HomeMy Public PortalAbout10615 DAINES DR_Electrical__ `76A663-CE806 3-64 APPLICATION FOR ELECTRICAL P MIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS V
JOHN A. LAMBIE. COUNTY ENGINEER '
WILLIAM A. JENSEN, SUPT OF.BUILDING LOCALITY
NEAREST
. FOR^APPLICANT TO FILL IN CROSS BT. �(�
REC EPT. 1 TOTAL NO. EACH FEE
I OUTLETS FIRST 20 $
20 $ OWNER L71✓^•
LIGHT J( MAIL
ADD'L AD
SWITCH. OVER 20 10 DRESS
LIGHTING .� TOTAL F1R6T 20 .20 ' CITY - TEL. NO.
FJXTURES OVER 2
10 - 10 ELECTRICIAN LY• 6LY a
RANGES CLO.DRYERS WTR,HTR.. 1.00 ADDRESS (/ N
GARB.DISP. BTA.COOK p
CITY C
DISHWASH. AUTO.-WASH. STATE It
SPACE HTRS. STA.APP.(-/s M.P.MAX.) ,50 LICENSE NO. (P
MOTORS: OVER NOT OVER H.P. DISTRICT O. GROUP //ZONE PROCjES'S/ED�BY
O 1 / 1.00 t f i (/ ( /
1 .5 lso INSPECTION RECORD a
s 6 2.00 0 ;
8 15 2.501 • '
O
15 50 3.00 _ �. •V
50 100 5.00 1
IA
SIGNS: NO.TRANS- I _Z
NO.LAMPS
SERVICE 0-600V.NoT OVER 200A 1.00 - -
SERVICE O-600V.OVER 200 A. 2:00 -
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.001- t'U
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 8
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
ANO STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT
WIT. ALL -COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HERESY
CERTIFY THAT I SM PROPERLY COUNTY.
ND ANO/OR
LICENSED.CALIFORN I AS.REQUIRED AM THE
ANGELES OWNER
OF TH AB OF. FIXTURES
CALIFORNIA. SI THAT I R THE LEGAL OWNER OF THE ABOVE _ -DESCRIBED RESIDENTIAL REBIDENTIAL.PROPERTY. POWER
I
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE n,a
FINAL
- LIDATION ARTHUR C. VEI
CCK ppM0• CASH SUPERVISING ELECT CAL��EI1NGINEER