HomeMy Public PortalAbout8603 WORTHINGTON DR - Electrical - 1979-09-25 76A663 0-80-6"(11 78) APPLICATION :FOR ELECT_ RICAL. PERMIT
COUNTY OF LOS'ANGELES .. BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB ! . n �—
New'Residential Bldgs.& W
Pools EACH- NO. FEE ADDRESS_.� �.C7• d� / bv6/NX
1 &2-Pam ily,Sq..Ft, $ 025 — $ LOCALITY—,
Multi-family Sq.Ft.:. - .02 ROSS ST
C . I/-R^0
Residential Swimming Pools - • 25.00 OWNER OR �y
FIRM NAME LTi L t'
Outlets:Rec Light Sw. MAILC�JOl2 . 'M
First 20 .50' ADDRESS '
Total No. Additional- .30. CITY TeI..Na...
_ APPIICANTK L ADW OT-•TU!=:
Lighting Fixtures 'First 20 .50 ADDRESS rV
Additional 30 `
Total No. CITY f Tel.No.
Fixed•.Appliances Not-Over 1'HP PERMIT
Range_Heater_ APPLICANT D.W._ _
ADDRESS• y
Oven_D?yer=W.M.— .S 614 ng
Top _FAU —W.H._ CITY _ Tel,No:
Hood_Fan _Other_ g ��
2.50 LICE OR g� Class.
Disp,—•Room Air Cond.-— - REG.NUMBER �_l_ r�-. _3 ..
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY, WITH -ALL COUNTY'-ORDINANCES'AND STATE LAWS. �
Size&Type HP;KW,KVA,or KVAR 2.50 % A v REGULATING ELECTRICAL WIRING.
fAP „Up to 1 Inel.. I HEREBY CERTIFY`THAT IAM PROPERLY REGISTERED AND/OR. U
/A Af.�Over l'to 10 Incl. 5.00 f 611 LICENSED.AS REQUIRED BY LOS.ANGELES COUNTY AND STATE OF ps
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I A_M THE LEGAL OWNER_OF THE ABOVE
Over 50 to 1.00 Inc.
25..00 DESCRIBED RESIDEN L PROPERTY.
Over 100 40.00 PERMITEE e IL
SIGNATURE.
Services . DISTRICT'NO:' ESS Y' Z
0-.200 Amp.Under 600 V 12.50'
201-1000 Amp.Under 600 V 25.00 - �
Over 1000Amp.or Over 600 V 50.00.
Temp.Power Pole&Appurtenances 10.00 '
Sign with One Branch Circuit 10.00 C
Additional Sign.Branch Circuits 2.00:,;• >
IN,SPEGTI.ON >
Misc.Conduits&Conductors 1.0. 0 $ INFO�NIATION W
O,NjiEEVERSE” s
Other(See Complete Fee Schedule) ! SIDE u
Z 96868A
IL
(PERMIT FEE .(Sub•Total) I o a 1 k 5 0
\ Z
PLAN CHECKING.FEE (One-Fourth Permit Feel ' 0 o 0 0 1 G 5 0
0
PERMIT ISSUING FEE $7,000 Q 2 5'-79
TOTAL FEE
•.INSPECTION FINA ED
SW •..
date: e9 / F By 6 ' ®s
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING J� j
BUILDING AND SAFETY DIVISION ADDRESS !�
UGHN A. LAMBIE, COUNTY ENGINEER
CA88ATT D.GRIFFIN,8UP`T OF BUILDING LOCALITY S2 i ItzY
FOR APPLICANT TO FILO IN NEAREST
PFJWT FEES CROSS ST. e
i
ITEM NUMBER MAIL
EACH FEE OWNER
OUTLE. Sy $ $
LIGHTS RECEPT. HW. ..,,�• .10 a ADDRES
LIGHTING FIXTURES v i0 .0 CITY TEL NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .90 ADDRESS !G -e-/
ELEC.SPACE HTRS.';VI,S`HWASHERS CITY „�, TEL.NO� -
GARBAGE DISPOSERS Y AUTO.- •STATE7
WASHERS STA.COOKING UNITS 31 .25 ~j LICENSE NO. J
MOTORS: OVER INC. H.P. DISTRICT NO. GROUP ONE P D BY
L
I/a— 2 .50 INSPECTION RECORD
2— s 1.00
5— is 1.50
is— so 2.50
50-200 s.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 U
SERVICE OVER 600V 0.00
MISC.
WIRING PERMIT 1.00 V
FIXTURE PERMIT 1.00 �d
SUPPLEMENTARY PERMIT .50
TOTAL FEE
4
I HEREBY.ACKNOWLEDGE THAT 1 HAVE READ TAPPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO'COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING 7
I HEREBY CERTIFY THAT i AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �J+
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE
iE ' l UTILITY CO.NOTIFIED
FINAL f o
�P Coe— s ATION ARTHUR G.V , '
C MO. CASH SUPERVISING ETTELECTRICAL,ENGINEER
la a 3 1 +i't!L1 2 A 1 1.n 0Ln
/p ? .�.