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.......CES....... APPLICATION FOR ELECTRICAL PERMIT_.�''�'Z -Z-
COUNTY
COUNTY OF LOS ANGELES IVA
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A. JENSEN,SUPT OF BUILDING LOCALITY T
NEAREST
FOR APPLICANT TO FILL IN
CROSS ST. R. ` 7 Gj
PERMIT FEES OWNER
I T E M NUMBU EACH FEE MAIL
Y�^ / !J
OUTLET ADDRESS� $ $
Ilk
LIGHT. !RECEPTi SW. •10 CITY'-_ E C
LIGHTING FIXTURE 1O
ELEC. RANGES CLO. DRYERS ELECTRICIAN
IF
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL NOS .Z
GARBAGE DISPOSERS AUTO.- STAT +x- _ '
WASHERS STA.,C�hNG UNITS .25 - (' LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT No. GR:Ql1P EP SSED BY
0— 1/2 .25 Z
1/2— 2 .50 INSPECTION RECORD
2— 5 1.00
0
5— 15 1.50 U
IS— 50 2.50 (�
50— 200 5.00 V
W
a
NO TRANS. N
SIGNS:
NO.LAMPS Z
SERVICE 0-600V f 1.00 L'C
SERVICE OVER 600V 5.00
misc.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 1 50
TOTAL FEE $
I R
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATUE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPER EGISTERED AND/OR �I
LICENSED AS REQUIR BY LOS ANGEL C NTY AND STATE OF FIXTURES
CALIFORNIA OR TH AM LEG NER OF THE ABOVE
DESCRIBED RESIDE I PROP R Y. POWER
SIGNATURE ," ,."(y, ,� UTILITY CO.NOTIFIED
OF PERMITTE
FINAL
VALIDAT� ARTHUR C. VEIT
CK Mo AS SUPERVISING ELECTRICAL ENGINEER
L'.,;Vfl 7 4 8 0 "A AN ?6 2 0 4 .6 u
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76A663-C E80611/70 APPLICATION FOR ELECTRI AL PER LJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
`_
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE
$ $ OWNER
AA-
RECEPT_ MAIL
LIGHT TOTAL
FIRST 20 25, ADDRESS
CITYTEL NO
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
APPLIANCES CITY TEL NO
PERMIT r
RANGE DRYER_WTR HTR APPL ICAN Z
STA COOK DI SP F A U ADORES!
SPACE HTR AIR COND CIT YTEL N07
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH15 APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
INDHEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO }
1 - 10 300 RESIDE IN THE BOV DESCRI D RESIDENTIAL PR PERTY O
10 - 50 500 SIGNATURE V
OF PERMITTEE
50 - 100 1000 O
DISTRICTNO ICLA, I ZONE P OC SS BY
100 - 500 15 00 ` a
SIGN GASSIGN AND ONE CIRCUIT 500 NOTES N.LO
TUBE OR -
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600 VOLTS OR 200AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER600VOLTS OR200AMP 1000
TEMP POWER POLE
TEMP SERVICE,POLE &APPURTENAN 5 500
TEMP LIGHT OR RECEPT SYSTE 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
/ 0
PERMIT ISSUING FEE FINAL
300
JOS H C ROOHAN
TOTAL FEE 6 1 SUPERVISING ELECTRICAL ENGINEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONvo
M O CASH
LALO 5 5 6 .)r RPR 2 0 2 D b
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
a4�_
76A663-C EB06 „/70 APPLICATION FOR ELECTRIC L P MIT LI
COUNTY OP LOS ANGELES I
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS OC
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE
OWNER
$ $
RECEPT_ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITY TEL NO
SWITCH OVER 20 10
PLAN CHECK/
LIGHTING FIRST 20 25 APPLICANT
TOTAL
FIXTURES
OVER 20 10 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA-COOK DTSP- TF A U b ADDRESS
SPACE HTR-AIR CONO CIT TEL NO
CLOTHES WASH DISHWASH LICENSE NO / CLASS �/b
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 & TYPEj. OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
1 - 10 300 RESIDE IN THE A VE DESCED ESIDENTIAL P O ERTY d
O
SIGNATURE P, V
10 - 50 500 OF PERMITTEE
d'
50 - 100 1000 Q
DISTRICTNO LASSZONE PROCE SED
100 - 500 1500 S � w
n
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES N
TUBE OR z
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS 0 R 200 AM P 1000
TEMP POWER POLE
TEMP SERVICE POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL �(� 7L_
PERMIT ISSUING FEE 300
JOSE ROOHAN
TOTAL FEE SUPER ISI G ELECTRICAL ENGINEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VL ION, cK M G CASH
2 n 5.00-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE . '
7GA663 CE80610 60 APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER M BUILDING va
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITYI NEAREST
♦� C,
Gqs'JY�►
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES - OWNER ,J h i /AC e Y
1 T E M NUMBER EACH FEE MAIL
ADDRESS ��a^ ` �U' 4 .0-
L
w
OUT Eli
$ $ n]
LIGHTS ECEP • sw f0 l..ii CITY C TEL N
LIGHTING FIXTURES 10
CLO DRYERS ELECTRICIAN
—_W„A T_E R-_H EAT E R S 50 ADDRESS
ELEC SPACE HTRS DISHWASHERS '
CITY f ,TEL NO
GARBAGE DISPO UTO STAT
WASHERS { 25 LICENSE NO _
MOTORS OVER INC HP _ DIST ICT O GLP ZONE P7bD�-,ESSED PSY
O— 1/2 25
1/2— 2 50 IN PION R ORD
2— 5 100 �
5— 18
1 So 0,���� O
15— 50 250
OC
SO— 200 500 W
SIGNS NO TRANS
NO LAMPS N
SERVICE 0-600V 100 z
SERVICE OVER 600V 500
M ISC
WIRING PERMIT too
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE I $
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT �r
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING //J
1 HEREBY CERTIFY THAT I AM PROPERLY TERED AND�OR �.
LICENSED AS REQUIR LOS ANGELES C UNT AND b'lATE OF FIXTURES
CALIFORNIA OR TH I THE }}}���GAL NER OF THE ABOVE
DESCRIBED RESIDE L OP ERI POWER
SIGNATURE „ 7sjay UTILITYCO NOTIFIED
OF PERM]TTP.
FINAL
�1hQLIDATION A HUR C VEIT
(lc/KJ MO -_CASH SU!ERVIIIING ELECTRICAL ENGINEER
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