HomeMy Public PortalAbout10726 DAINES DR_Electrical__ T6A663'-CES06 4-65 APPLICATION FOR EdECTRI 4
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERJ"CROSS
BUILDING
BUILDING AND SAFETY DIVISIONADDRESS
JOHN A. LAMBI INS, UNTY ENGINEER ���%�
COLEMANW. JEN KINS. SUPT. OF BUILDINGLocwuiY � 1
NEAREST .
FOR APPLICANT TO FILL IN ST.
;�. RECEPTACLE1 TOTAL NO. EACH FEE f
�. LIGHT JS OUTLETS FIRST 20 $,20 5 � OWNER Y/U
MAIL
DRD b
SWITCH OVERVER2 20 .10 ADESS
r 1 TOTAL FIRST 20 .20� CITY Q /� L. I TEL..NO.
LIGHTING J(L FIXTURES
FIXTURES goo'L 10 CONTRACTOR
OVER 20
RANGES LO.DRYERS WTR,HTRS. , 1.00 1.11 T ADDRESS
GARB.OISP. STA..COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(y¢H.P.MAX.) ,50 -LICENSE NO.
MOTORS: OVER NOT OVER H.P. -DROUP ZONE PR 5 0 Y
O 1 1.00 _ ISTRIC NO G
1 3 1.50 INSPECTION RECORD
3 8 1 2.001
6 Is 1 2.501
d
15 50 3.001 1 Q
so too 5.001 1
Vm
SIGNS: NO.TRANS Q
NO.LAMPS ~
W
SERVICE 0-60ON-Noi OVER 200A 1.00 1
h
SERVICE 0-60OV-OVER 200 A. 2.001 1 Z
SERVICE OVER 600V 1 1 5.001
OTHER IEEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 12.00
6UPPLEM ENTABV PERMIT ISSUING FEE 1.00 - -
TOTAL FEE ® APPROVALS DATE I INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION UNDERSEAS WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR-
LICENSED AS REOIIIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INT TO POWER '
RESIDE IN,THE ABOVE O IBE RE61D IAL Pf�O PE _
SIGNATURE UTILITY CO.NOTIFIED �—v n--
OFPERMITTEE FINAL
VALIDAT N
JOSEPH OI ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
GR;p8 1` 8 6- DEC21 2 D 3.20- Q
TBAGGS-CESOS Y-BB APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY.ENGINEER '. noo ass U'
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER 4' iG.l
CASSATT D. GRIFFIN, SUPT OF B1 LDIvc LOCALITY
FOR APPLICANT TO FILL IN NEAREST ;j
PERMIT FEES CROSS STS
1 T E M NUMBER EACH FEE
OUTLETS: $ $ MAIL
LIGHTS RECEPi. BW. .10 ADDRESS /v / •-•� (ILic��
LIGHTING FIXTURES .10 CIT -n —41-1 % TEL.
' ELEC. RANGES CLO. DRYERS ELECT CIANy'
WATER H EATERS .5O ADDRESS O/J/��
ELEC.SPACE HTRS. DISHWASHERS
GARBAGE DISPOSERS AUTO.- CITY TEL. NO V(Y
STATE
' WASHERS STA. COOKING UN ITS 1 .25 LICENSE NO.
MOTORS: OVER INC. H.P. - -
DISTRIC_NO. GRO1UP 20NE ^PROCESSED BY
o— Ii, .zs .� �
v,— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 18 1.50
15— 50 2.50
50-200 5.00
SIGNS: NO. TRANS.
NO. LAMPS
SERVICE 0-600V 1.00 AllII
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 O D
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .s0
TOTAL FEE $ 7, 0. APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 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 'Y7�`I �•'y
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABO
DESCRIBED RESIDENTIAL PROPERTY. ! POWER
SIGNATURE /ilUTILITY CO.NOTIFIED I �'
OF PERMITTEE FINAL
NO IL)N.� ARTHUR C VETT,
CK
V Mo /CASH_,-- SUPERVISING ELECTRICAL ENGINEER
tD 1 6'5 3 Aug 2 5 2 A 2.010 �g