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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