HomeMy Public PortalAbout10643 DAINES DR_Electrical__ 76A663-CE806I;-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUP'T of BUILDING LOCALITY 7
,. _ NEAREST i
.FOR APPLICANT TO FILL IN CROSS ST.
FECEPT. TOTAL NO. EgCH FEE
OUTLETS FIRST 20 '��$ 20 5 OWNER
GHT MAIL
1III1 ADD'L ADDRESS
SWITCH. 1—1 OVER 20 .10
Y TEL. NO.e
LIGHTING FiR5T 20 CIT
.20 ' - r
FIXTURES I TOTAL DAo 20
1 P 10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. I.00 I ADDRESS, j- X-
ISARB.DISP. STA.COOK / I G >
i n CITY TEL. NO.
DISHW=SH./ M TTO.-WAS STATE
6T1�CE HT-0./9. STA.APP.(Yz H.P.MAX.) .50 / J LICENSE NO.
�,
MOTORS: OVER NOT OVER H.P. DISTR�T NO. GROUP Z NE PRO SSED BSG
o i 1.00
1 s 1.50 , INSPECTION RECORD
s 6 12.00
6 15 2.50
15 50 - 3.00
50 100 5.00 Q
SIGNS: NO.TRANS.
C
NO. LAMPS O
SERVICE O-600KUNOi OVER 200A r 1.00 / � W
SERVICE O 60OV-OVER 200 A. 2100 y
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00 C j
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ® Fj
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR y
LICENSED A9.REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTI PROPERTY. POWERSIGNATU -
OF PERM ITTE J UTILITY CO.NOTIFIED lirffl '
NFti
FINAL - - I-
-VAILIDATION ARTHUR C. VETT(!
CK
NO CASH SUPERVISING ELECTRICAL ENGINEER
AN1� 7 9 9 5w JAN28 2 D 1 5.00 '