HomeMy Public PortalAbout10660,10160 DAINES DR_Electrical__ 76A563-CE80611/70 APPLICATION
yP IATION fO E EYRI pLPERMIT
COUNTY OF LOS ANGELES
IIIJJJ
DEPARTMENT OF COUNTY ENGINEER BUILDING '
BUILDING AND SAFETY DIVISION ADDRESS Q /Cfe
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY I�IJJ cy/
NEAREST �/
FOR APPLICANT TO FILL-IN
NEAREST
OUTLETS NO. EACH FEE
OWNER
REG ERT.=� 5 5 MAIL
' ADDRESS
LIGHT_ FIRST 20 25 TOTAL .
OVER/20 CITY TEL..NO.
SWITCH .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,25 APPLICANT
FIXTURES 10
OVER 20 ADDRESS
.
APPLIANCES- CITY TEL. NO.
PERMIT
RANGE_DRYERWTR. HTR._ APPL
ICANT�/ry
STA. COOK_OISP. F.A.U._ ADDRESS
SPACE HTR, AIR COND. CITY �lv ` TEL. N0.
CLOTHES WASH.' DISHWASH._ LICENSE NO. �� ,r�i CLASS.
FAN-OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I.HAVE READ THIS APPLICATION
AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND, HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 I'M LICE NSEDAS REOUIREO BY LOS ANGELES COUNTY AND STATE OF
/� 1 CALIFORNIA OR THAT I AM THE LEGAL OW ER GF, AND INTEND TO �.
1 , dwtiykf I - 10 j 3.00 O O RESIDE IN, THE ABOVE DDESCRIP.ED R SIREN 4L PROPERTY. O
SIGNATU
10;50 5.00 OF PERMRITTEE /Ts 3 �� u
K
�50 - 100 1000 DISTRICT HO. CLASS ZONE PROC �// EO BY O
100 ='S00 1500CL
�KQ vVj -
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: - Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
SERVICE OVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMRSERVICE,POLE, &APPURTENANCES 5.00
UNOERSLAB WORK -
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUT HO RIZEO
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFI EO
PLAN CHECK FEE
PERMIT ISSUING FEE E30OFINAL JOSEPH
C. ROOHAN ,
TOTAL FEE b 00 SUPERVISING ELE L ENGINEER.
I �
PLAN CHECK VALIDATION crc. M.G. CASH PERVALIDATION CK. M.o. usn
al
31 'AQd 2 2 D 6.00-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
"°°°'`° APPLICATION FOR ELECTRICAL PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS GL/U e5
JOHN A.LAMBIE, COUNTY ENGINEER M n
WILLIAM A.JENSEN, SUP-TOF BUILDING LOCALITY
FORAPPLICANTTO FILL IN NEAREST 'tom
CROSS ST
PERMIT FEES `
OWNER /'. Com-/
ITEM NUMBER EACH FEE MAIL
OUTLET& S S ADDRESS
LIGHTS RECEPT. SW. .10 _
LIGHTING FIXTURES 10 CITY TEL.NO
ELEC. RANGES I CLO. DRYERS ELECTRICIAN
WATER HEAT R. .90 �� ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY 6FI TEL.N
GARBAGE DISPOSERS AUTO. STATE
WASHERS BTA.COOKING UNITE .29 LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT O. G Z NE P D
0 Y. 26
v — z ,50 INSPECTION RECORD
2 is 1.00 a
15 — 15 1.50 O
U
15 — 50 2.90 0
50 — 200 5.00 ~
U
W
SIGNS: NO TRAN6. d
A' NO. LAMPS N
SERVICE0.600V D 1/YCQ 1.00
SERVICE OVER 600V 5.00
MISC.
i
WIRING PERMIT 1.00 V V
FIXTURE PERMIT 1,00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S b
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALStDATEINSPECT R'S SIGNATURE
AND STATE THAT THE ABOVE I6 CORRECT AND AGREE TO COMPLY ' CONDUIT
WITH ALL COUNTY ORDINANCES ANDSTATE LAWS REGULATING
ELECTRICAL WIRING. WIRING JIAI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/ORLICEN6ED AB REQUIRED BY L08 ANGELES COUNTY ANO E AB OP FIXTURES
CALIFORNIA OR THAT AM THE GAL OWNER O THE ABOVEDESCRIBEDRESIDENTPR POWER
SIGNATURE UTILITY CO. NOTIFIED , _
OF PERMITTE
FINAL4
l/CiCYK A/'I ARTHUR .
MO CASH SUPERVISING ELEC
TRICAL ENGINEER
L'iGoO745 6 2 D 2.5