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76A653 CE806 B-62 APPLICATION FOR CTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPT TOTAL NO EACH FEE
LIGHTOUTLETS 1 FIRST 20 $20 $ /1 MAIL
NER
(j(yf
SWITCH ADD L
OVER ZO 10 ADDRESS
!
LIGHTING L—tLj
TOTALF7R20 20 CITY TEL NO
FIXTURES OVPR 20 ADD L 1O ELECTP�tc:YAfv''p''CN ELECT
E. Bi oaclwaY
RANGES �'�^,.d Dia WTR HTRB 1 00 ADDRESJtM -0539
GARB DISP STA COOK#7Y Ivry 4,j CITY TEL NO
DISHWASH AUTO WASH STATE
STA APP (y=H P MAX) Cl SO
LICENSE NO
MOTORS OVER NOT OVER H P -DISTRICT O GROUPZONE PRG4q.ESSED B
O 1 100
1 3 150 INSPECTION R CORD
a 8 200
8 15 250
15 50 3 00 }
a
50 100 Soo O
V
NO TRANS
SIGNS NO LAMPS O
SERVICE 0 600V NOT OVER 200A 1100 G
SERVICE O 600V OVER 200 A 1200 Il
N
SERVICE OVER 600V Soo Z
MISC
PERMIT ISSUING FEE 2 00
1
SUPPLEMENTARY PERMIT ISSUING FEE loo
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI &TION APPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU/L'A�TING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT M PROPERLY R STERED �& D/ 1}
LICENSED AS UIRED B S ANGELES C N A D AT OF FIXTURES p
CALIFORNIA R T T I THE 1EG NE O E B VE
DESCRIBED R ]DEN IAL PERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE 6
FINAL
LI ARTHUR C VETT
CK MOO CAS CASH SUPERVISING ELECTRICAL ENGINEER
X211 3�2 OCT31 2 D 9.40
u
76A663
DBS SAA 3 SS APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
Deportment of County Engineer
County of Los Angeles BUILDING �( �2
WM J FOX COUNTY ENGINEER ADDRESS V
CASSATT D GRIFFIN SUP T OF BUILDING .-yam
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES GROSS ST cv&-n- �U
NUMBER EACH FEE
LIGHT OUTLETS R OWNER
RECEPTACLES 1 MAIL ,
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5¢ $ CITY TEL NO
ELEC RANGES 25 ELECTRICIAN !IC
_ELEC HEATERS 25 ADDRESS L./
KW EA CITY f 4zr TEL NO
FIXTURES 5 LICENSE NO ..z Z
NUMBER OF LIGHT CIRCUITS DISTmigcT NO IG§J&P ZONE ADYFOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS _'
MOTORS
NUMBER HORSEPOWER INSPECTION CORD
FEE
NEW MVD HP OVER INC EACH
I
If1 B LESS $ 25 _
Yz 2 50
2 5 1 00
5 15 150
15 50 2 50
50 200 ' Boo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES $100
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE I$ J� (IJ DATE INSPECTOR S SIGNATURE
IO ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTPICAL WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES N/,ar►rL ,,,,,,�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAA OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIA 0 ERTYySIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE' FINAL
WILLIAM J FOX COUNTY ENGINEER VALIDATION A C VEIT CHIEF ELECT INSPECTOR
LAC6941W JUN 4 2 560 �
�7GA663 CEE06 1/70 APPLICATION FOR ELECTRICAL P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH I FEE
/ OWNER
RECEPT 6 $ $ 11 MAI
RESS ADD
LIGHT TOTAL FIRST 20 20 0
OVER 20 CITY eh9 fC ��� TEL NO
SWITCH I 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT j
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY a TEL NO 0_
CLOTHES WASH DISHWASH LICENSE NO CLASS C'"/"
FAN OTHER100 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT IAM THE LEGAL OWNER OF AND INTEND TO
1 - 10 300 RESIDE IN THE ABOVE DESSCRIPED RESIDENT I AAL PROPERTY
SIGNATURE `/� IC, C O.
10 - 50 500 OF PERMITTEE � 0
50 - 100 1000 �
DI STRICTNO LASS GROU ZONE PR SSED O
100 — 500 1500 , a ( a, G
SIGN GAS11.1
SIGN AND ONE CIRCUIT 300 NOTES N
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 ?
SERVI CENOT OVER 600 VOLTS OR 200 AMP 200
SERVICEOVER 600 VOLTS OR 200AMP 500 APPROVALS DATE INSPECTOR SSIG MATURE
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED
UTILITY CO NOTIFIED
PERMIT„ISSUING FEE 200
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 100
JOSEPH C ROOHAN `
TOTAL FEE SUPERVISING ELECTRICAL ENGINEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M D cAs
I J 7 ftd 1 0 2 D 4 40 v
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE