HomeMy Public PortalAbout5838 AGNES AVE_Electrical__ 76A663 cE806 9 64
APPLICATION FOR ELECTRICAL PVi I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING +j Q�
BUILDING AND SAFETY DIVISION ADDRESS �J O
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JE NKINS SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
LIGHT OUTLETS FIRST 20 a.� $ 20 $ OWNER
MAIL
ADD L ADDRESS
SWITCH OVER 20 l 10 /
-70
LIGHTING TOTAL 1 I IF7RST 20 !O 20 CITY T L NO
FIXTURES 1( O— A--DL 1O ELECTRICIAN i / LAJI
OVER 20
RANGES CLO DRYERS WTR HTR9 1100 1 1 ADDRESS yfr\f/ . 5.
GARB DISP STA COOK
CITY CTEL NO "1611-369.X/
DISHWASH AUTO WASH STATE O
SPACE HTR9 P y¢H P MAX 50
LICENSE NO O
MOTORS OVER NOT OVER HP DISTRICT NO GROUP Z E PRO SSED
O 1 100 �Q
1 3 150 INSPECTION RECORD
d
3 s zoo 0
s is 2 so
U
1S 50 300
e�t-
50 100 500 r - V
� a
SIGNS NO TRANS
h
NO LAMPS
Z
SERVICE O 600V NOT OVER 200A 100
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V Soo
MISC
PERMIT ISSUING FEE 200 �r
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /�
ELECTRICAL WIRING WIRING a
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
RESIDE IN THE ABOVE ESC BED ESIDENTIAL PROPERTY POWER
SIGNATURE �, UTILITY CO NOTIFIED ot
OF PERMITTEE
FINAL 3
LIDATION JOSEPH CROOHAN
CK MO CASH
SUPERVISING ELECTRICAL ENGINEER
LALo 1 2 8 6 APR 15 2 D 1 140 -
1
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5A6e3 CE90e A so APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION (f Q T
JOHN A LAMBIE COUNTY ENGINEER ADDRESS Jj�D L. f 1
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST 4 +� �y
PERMIT FEES OWNER
I TE M NUMBER EACH FEE MAIL �1 \
OT L $ $ ADDRESS f/
LIGHTS + RECEPT SW 10 _
LIGHTING FIXTURES 10 0 CITY EL NO /
ELEC RANGES CLO DRYERS `r ELECTRICd4N
WATER HEATER 8 80 V ADDRESS
ELE DIs RB CITY TEL NO
GARBAGE DISPOSERS AUTO STATE \`
WASHERS STA COOKING UNITS 2S LICENSE NO
MOTORS OVER INC H P DISTEUCT NO G ZONE PR C BY
lil[ FQ a O - 1/2 � 28 V 1J
+i2 — 2 80 INSPECTION RE OJID
2 19
S — is 1 so L�7 z-
1S — 50 250 f / d ! w
�1/ O
SO — 20o Soo t U
W
SIGNS NO NO TRANS
(� 1 �� X xuj e I.�J ? N
'
Z
SERVICE O 600V too tS / Cdr!
SERVICE OVER 600V 5 Oo /f�'v�r�✓
MISC
WIRING PERMIT too �� r
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT So
TOTAL FEE $
J
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTORS SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING I WIRING
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL ROPER Y POWER /1
SIGNATUREUTILITY CO NOTIFIED
OF PERMITTE
FINAL !'j'f���✓�(/L�
VALIDAT� A HIfR C VEIT
CK MO CAB- S PERVISING ELECTRICAL ENGINEER
LI .'( � 2 2 0X4,1 7 2 D 665
76A663 CE806 1, 71 APPLICATION %F9R ELECTRICA�ERNlIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY d
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE o
$ $ OWNER
RECEPT_ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
OVER 20 CITY TEL NO,
SWITCH_ 10 PLAN CHECK
LIGHTING
TOTAL FIRST 20 25 APPLICANT
FIXTURES 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMITI
RANGE DRYER 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 100 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 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO O
' 1 - 10 300 RESIDE IN THE D SCRIBED IDENT L PROPER Y
_ � VRE a,
SIGNATU
10 - 50 500 OF PERMITTEE O
50 - 100 1000 ~
DISTRICT NO CL A9� Z0� ' PROLE SED BY u
100 - 500 1500 a
N
SIGN GASSIGN AND ONE CIRCUIT 500 NOTES
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200 AMP 300
SERVICEOVER 600VOLTS OR200AMP 1000 APPROVALS DATE INSPECTOR SSIGNATURE
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONOIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 300 In) a7
TOTAL FEE O i
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION K M 0 cASH
OCT 11 2 D - .0 0 N
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE