HomeMy Public PortalAbout8620 WORTHINGTON DR - Electrical - 1971-05-28 76A883-CEBOB 3-89
• t APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �•1d�-�-1- ) -P6 N Die.BUILDING AND SAFETY DIVISION ADDRESS U ['
COUNTY ENGINEER m
COLEMAN W JENK NSB SJOHN A. UPER NTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NO. EACH FEE
$ S OWNER -Q A S
RECEIPT. MAIL
17-
LIGHT� TOTAL
FIRST 20 Q ADDRESS
SWITCH AP OVER 20 Ap
CITY TEL.N0.
PLAN CHECK
LIGHTING TOTAL FIRST 20 tLa / APPLICANT
FIXTURES 1–.5T—OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U.
CONTRACTOR VESS 'Ekr Lf IC IIG
SPACE HTR. AIR COND..p-l' ADDRESS -g,- yo
CLOTHES WASH._DISHWASH.' CITY ,' �� 00 IV p TEL.N0.
FAN_OTHER 1.00 LICENSE N0. A ,5 Q CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. 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 THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. /
10 - 50 5.00 ^ (\
SIGNATURE
50 - 100 10A0 OF PERMITTEE
100 - 5DD 15.00 DISTRICT GROUP ZONE PROLE D t
u
SIGN,GAS SGN AND ONE CIRCUIT 3.00 u
TUBE, OR L
MARQUEE �ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP _Lly.00 �7
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTORS SIGNATURE
TEMP. POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
1
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL �•
TOTAL FEE �` JOS PH C. ROOHAN
I SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION Y M.O. CASH
c
o D 4 4RK128 2 A 1��33.25- q.
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
�Ae08-`gB° APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS &&�D AZW1r'7J1X1,r- 1--1Ar
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITYf
FOR APPLICANT TO FILL 1N NEAREST
EARE T. 2 i
PEBMT FEESCROSS
ITEM NUMBER I EACH FEE OWNER "+�
OUTLE'[S;P- �. 'i r. $ $ MAIL
LIGHTS RECEPT..s Aw. 3 -1O aS ADDRESS
LIGHTING FIXTURES .10 S(! CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN
WATER HEATERS .50
ELEC-SPACE HTRS.13�ItSHWASHERB CITY G< ,� TEL.NO. _ d
GARBAGE DISPOSERS i AUTO.- rr7 STATE -
WASHERS STA.COOKING UNITS J .25 LICENSE NO. -
MOTORS: OVER INC. H.P. DISTRICT NO. I GROUP I ZONE CESSED BY
0— va .25
1/a— 2 .50 INSPECTION BEbOBTf
2— 5 1.00
1.50
Is— SO 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00 �f
SERVICE OVER 600V 5.00
Misr-
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 V
SUPPLEMENTARY PERMIT 50
TOTAL FEE S d
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 10 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED 13Y LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL OPERT r POWER
l
SOFPERMITI'E i UTILITY CO.NOTIFIED —�0 ice) y
�eATION ARTHUR C.VETT,
CK MQ CASH SUPERVISING ELECTRICAL ENGINEER
:��;o 0 7 6 3 VAY 13 2 A 11 .30
`�
`76A663-CE80611/70 APPLICATION FOR ELECTRICAL PERMIT
LJ
COUNTY OF LOS ANGELES
DEPARTMENT
BUILD NG AND SAFETY DIVISION FNEAREST
S 8620 E. Worthington-
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING
TY San Gabriel
on
FOR APPLICANT TO FILL IN ST.
OUTLETS N0. EACH FEE
OWNER R. Anderson
RECEPT.2 $ $
MAIL $620 E. Worthington
LIGHT 2 TOTAL FIRST 20 25 1 50 ADDRESS
CITY San Gabriel TEL. NO.
SWITCH_j- 6 OVER 20 .10 PLAN CHECK
LIGHTING FIRST 20 .25 50 APPLICANT Aquatic Pools Inc.
TOTAL
FIXTURES 2 OVER 20 10 ADDRESS all E. T ve Oak Ave.
APPLIANCES CITY Arcadia TEL. NO. W*W61
PERMIS
E
T Same RANGDRYER_WTR. HTR. APPLICANT
STA. COOK • DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE N0.26 28 CLASS. C53
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 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTENDAO >-
1- MP motor 1 - 10 3:00 3 00 RESIDE IN, THE BO E DESCRIBED RESID TIAL P OPE O
10 - 50 5.00 SIGNATURE U
OF PERMITTEE
50 - 100 10.001
DISTRICT NO. C PROC SSED BY O
UJI
100 - 500 15.00 5�
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
z
TUBE, OR `1"
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR 200AMP 10.001 1
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDIUT >Z —
WIRIN
FIXTUR
PERMIT FEE (SUB TOTAL) POWER AUTHOR17,ED
UTILITY CO. NOTIFIED
PLAN CHECK FEE n
FINAL
PERMIT ISSUING FEE 3.00 JOSEPH C. AN
TOTAL FEE SUPERVISING EL C-•TRI ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONcK. ')M-0. CASH
LACo6 ' 1N1, 2 A 8.0 ON Iq
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE