HomeMy Public PortalAbout9151 WOOLLEY ST_Electrical__ 76.%863 CE-806R 9/78 APPLICATION F=OR ELECTRICAL PERMIT
S COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER 7F9W e�®�BUILDING AND SAFETY DIVISIONFOR APPLICANTTO FILL IN YNew Residential Bldgs..&Pools EACH NO. FEE 7 COT. BEa
1 &2-Family,Sq.Ft. $ •025 — $ OWNER T.
Multi-family Sq.Ft. 02 — FIRM NAMF�. �F i� ♦�.
Residential Swimming Pools 20.00 MAIL
ADDRESS
Outlets:Rec _Light.Q.Sw. afU CITY m� a Tel.No. o
First 20 - Z U AN CHECK
Total No. Additional ' A PLICANT
A 9RESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Total'No. Additional 30 PERMIT ICANT
Fixed Appliances Not Over 1 HP ADDRESS
s
Range_Heater_D.W._ CITY Tel.No.
Oven—Dryer_W.M. LICENSE OR ME
Top —FAU —W.H._ REG.NUMBER Cis.
Hood—Fan Other— !• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Di§p. _ Room Air Cond. 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 /.Sfl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
Up to 1 Incl. THE REQUIRED
BY OWNERO GE LES E COUNTES AND TARTE OF ALI ORNIATYR THAT I AM
LEGAOver 1 to 10 Ind.
Over 10 to 50 Incl. 10.00 PERMI .,
Over 50 to 100 Inc. 20.00 SIG TU V ,
Over 100 30.00 DISTRICT N SED BY O
Services '
0-200 Amp.Under 600 V Y INS CTOR'S
201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SJGNATURE
Over 1000 Amp.or Over 600 V 50.00 ]TEMP.POWER POLE
Temp.Power Pole&Appurtenances 10.00 UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING S�Z�
Misc.Conduits&Conductors 15.00 FIXTURES
Other(See Complete Fee.Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) , NOTES
PLAN CHECKING FEE (One-Fourth Permit Feet
PERMIT ISSUING FEE 5/,Srb $t5..G&—
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CiC. M.O. CASH
1 1 2 n AUG 3.0 2 D 1 0.0 0 At b
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ®s
a —
76A663-CE806 10,74 APPLICATION FO ELECTRICA PERMIT ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS .0 1g, =-
LOCALI TY
NEARE
FOR APPLICANT TO FILL IN CROSSS T.
OUTLETS N0. EACH FEE OWNER OR
FIRM NAME
RECEPT.� $ $ ADDRESS ,
FIRST 20
LIGHT TOTAL 25
OVER 20 CITY f TEL. N0.
SWITCH _ f0 PLAN CHECK
LIGHTINGTOTAL FIRST 20 .25 APPLICANT
ADDRESS
FIXTURES _.L_ OVER 20 .10
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANTftrv%eC,5
STA. COOK DISP. F.A.U. ADDRESS ``,,,,,
SPACE HTR. AIR COND. CITY ♦aL. ♦ TEL. NO.
CLOTHES WASH. DI HWASH. LICENSE OR
REG. NUMBER CLASS..
FAN OTHER&Affji I 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF y,
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE CD
1 — 10 9.00 DESCRIBED RESIDE NTIA RO Y. V
PERMIT
10 — 50 5.00 SIGNACD
TURE 1--
p
50 — 100 10A0 DISTRICT NO. ESSED BY h
100 — 500 15.00
e
0 d Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPE R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CE NOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING Z 3✓��
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES;
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 '500
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION (CK. .0. CASH
,3 2 '51RAUG 27 2 U 92 5 ,&98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE / '1
--Z=
70A663-Creo6 4-68 APPLICATION FOR ELECTRICAL PERMIT
i6' COUNTY OF LOS ANGELES
C41-ARTMENT OF COUNTY ENGINEER BUILDING9151 Z. Woolley
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SuplaRINTsmoater OF aulLome LOCALITY
NEAREST
OSS $
T. L�'AREST
I t
_
FOR APPLICANT TO FILL IN R
NO. EACHI[S F OWNER Gallentin®
RECEPT.— II mAIL
Ess
AE)c)R %51 Se Wooley
LIGHT— TOTAL FIRST 20 .24
SWITCH— OVER 20 _ .10, CITY 149 City— TEL. NO.
