HomeMy Public PortalAbout5920 AGNES AVE_Electrical__ 76A663 CE806 1 67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER [NEAREST
UILDING .�
BUILDING AND SAFETY DIVISION- DDRESS 5" Z & �'k P, %\es,
JOHN A LAMBIE COUNTY ENGINEER ii r
COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGOCALITYkl" -r V r
FOR APPLICANT TO FILL IN ROSS ST
RECEPT TOTAL NO EACHI FEE /
LIGHT
OUTLETS FIRST 20 $20 $ OWNER
J}
SWITCH ADD L 10 ADDRESS S ZO QS'
OVER 20
TOTAL FIRST 20 20 CITY C TEL NO
LIGHTING 1 FIXTURES
FIXTURES J( ADD L1O CONTRACTOR
OVER 20
RANGES DRYERS WTR HTRS 100 ADDRESS FA C 4 t S ZQ t16 �C
GARB DISP STA COOK / 9
CITY�� C TEL NO �-\ - b G
DISHWASH AUTO WASH STATE Q�
SPACE HTRS STA APPL 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTRICT GROUP ZONE I PR CE SED Y
O 1
'Do
1 3 150 INSPECTION RECORD
s 8 200 �B-Z ale 7- c,
8 15 250A-rL I
15 50 300 7 - a
50 100 500 f0
- f
SIGNS NO TRANS
K
NO LAMPS tLai
rO
SERVICE O 600V NOT OVER 200A,, 0 100 19" W
SERVICE 0 600V OVER 200 A 1200 a
N
SERVICE OVER 600V 500 ?
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200 00
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DAT[ INSPECTOR 6 SIGNATUR[
TOTAL FEE $ a yrs
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERS LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR 1 V
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES n
CALIFORNIA OR THAT I AM THE LEGAL OW"R OF AND INTEND TO POWER
RESIDE IN THE AS DESCRIBED RESIDEN L PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE 2
FINAL
VAIMO C JOSEPH S ROOHAW
LEC
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lk;� 1 _� b 7'Z-D. JL 12 5 3 40-
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer Em
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX County Engineer ELEC
FOR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT No
ELECTRICIAN
RE IVSD BY READY FOR DATE ISSUED
ADDRESS f v � FIRST INSPECTION 12_
`
CITY—TE7 el TEL N 3 J
M L�
COUNTY LIC SE NO EXPIRES ADDRESS / L� AV
•�
PERMIT FEES
FEE IC 0
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROBH 9T
WALL SWITCHES OWNER •► MA-1Q
TOTAL OUTLETS 5C $ MAIL /
ELEC RANGES 25 ADDRESS
r A
ELEC HEATERS 25 CITY 9.3
O
FIXTURES 6
I HEREBY ANOWLEDGE HAT I HAVE READ THIS
MIBC APPLICATION AND STATE T AT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMeEv HORSEPOWERFEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
New MVD HP OVER INC EACH OF THE RESIDENTIAL PROPERTY DSIBCRI D ABOVE
V2 6 LESS $ 25 SIGNATURE OF
I/2 2 50 PERMITTE 'till 4=nn-
v�
2 s 1 00 INSPECTION RECORD
5 15 __1_50___
15 s0 250
50 200 500 2 �' /Ii T-e
z0a 500 10 00 ") " /G Al'l*/oI1VT J
500 1000 1500 Q
OVER 1000 2000
_MOVED MOTORS (75% OF ORIG)
M G SET/FREQ CHANGER HP AlJQl"e{/ PL O
WELDERS AC KVA
GENERATORS KW
TRANSFORMERS - KVA
MISC
SIGNS
N0 NO TRANS.
APPROVALS
NO NO LAMPS
FOR EACH PERMIT DATE INSPECTOR B NAME
WIRING I $1100 CONDUIT
OFIXTURES $1 00 WIRING
IRUPPLEMENTARY 50 FIXTURES
POWER
TOTAL FEE s / / UTILITY CO NOTIFIED
FINAL —
76A663 DBS#'5A Cd b 12 53