HomeMy Public PortalAbout10538 DAINES DR_Electrical__ 76A669 CES06.7.56 APPLICATI'O'N I'®IV -FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of LOB Angeles ADDRESS '
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMT FEES
NUdA OWNER
LIGHT OUTLETS MAIL
ADDRESS
RECEPTACLES
WALL SWITCHES F 1 T YEL O.
TOTAL OUTLETS @ 5¢ $ ELECTRICI ,/
ELEC RANGES 25 ADDRESS
ELEC HEATERS 2$ CITY y/� TEL. NO, d
KW EA STATE
LICENSE NO /K�O r/
FIXTURES 5
M TORS DISTRICT NO I GROUP ZONE READY FOR INSPECTION
NUMBER H EPOWER FEE 7T'
NE MVD H O R INC EACH
Y2&LESS $ 25 INSPECTION RECORD
r1k 2 50
2 5 1 00
5 15 1 50
15 , 50 2 50 '
50 200 500
M ISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING PERMIT $100
FIXTURE PERMIT $1 00
SUPPLEMENTARY 50 APPROVALS
TOTAL FEE I $ 4741 DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDG T AT I HAVE READ THIS APP ATION CONDUIT
AND STATE THAT THE 0 IS CORRECT AND AGREE TO C()'M PLY
MPLY
WITH ALL COUNTY O ANCES STATE LAWS REGU TING WIRING
ELECTRICAL WIRING FIXTURES '�7e -� � .F»�I�i- ✓+nom-� 7
I HEREBY CERTI H T I A PR LY REGISTER ND/OR _ a
LICENSED AS REQ Y LO NGOUNTY A TE OF
CALIFORNIA OR T AM ER
DESCRIBED RESI UTILITY CO NOTIFIED
SOF PERMIT FINALT'}�
JOHN A LAMBIE NIDATION ARTHUR C. VETT,
COUNTY ENGINEER ��.✓ CASH SUPERVISING ELECTRICAL ENGINEER
- CK MO
4 2 8 1 JAN 17 2 4.3 5 �'
76A663-CE8061_68 APPLICATION FOR ELECTRICAL PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY•ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 0 W
es
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
$ OWNER
RECEPT �(OTAL LIGHT FIRST 20 20 ADDRESSSWITCH 1OVER 20 10 CITY L. NO_
PLAN CH CK
LIGHTING �TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS'
RANGE—DRYERWTR HTR _ CITY TEL NO
STA COOK_DISP F A U _ CONTRACT-OR
SPACE HTR AIR COND 1
ADDRESS Q//pp
CLOTHES WASH _DISHWASH CITY TEL NO 9(J!
FANOTHER ` 1 001 Od LICENSE NO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS, ETC HP KW KVA I HEREBI ACKNOWLEDGE THAT-[ 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
' HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/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 d
10 - 50 5 00 REST DE IN, THE ABOVE OESrRIPED RESIDENTIAL PROPERTY O
SIGNATURE V
50 - 100 10 00 1 OF PERMITTEECA=n�6�_ ce
100 - 500 15 00 0
DISTL�ICT O GR P N P SE
TUBE, OR SIGN AND ONE CIRCUIT 3 00 r
MARQUEE ADDITIONAL CIRCUITS 1 00 ` N
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
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 �Q UTILITY CONO04
TIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O c 9H
ui luo .1-0OCT2 1 0cu
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,L�//