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ILAS63 CSeoe 460 APPLICATION FOR ELECTRICAL PERMIT 'Q
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS 107 7
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUP'TOF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
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PERMIT FEES
OWNER 2w, (S�
1 T E M NUMBER EACH FEE MAIL
OUTLETSs �}� ADDRESS
EP
LIGHTS REST SW !Z 010
LIGHTING FIXTURES L 10 Q CITY TEL N
ELEC RANGES CLO DRYERS ELECTRICIAN
WATER HEATERS SO ADDRESS
ELEC SPACE HTRS DISHWASHERS CITY TEL NO
GARBAGE DISPOSERS AUTO- STATE
WASHERS STA COOKING UNITS 125 1 Zj
LICENSE NO.
MOTORS OVER INC H P DISTRICT N G P Z N P O E ED
O — I/2 25
V2 — 2 so INSPECTION RECORD
2 S too d
5 15 ISO 0
15 — SO 250 1=
50 200 Soo O
SIGNS NO TRANS UJ
NO LAMPS Z
SERVICE 0.600V 100
SERVICE OVER 600V Soo
MISC
WIRING PERMIT too
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 80
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS AP LIGATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ^
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES pCALIFORNI
DESCRIBEDAOR THAT I AM THE RESIDENTAL PROPERTY. POWER OWNER OF THE ABOVE POWER p i d qp,1er/1�1/
SIGNATURE UTILITY CONOTIFIED @
OF PERMITTE FINAL, /7 vw-
LIDATION ARTHURId VEIT'
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAI"057830A APR 2 D 4.75
713^'M-CE806 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGLENGINEER
DEPARTMENT OF COUNTY BUILDING / /
BUILDING AND SAFETY N ADDRESS
UGHN A. LAMBIE, COUNTYEERCASSATT D GRIFFIN,SUPT ONG LOCALITY / 1d
FOR APPLICANT TO FILL IN NEAREST
PF3MT FEES CROSS ST
ITEM NUMBER OWNER 64.
EACH FEE MAIL
OUTLETS $ $ ADDRESS
LIGHTS RECEPT SW 1O
LIGHTING FIXTURES 10 CITY TEL NO
ELEC RANGES CLO DRYERS ELECTRICIAN 6 VVI<'�Z
WATER HEATERS / so ADDRESS./ �L S
ELEC SPACE HTRS DISHWASHERS CITY�ry' /� r1.TEL NO I,4 2..
GARBAGE DISPOSERS AUTO- STATE O>•'7 /`S'/_
WASHERS STA COOKING UNITS 25 LICENSE NO o �--5�
MOTORS OVER INC HP DISTBIQT NO GROUP I ZONE I P&ZgMSSED Y
0— 1/2 28 �� 'r-
1/2—
1/2— 2 so INSPECTION RECORD
2— S too
S— IS ISO
18— SO 250
so—200 500
SIGNS NO TRANS
NO LAMPS
SERVICED-600V too
SERVICE OVER 600V Soo
MISC
WIRING PERMIT 100 QQ
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT SO
TOTAL FEE $
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY L03 ANGELES OUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1A L AL �11NER OF THE ABOVE
DESCRIBED RESIDENTIAL OPER POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMIT
FINA
®p VALIDATION ARTHUR C VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
J"'6 91 1 NOV 3 2 A 2.5 0 r
DBS 6-A 9-46 APPLICATION FOR PERM
bEPARTIVIENT OF BUILDING AND SAFI•,TY ELECTRIC_ . COUNTY OF LOS ANGELES
WM J FOX CHIEF ENGINEER
FADDRESS
DISTRICT NO. GROUP ZONE PEER[MIIT� NO.
_ / /Z-z �O TV
47/ 1�� 0 RECEIVED BY READY FOR DATE ISSUED
�( FIRST INSPECTION
CERT NO EXPIRES
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
DESCRIPTION OF WORK ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY ,
LOCATION BY ROOMS i
NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS ST. !I,!
CIRCUIT r~ A B C D E F GG/ H lz NAME 44JL�D��
!/ ! MAIL
3 ADDRESS d 13 � //jji
Y 2 O CITY 1% C� � /I-tTEL NO 49:0.-
AM
1 AM THE LEGAL'POSSESSOR''OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION.
ELECTRICIAN•
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE rsj�,��1���
� OWNER.
CORRECTIONS
J
Q
_Z
[7
O
TOTAL
NO OF OUTLETS $ APPRO"LS
NO OF FIXTURES �S $ DATE IN£PECTOR'dNAME
NO OF MOTORS H P $ CONDUIT f-4/1 ///
NO OF SIGNS TRANS $ WIRING 6 r
NO OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ �/ � UTILITYCO NOTIFIED /✓-y / Pf✓9f}S
TOTAL FEE C✓ FINAL
76A663 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND' SAFETY
1/ COUNTY OF LOS ANGELES E L E CT I C 1
` WILLIAM J FOX, CHIEF ENGINEER
1' ila1QR APPLICANT TO FILL IN DISTRICT NO GROUP ZONE PERMIT NO.
ELECTRICIAN
��gg RECEIVED BY READY FOR DATE ISSUED
ADDRESS ,y FIRST INSPECTION
CITY NIo
COUNTY LICENSE NO EXPIRES BUILDING
PERMIT FEES J, ADDRESS W �j
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST
RECEPTACLES
WALL SWITCHES OWNER ✓I� �/ C4 %S
TOTAL OUTLETS - 5C $ I MAIL
ELEC RANGES 25
ADDRESS
ELEC HEATERS 25 CITY TEL NO
FIXTURES - S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC - APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS - AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS - 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBEHORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
R
NEWMVD HP OVER I INC EACH r OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2 @ LESS $ 25 SIGNATURE OF
1/z 2 50 PERM ITTEE� .F �L`liL-it+f�^'� //a � .,t
2 5 1 00 INSPECTION RECORD
5 15 1 so
15 so 2 50
so 200 5 00
200 500 10 00 „J
500 1000 15 00 Z
OVER 1000 20 00 + 0
M G SET/FREQ CHANGER-HP Ir
WELDERS AC-KVA 0
GENERATORS-KW
TRANSFORMCRS-KVA
TEMP MOTORS (75%OF ORIG )
MOVED MOTORS (75%OF ORIG )
MISC
SIGNS
NO NO TRANS
NO + NO LAMPS APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT
WIRING $1 00 /1F-r-d CONDUIT /y
FIXTURES $1 00 Q WIRING � �« � �J
v
SUPPLEMENTARY 50 1 FIXTURES
s POWER J/
TOTAL FEE I $ v UTILITY CO NOTIFIED
® +I I FINAL