME r /r��/ J
RECEPT._ _ MAIL
FIRST 20 25 ADDRESS ,
LIGHT TOTAL
CITY LQJ TEL. NO..
SWITCH_ OVER 20 .10
- PLAN. CHECK
LIGHTING TOTAL FIRST 20 .25 APPLICANT
FIXTURES •10
OVER 20 ADDRESS
,
RESIDENTIAL APPLIANCES CITY TEL. NO..
RANGEDRYER_WTR. HT-R. APPLICANT
STA.
STA. COOK DISP. F.A.U. ADDRESS �)
SPACE HTR.—AIR COND. CITY A fiq TEL. N0.
O/• / / /1
CLOTHES .WASH. DISHWASH. LICENSE OR
REG. NUMBER !O (O CLASS. /O
FAN OTHER .. 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS 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 — I 100 LICENSED AS REQUIRED'
BY LOS ANGELES COUNTY AND STA TE.OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE }
1 — 10 3.00 DESCRIBED RESIDENTIAL PRO RTY 3.
O
PERMITEE C.2
10 —'50 5.00 SIGNATURE c - w
O
50 — 100 10.00 v
DISTRICT NO. PROICESSE01Y y�
100 — 500 15.00
SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS DAT INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP.: POWER POLE
SERVICENOTOVER 600VOLTS-OR 200AMP 3.00 UNDERS.LAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING.
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
c UTILITY CO. NOTIFI
FINAL
AA--
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE 1
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH
1 1 ti s t!no - 2 U 2.t)
JJ
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ..