HomeMy Public PortalAbout10536 DAINES DR_Electrical__ 76A663-CE8I ,_63 APPLICATION FOR ELECTRI L PERMIT ,
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER F
LDING
BUILDING AND SAFETY DIVISION RESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGALITY
RESTy�
FOR APPLICANT TO FILL IN CROSS ST ��J
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NO EACH FEE
RECEPT r $ $ OWNER
MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS O G
SWITCH ' OVER 20 10 LCITY 4DW7jZ011 /* TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES __j_rOVER 20 10 b ADDRESS
RANGE_DRYERWTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACT-OR
SPACE HTR AIR CONE) _ ,9b
ADDRESS
CLOTHES WASH -DISHWASH
CITY eo'o'jgq�% TEL NO
FAN-OTHER 1 00 CLQ
LICENSE IJO 2,37,349,3 CLASS. - (D
MOTORS TRANSFORMERS RATING
IND HEATERS, ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5 00 RESIDE IN, THE ABOVE DESCRIfED RESIDE NTI&!PROPERTY O
50 - 100 10 00 SIGNATURE V
OF PERMITTEE
100 - 500 15 00 _ O
QY
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 DIST I T Q G 'P ZOJN P O-E D
CW
TUBE, OR
_ O_
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT _
i
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES -�-f
PLAN CHECK FEE (50% PERMIT FEE) -
`� POWER AUTHORIZED
PERMIT ISSUING FEE 2 00
UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL IE+ ► ✓/ J�
TOTAL FEE �� JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
,r PLAN CH,ECK:VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 cns
( 6 9, 5 2% OCT 21 2 D 3.80-
- - �1 -
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
- I
7GA668-CESOG-7.56 APPLICATION FO ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engineer
County of Loa Angeles AM
JOHN A. LAMBIEI COUNTY ENGINEEL==F-
CASSATT D. GRIFFIN, SuwT OF BUILDING
FOR APPLICANT TO FILL IN
PERNUT FEES
NUM OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES F CITY TEk,
TOTAL OUTLETS @ 52 $ ELECTRI
ELEC RANGES 25 ADDRESS
ELEC HEATERS 25 CITY TEL N
,41 KW EA STATE
LICENSE NO
FIXTURES 5
MOTORS' DISTRICT_VO GROUP I ZONE I READY FOR INSPECTION
rvu eER HOR POWER FEE e7�"
NEW MVD HI INC EACH
&LESS $ 25 INSPECTION RECORD'
1/z 2 so I
2 5 1 00
5 15 1 50
15 50 1 2 50
50 200 Boo
M ISC
NO SIGNS NO TRANS ,
NO SIGNS NO LAMPS ,
FOR EACH PERMIT
WIRING PERMIT $1 00 J
FIXTURE PERMIT $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE $ DATE INSPECTOR S SIGNATURE
1HEREBY ACKNOWLEDGE T T I HAVE READ THIS APPL CIION CONDUIT
AND STATE THAT THE ABO IS CORRECT AND AGREE TO COMPLY
WITH ALL•COUNTY ORD CES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING ' FIXTURES
I HEREBY CERTIFY AT I A ROPERLY REGISTE AND/OR
LICENSED AS REOU BY LO A G E OUNTY T WER
CALIFDES CROBEDAOR RESI D L AM O NER UTILITY CO NOTIFIED
SIGNATURE
OF PERMIT Ima ENO! FINAL Zl f�� py.✓l,�.. f
JOHN A. Bj ATION ARTHUR C. ELEC
COUNTY ENGINEER
c Mo CASH SUPERVISING ELECTRICAL ENGINEER
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