HomeMy Public PortalAbout9148 WOOLLEY ST_Electrical__ 76.0663-CE806 11-71 APPLICATION CTR
ELEICAL PERMIT
�,.
COUNTY OF LOS ANGELES
DEPARTMENT OF GsOUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY
FOR APPLICANT TO-FILL IN NEAREST - f
CROSS ST, UltAll
OUTLETS NO. EACH FEE
$ $ OWNER �J,
RECEPT._ AILADDRESS c I C. A)
LIGHT TOTAL FIRST 20 25 J
OVER 20 Cl TYmvak TEL. Nt��p
SWITCH_ 10 PLAN CHECK
FI •10
RST 20 Zg
FIXTURES APPLICANT
LIGHTING TOTAL
OVER 20 ADDRESS
RESIDENTIAL PLIANCES CITY TEL. NO.
PERMIT
RANGE DRYF,R WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS,
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 J 1 HEREBY ACKNOWLEDGE THAT 1 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
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
O - 1 1.00 LICENSED AS REpU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
- 1O 3.00 RESIDE IN, THE OVE DESCRIBED RESIDE AL PROPERTY. V
SIGNATURE t
10 - 50 5.00 OF PERMITTE711 .R
0
50 - 100 10.00 b
D19TRICT SS ZONE PROCESS D BY NJ
100 - 500 15.00 - °-
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: � 1
TUBE, OR L/Vd
MARQUEE ADDITIONAL CIRCUITS 1.00 -130-72 A10 !' ' z-s
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 ( delg
`rry Z
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) /
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 100
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. w CASH PERMIT VALIDAT CK. M.0. CASH
L,,l►o a 7 ,. A- NOV o• 2 D 7,a oN a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76AG63-CE80610/74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES / c
DEPARTMENT OF COUNTY ENGINEER pDDREsB �® �G��-L C
BUILDING AND SAFETY DIVISION
LOCALITY
EARET
FOR APPLICANT TO FILL IN CROSSSST. ® Zo AA AVE,
OUTLETS N0. EACH FEE OWNER OR p, /j' l/p�
FIRM NAME XN' e� f IC-
RECEPT S 4 $ ADDRESS
LIGHT TOTAL FIRST 20 D�
) SS CITY PL.e� TEL. N
SOVER 20
WITCH PLAN CHECK
LIGHTINGTTAL ('/"FIRST 20 IE D 0 APPLICANT
FIXTURES .10
OVER 20 ADDRESS
RESIDEN IAL APPLIANCES CITY TEL. NO.
RANGE DRYER_WTR. HTR. PERMIT
� APPLICANT
STA, COOK DISP.-j-F.A.U. ADDRESS
SPACE HTR. AIR COND.--�_ o CITY TEL. NO.
CLOTHES WASH. DISHWASH.� LICENSE OR CLASS.
FAN--j—OTHER I MC -FSB �� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
S AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND S.TATE 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 - 1 1.00 LICENSED A8 REQUIRED BY L08 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEO AL OWNER OF THE ABOVE
1 - 10 8.00 DESCRIBED RESI ENTIAL PROPERTY. p
C7
10 - 50 5,00 PERMIT EE
07/LSIGNATURE CD
F-•
50 - 100 IOAO v
DISTRLGTAO. PROCESSED IIY
100 - 500 15.00 t\j Z
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'SSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP ]WIRING UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT 3 �� � /; _•
TEMPSERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 8.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUBTOTAL) NOTES: } L7, OdS��' (.t�/,:;?�R11�• /N
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION K. M.O. CASH PERMIT VALIDATION CK. M..O. CASH
5 5 6 P SEP 10 2 D 3 1.0 5 ,&9b
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
ra-B°°`" "8' APPLICATION FOR- ELECTR CAL PERMIT _.
COUNTY OF LOS ANGELES. BUILDING AND SAFETY
FOR APPLICANT'TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO. FEE 'ADDRESS
.1 &2•Family,Sq.Ft..,R $ 025 — $ LOCALITY
Multi-family Sq.Ft. .02 — NEAREST d7 ;
CROSS ST.
Residential Swimming Pools 25.00 OWNER OR
FIRM NAME -avwe
Outlets:'Rec_LLight • Sw.�_ MAIL ,I l
First 20
50 ADDRESS
Total No. Additional .30 CITY T • •L Tel.. .
PLAN CHECK
APPLICANTS G ..
Lighting Fixtures First 20 •50 ADDRESS
Additional ,30 _
Total No. _ CITY Tel.No. '
Fixed Appliances Not Over 1 HP PERMIT - -
PPLICANT
Range_Heater_D..W._ A'ADDRESS -
Oven_Dryer_W.M. _.
Top _FAU —W.H._ CITY. Tel.No,
Hood_Fan _.Other-_` LICENSE OR r
Disp.—Room Air Cond. _ 2.50, REG.NUMBER Class.
I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large A'p'pliances TION AND STATE THAT THE ABOVE.IS,CORRECT-AND AGREE'TO
COMPLY WITH ALL COUNTY-ORDINANCES AND STATE-LAWS A+
Size.&.Type HP,KW,KVA,:or KVAR' 250 �� REGULATING ELECTRICAL WIRING.
.
Up to l Incl, I HEREBY CERTIFY THAT I AMkPROPERLY'REGISTERED-AND/ORU
Over 1 to 10 Ind. 5,00 S. Z3 LICENSED AS REQUIRED BY LOS ANGELES COUNTY_AND STATE OF
Over 1.0 to 50 Incl. 12.50 CALIFORNIA OR THAT I'-AM THE LE_GPL.OWNER OF THE.•9BgVE
25.00. DESCRIBED RESIOE IA.L PROWrrKI.1
Over 50 to 100 Inc. PERMITEE
Over 100' - 40.00 SIGNATURE ®'
N
Services •, DISTRICT NO. PROCESS D BY : ' " Z
0,200 Amp.Under 600 V 12.50 (/
201=1000.Amp. Under 600 V- 25.00
Over 1000 Amp.or Ovelr 60.0 V 50.00 Z
"p
Temp.Power Pole&Appurtenances 10.00• ri-
Sign with One Branch Circuit 10.00 G
Additional.Sign Branch Circuits 2.00 INSPECTION __: `> 2 8'81,L;A
INFORMATION u "
Misc..Conduits&Conductors = 10.00 �+ if o o a o o2
Other(See Complete Fee Schedule) SIDE
ON REVERSE u
SIDE z 2'q.- i a00
gk 0o01p.00
PERMIT FEE ISub-Totals l 020 1 -L C 0
PLAN CHECKING FEE (One-Fourth P6rrnit Feel O
PERMIT ISSUING FEE $7.00 r•r (, ':•
TOTAL FEE
INSPECTION FINALED' W
date: Y Bd ®s,
• 4