— 71 PLAN CHECK
LIGHTING �TOTALFIRST 20 .23 APPLICANT
FIXTURES _ OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK—DISP.—F.A.U.— CONTRACTOR Ra r Electric
SPACE HTR—AIR CONO.— ADDRESS 315 S. San Gabriel Blvd
CLOTHES WASH.—OISHWASH.' CITYSanUbr:Lel TEL. N0.267 0477
FAN—OTHER 1.001 LICENSE wo.251206 CLASS. CIO
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HIP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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 1 HEREBY CERTIFY TNAT I M PROPERLY REGISTERED AND/OR
1 10 3.00 LICENSED AS REOU IFRED BY ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM H LEGAL OWNER OF, AND INTEND TO
j
10 so 5.00 RESIDE IN, THE ABOV SCRIBED RESIDENTIALr 0 P!�.
SIGNATURE o.
SO - 100 10.00 OF PERMITTEE
100 - 300 15.00 D1 RTlRCNO.[GR&0pj ZO E p SED BY
CD
SIGN,
GOR AS SIGN AND ONE CIRCUIT 5-00
TUBE,
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: I 0.
CO2
SERVICENOT OVER SOD VOLTS OR 200 AMP 3!.00
SERVICE OVER 600 VOLTS OR 200 AMP Go
I TEMP SERVICE. POLE, &APPURTENANCES 3.00 APPROVALS DATE iuspgsgr
,fR'B.S!*IURE
TEMP. POWER POLE
UNDERSLAB WORK-
ROUGH
ORKROUGH CONDUIT
PERM-IT FEE (SUB TOTAL)_ WIRING
FIXTURES
PLAN CHECK FEE (SO% PERMIT FEE)- POWER AUTHORIZED'
PERMIT ISSUING FEE .00 00 UTILITY CO.NOTIFIED /A01
FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELE5AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (n.) M.O. CASH
L&O 9 6 3 4-4 14OU 2 6.0.0- '
.E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
76A663-CES061/70 APPLICATION FOR ELECTRIC • L PERM!
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUNTr G
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCAL! Y els
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS OUTLETS NO. EACH FEE
OWNER
$ $ - _
RECEPT._ MAR L
LIGHT TOTAL
FIRST 20 Zp ADDRESS
OVER 20 C TEL. NO
SWITCH .10 PLAA CHEC
LIGHTING TOTAL FIRST 20 Zp APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLIC
STA. COOK DISP. F.A.U. ADORES
SPACE HTR. AIR COND. CIT TEL. N J
CLOTHES WASH. DISHWASH. LICENSE CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING.
S1ZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE DESCR IED RESIDENTIAL PROPERTY.
SIGNATURE
10 - 50 5.00 OF PERMITT u
S0 - 100 10.00
DISTRICTNO. CLASS GROUP ZONE PROLE ED BY 0
100 - 500 15.00 O 1-
SIGN, GASSIGN AND ONE CIRCUIT 3.00 NOTES: W
TUBE, OR -10-7_Z �,6✓ Sr/-!l/e° y
MARQUEE ADDITIONAL CIRCUITS 1.00 )`� „n // ,C �4/P '�-1d F�s•-!d ?
SERVlC 600VO�TSO OAMP 3tGO
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVE 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING O
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE -A0
SLkPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL SE 0 -.ROOK JOSEPH C. ROO N
TOTAL FEE SUPERVISING EL AL ENGINEER
PLAN CHECK VALIDATION
CK. M. eAsx PERMIT VALIDATION CK
t
CASH
u Iuo 5 2 Q� 4• 2 D 6.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE