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HomeMy Public PortalAbout10649 DAINES DR_Electrical__ 76R663 CE-806(6/75) APPLICATION FOR ELE'CTRICA►L 'PERMIT- COUNTY OF LOS ANGELES BUILDING AND SAFETY '. FOR APPLICANTTO FILL INC IS New Residential Bldgs.&Pools EACH NO. _ FEE ADDRESS 1 &2 Family,Sq. Ft. $ .025 — $ LOCALITY ys r Multi-family Sq. Ft. 02 NEAREST ' Residential Swimming Pools 25:00. i CROSS'ST. OWNER OR D FIRM NAME. •�`. e !'✓ Outlets:Rec.�Light LSw.?' _ MAILti -TT First 20 ' .50 ADDRESS ' -V / A-�/..^ Total No. � 'Additional 30- CITY Tel. No. _ f PLAN CHECK _. .APPLICANT Lighting Fixtures First 20 .50 �� ADDRESS Additional .30 Total No. CITY T,el, No, Fixed Appliances I 1 HP _ PERMIT APPLICANT I. Range—Heater_ D.W. — ADDRESS J Oven—Dryer_ W.M.— _ /�` ,� Top _FAU _ W.H._____ el. N_o.� .•-� - Hood—Fon ' _Other_ LICENSE OR4_1_2S-40 r �+ Disp._Room Air Cond, 2'50 REG.NUMBER 4_ _2 J 4 Clas ' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICA- PowerApparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO Size&Type HP, KW, KVA,or KVAR e COMPLY -WITH ALL COUNTY ORDINANCES-AND STATE-LAWS . REGULATING ELECTRIC AL W I d Up to 1 Incl. 2.50 i HEREBY CERTIFY AT M ROP lY GISTERED D/OR Over 1 to 10 Ind' 5.00 LICENSED AS REQUIRE BVL G L UNTV AN ATE OF n, U Over 10 to 50 Incl. 12.50 CALIFORNIA OR TH A T WNER O E ABOVE 0 25.00 -DESCRI BED'RESIDE IAL O ` Over 50 to 100 Inc EE Over 100 . - 40.00 _ SIGNPER T SIGNATURE Services, - DISTRICT O. -- - - PR D' a 0-200 Amp�Under 600 V 12.50 201 1000 Amp:Under 600 V. 25.00NJ _ Over 1000 Amp.or Over 600 V 50.00 Z 2 - Temp. Power Pole&A'ppurtenances 10.00 Sign with One Branch Circuit 1 10.00 Additional Sign Branch Circuits �0470A 2.00 INSPECTION .> INFORMATION 10.00 _ W Misc.Conduits.&Conductors _ _ ON REVERSE x - # 0 0 o 0 e '2 Other(See leP Complete Fee Schec _ SIDE V - 2,002'650 d 000265055 PERMIT FEE (Sub-Toth - -• - ' 0 1R 2 7-7 8- PLAN CHECKING FEE IOne:Fourth Permit'Feel - O _ _ F PERMIT ISSUING FEE $7.00 TOTAL FEE �- Lv,. G > , INSPECTION FIN�AyLE�D date: /Z" Pf' �,.� BY i 76A663-CER063-69 • ' �p , /� APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER - BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF 13UILOING LOCALITY - NEAREST / / FOR APPLICANT TO PILL IN -CROSS ST. r NO. EACH FEE RECEIPT. S E OWNER MAIL A- e LIGHT TOTAL FIRST 20 _pp / P ADDRESS �� J� LMWSWITCH— OVER 20 .10 CITY CKL (..;� TEL.N0: Wn PLAN HECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FI%TURES OVER 20 .10 ADDRESS RANGE_ORYER_WTR. HTR. CITY TEL.N0. STA. COOK_DISP. F.A.U._ CONTRACTOR �H SPACE HTR._AIR GOND. ADDRESS //d �J ��JJ22 ('•�- •� CLOTHES WASH._DIS HWAS H._ CITY ,tlA TE(.NOJL.i ,S 6` FAN_OTHER / 1.00 / ,Do- O O LICENSE NO. eeaq CLASS. MOTORS,IND. ATE TRANSFORMERS RATING HEREBY ACKNOWLEDGE AB THAT HAVE READ THIS APPLICATION INp. HEATERS, ETC_ HP. KW. O AND SALL OUT THE DROVE IS CORRECT AND AGREE TO COMPLY REGULATING SIZE 8 TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS gEGOLATING EI ECTgICAL WIRING. 0 - 115.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATEOF a 1 - 10 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO Cl RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL POPERY Y. u 10 - 50SIGNATURE //n[ S m 50 - 100 OF PERMITTEE ✓_100 - 500SIGN,GAS SIGN AND ONE CIRCUIT . TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 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 CONDUITS�tS . WIRING w-y tD d�/ Vp be PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEEL POWER AUTHORIZED PERMIT ISSUING FEE 2.00 2_ V UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL r TOTAL FEE - JOSEPH C. ROOHAN _ SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION 6� M.o. CASH pr� 6 5 O 2R AW26 2 D 6.00U( 4 V SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 76A663 CE-606 NF 6/76 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN ,JOB GG New Residential Bldgs.&Pools EACH_ NO. FEE ADDRESS Yr IN hov 1 &2-Family,Sq. Ft.. S, — $ LOCALITY G Multi-family Sq.Ft: — NEAREST Residential Swimming Pools CROSS OWNER . M/� FIRM NAME /e�/�• /V Outlets:Rec_Light_Sw._ MAIL ^^ ��,w� First 20 ADDRESS / 714 ,JU Total No. Additional CITY Tel.No.7/Z g PLAN CHECK APPLICANT Lighting Fixtures First 20 ADDRESS Total No. Additional CITY Tel.No. Fixed Appliances Not Over 1 HP PERMIT APPLICANT . MOA) G Range_Heater_D.W. C� Oven—Dryer_W.M.— ' ADDRESS If Top _FAU — W.H.— CITY A.) Tel.No3.�7 Hood_Fan —Other— LICENSE OR ^ Q Disp.—Roam Air Cond. REG.NUMBER a V121 Class.�Q I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICA. Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS Size&T.ype HP, KW, KVA,or KVAR REGULATING11PROPERTY NO. 6 yl-y--- Up to 1 Incl. 1 HERE1 AM PROPERLY REGI E DA /OR 0 Over 1 to 10 Incl. fJ LICENSED AS ANGEL UN D S E OF � Over 10 to SO Incl. CALIFORNIATHE LEG R F T BOVE O DESCRIBED RY. ` Over 50 to 100 Inc PERMITEE S�jl Over 100 SIGNATURE N Services DISTRICT NO. PROCE ED BY Z 0-200 Amp.Under 600 V 201 1000 Amp, Under 600 V Over 1000 Amp.or Over 600 V G Temp. Power Pole&Appurtenances j PO-00 01 DYi!-Q 2 7 2 310 A Sign with One Branch Circuit _ In '#• '-tc -0 2 Additional Sign Branch Circuits INSPECTION Y2 : .� 2 0 0 INFORMATION ° ° Misc.Conduits&Conductors ON REVERSE z le'ee;� Z,Q Q� Other(See Complete Fee Schedule)_ SIDE u - g ;1 a 1!5-79 6 PERMIT FEE (Sub-Toiall PLAN CHECKING FEE IOneFourrh Permit Feel z -O r PERMIT ISSUING FEE - o TOTAL FEE7 OU j L F INSPECTION FINALED �J`/�� �J�/ W date: /� f/// / Byav/Gs �. ®s 76A663-CE806 5-62 APPLICATION FOR ELECTRICAL ERMIT COUNTY OF LOS ANGELES p DEPARTMENT OF COUNTY ENGINEER BUILDING1O647 DAINES DR. BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY TEwu CITY NEAREST c� FOR APPLICANT TO FILL IN CROSS 6T. R ECEPT. TOTAL NO. EACH FEE ) OUTLETS FIRST 20 ilO 6 2O S OWNER KORPOSKY LIGHT /� of MAIL J ADO'L ADDRESS SWITCH. `'� 1 _ OVER 20 .10 O LIGHTING I TOTAL FIRST 20 .20 1 CITY TEL. NO. FIXTURES11), / ADD'L 1O ELECTRICIAN UNITED ELECTRICAL ENT. —F— BV R 201 _ RANGES CLO.DRYERS WTR,HTR.. 1.00 ADDRESS 8070 MONROE AVE, (� GARB.D19P. STA.COOK I L ro CITY T TEL. NO. � IJ XTON DISHWASH. AUTO-WASH.I STATE 20 75 SPACE HTRS. STA.APR.(y¢M.P,MAX.) .50 LICENSE NO. 3572 MOTORS: OVER NOT OVER M.P. DISTRICT N GROUP ZQ E P SSED BY o 1 1.00 � O j I . 3 ISO / f� INSPECTION/�RECORD 3 8 2.00 8 .15 2.50 15 50 13.00 O so f00 5.00 - O 6IGN6t NO.TRAN9. v NO.LAMPS - Y W y SERVICE D60DYNOT OVER 200A 1.00 OV Z SERVICE 0-600V-OVER 200 A. 2:00 SERVICE OVER.6OOV 5.00 MISC. PERMIT ISSUING FEE 2.00 IQ SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ------------- ' TOTAL FEES , ® `' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TNIS APPLI ION APPROVALS GATE IN9PECfOR'9 SIGNATURE ANO .TATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT / n _WITH ALL .COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING - G _ 1 HEREBY CERTIFY THAT 1 S PROPERLY REGISTERED ATE OR LICENSED q9 REQUIRED A LOS LEGA OWNETT AND STATE OF FIXTURES 7i CALIFORNIA OR THAT 1 AM THE LEGAL OF THE ABOVE • DESCRIBED RESIDENT ROPE Y. POWER /) SIGNATURE UTILITY CO.NOTIFIED /`Ca OF PERMITTEE FINAL /VIQLI ARTHUR C. VETT ' CK�IMO CAS CASH SUPERVISING ELECTRICAL ENGINEER ,,� LAGo.;?, s y DEC 6 2 0 1 2.50-