HomeMy Public PortalAbout10809 DAINES DR_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMT
DEPARTMENT OF COUNTY ENGINEER c 4 ,� 0 c
DIVISION OF WELDING 6 SAFETY IIuNJ
WILLIAM 1. FOB, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ' ZONE PERMIT NO.
ELECTRICIAN Q v `� -/ .29 f7
ADDRESS -O ,4 NE R r RECEIVED BY READY FOR DATE ISSUED
I FIRST INSPECTION // /� _�
L°ITY _tiAOA �I- TEL'. NO. - '� /�ln 7
COUNTY LICENSE NO. EXPIRES BUILDING �r DA/uEs D pr I
PERbIIT FEES ADDRESS l a e O
NUMBEREACH -y
FEE LOCALITY /p (0// Y
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST. II .A
WALL.SWITCHES OWNER OODR w h, SA GC
TOTAL OUTLETS 17 5c MAIL - t \,1 '1 �•
ELEC. RANGES 24 ADDRESS /iop of
ELEC. HEATERS 25 y- TEL. NO.
FIXTURES B CITY Q /
M19C. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
-NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NIIMEER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVD. HP OVER 'INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
IA a 1389 S .2s
SIGNATURE OF
'A2 .90 PERMITTEE 111
944
2 5 1.00 INSPECTION RECORD
S 15 1.50
15 50 2.50 V> gz-
-G/✓I
50 200 5.00 G h �,
:zoo Boo 10.00 _ J
0o 1000 1 15.00
Z
OVER 1000 20.00 a
M.G. SET/FRED. CHANGER-HP LL'
WELDERS: AC-KVA 0
GENERATORS -KW
—TRANSFORMERS'-KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO..LAMPS if>.
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING 81.00_ — CONDUIT
FIXTURES 81.00
SUPPLEMENTARY .SO FIXTURES fir/
POWER
TOTAL FEE S a 6 e UTILITY CO. NOTIFIED
FINAL
]BA 603 DOS# EA. 4.02
TLS
76A663-EERD6 1-61 -APPLICATION FOR ELECTRICAL PERMIT
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� GAI7•U NTY OF LOS ANGELES
DEPFPk4M ENT OF COUNTY ENGINEER euILDINc
BUILDING AND SAFETY DIVISION woDREss
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILOING� A
LOCLITY
:-':;. .� ... -.. ,��,.` NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. I TOTAL ''N O. EACH FEE
OUTLETS FIRST 20 fy✓ 8.20 $ OQ OWNER
LIGHT MAIL
SWITCHADD'L 10
ADDRESS
OVER 20
l TOTAL FIRST 20 L' .20 L ( � , .CITY TFLn NO.
LIGHTING 11 FIXTURES
FIXTURES I ` VERADD-L2 1O CONTRACTPR R (L.
4 OVER 20
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS
�[ GARB.DISP. STA.COOK
r STA TE NO.
4r mSHwwsH. r AUTO.-WASH. STATE 1
SPACE HTRS. BTA. APPL. .50 / Q0 LICENSE NO. J
I
MOTORS: OVER NGT OVER H.P. DISTRICT NO. GROUP ZONE PROC SSED BY I
o 1 1.Do
_ U �—?l
1 3 1.50 INSPECTION RECORD
Y
3 8 2.00
S 15 2.50
! 15 50 3.00 S
50 100 5.00 Ou
SIGNS: NO.TRANS- O
LA
NO. MPS
SERVICE 0.600V-NOT OVER 200A 1.00
W
SERVICE 0-60OV-OVER 200 A. 2.001 N
SERVICE OVER 600V 5.00
y OTHER (SEE COMPLETE FEE SCHEDULE) '1 <
1'
T
k- PERMIT ISSUING FEE 2.00 cc
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INBPECI'CR'8 SIGNATURE
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION' UNDER$LAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - �T
ELECTRICAL WIRING. I WIRING /n—/T
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR :< FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA Ofl THAT I AM THE LEGAL ER OF, ANO INTEND TO POWER
RESIDE IN,THE ABOVE 5 ED R HTIA RQPERTY.
SIGNATURE L UTILITY CO.NOTIFIED
OF PERMITTEE _ ......^. ... .+, FINAL
IDATION JOSEPH C. ROOHAN
CK -MO CASH SUPERVISING ELECTRICAL ENGINEER
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