HomeMy Public PortalAbout10936 DAINES DR_Electrical__ APPL9CAL�a
16A663-CE006 10/7= TION FOR ELECTRICAL PERMAV4 �
COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER nooREss J ,�
BUILDING AND SAFETY DIVISION
LOCALITY L 11
FOR APPLICANT TO FILL IN NEAREST
CftOSs ST.
OUTLETS I NO. EACH FEE OWNER DR
FIRM NAME da
RECEPT.�
$ $ MAIL
LIGHT
FIRST 20 '� / D ADDRESS zSd
TOTAL / -
SWI7CH_ _ /L OVER 20 �J IO CITEL. N0.
PLAN CHEC 1
GHTING TOTAL
LFIRST 20 y�Z5 APPLICANT
FIXTURES
10IOVER 20 ADDRESS
. _
RESIDENTIAL APPLIANCES CITY TEL. NO,
PERMIT
RANGEORYER_WTR. HTR._ APPLICANT
N
STA. COOKDISP._F.A.U._ ADDRESS
SPACE HTR. AIR GOND. CITY / )0-2./(/ L. N0.
CLOTHES WASH, DISHWASH._ LICENSE OR
REG. NUMSER CLASS.` I/
FAN OTHER 1,001 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION v
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. ELECTR ICAL WIRING. --
SIZE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI -I AM THE LEGAL OWNER OF TXE ABOVE d
1 - 10 3.00 DESCRIBED RESIDENTIAL- PROP E TY. -CD
U
10 — $0 500 PERMITEE
SIGNATURE - O
$0 - 100 10.00 w,
DISTRICT NO. PJWCESFED BY d
100 - $00 10.00 Q .Z'
SIGN, GAS SIGN AND ONE CIRCUIT 5.0D APPROVALS DATE INSPECTaWSSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING le-zv- 7S'
TEMP LIGHT OR AECEPT, SYSTEM 3,00 FIXTURES
i
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL --/47
PERMIT FEE (SUB TOTAL) NOTES;
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE 3�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIOONcK! J M.O. CASH
2 5 6'�'!IrT 5.3>0 • c
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A 6fi 1-C€B,: IO�Ie APPLICATION F& ELECRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS a
LOCALITY /� �✓ _
NEAREST
FOR APPLICANT TO FILL IN. CROSS ST.
OUTLETS N0. EACH FEE OWNER OR
S 6 FIRM NAME pp_�
Ariz 7�-_lop—
RECEPT._1 MOIRMAIL ES !../
LIGHT —) TOTAL FIRST 20 25 TEL. -
J1 OVER 20 CIT �L N0. 7
SWITCH .10 PLAN CHECK
FIRST 20 APPLICANT
LIGHTING TOTAL
FIXTURES 25
OVER 20� .10 ADDRESS
RESIDENTIAL APPLIANCES "CITY TEL. NO.
PERMIT F
RANGEORYER_WTR. HTR.__ APPLICANT (fI e
STA. COOK DISP. F.A.U. ADORES
SPACE HTR. AIR CORD. CITYAZg/ TEL. N0.
CLOTHES WASH.—DISHWASH._ LICENSE ORREG. NUMBER CLASS.
FAN_OTHER 100 I 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 S TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 -'1 100 LICENSED AS REQUIRED BY LOS-ANGELES COUNTY AND STATE OF y
^ C ALIFORM NA AM THE LEGAL OWNER OF THE ABOVE O
�N•p 1 - 10 3.00 DESCP RESIDE NTIA PROPERTY. V
ddd •10 - 50 500 V RMITEE
U
50 - 100 . 1000 LO
DISTRICT Ni 1, CESSAn BY H
100 - 500 15.00 ocq
SIGN, GAS SIGN AND ONE CIRCUIT 5,00 APPROVALS DA INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
S ERVICE NOT OVER 600 VOLTS OR 200 AMP / 3.00 UNOERSLAB WORK
SERVICE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED -
FINAL
PERMIT FEE (SUB TOTAL) NOTES: -
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 U
TOTAL FEE
PLAN CHECK VALIDATIOtJ CK. M.O: CASH,
PERMIT VA I ATION CK. M.O. CASH
I
9 3 own+AY 18 D'' 13.5
0 a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /
e I
]6AG63-CEB061D,)M1 APPLICATION -FOR ELECTRICAL PEOWIT
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION - ADDRESS
, LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
• OUTLETS NO. EACH I OWNER OR
SS FIRM NAME v
REC EP T. I �� MAIL /� i�J /xS i
11\ ADDRESS A
LIGHT_ TOTAL FIRST 20 �n _
_I OVER 20 CITY M4tl1/ AR �Y' TEL. NO.
SWITCHH .10 PLAN CHECK 1/
LIGHTING FIRST 20 APPLICANT
FIXTURES
TOT L
,(9 OVER 20 � .10 ADDRESS
� A
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER ER_WTR. HTR._ APPLICANT
STA. COOKDISP.—F.A.U._ ADDRESS
SPACE HTR, AIR GOND. CITY (I y TEL. NOPE/_)n ..�x )'
CLOTHES WASH. DISH WAS H._ LICENSE OR ��
REG. NUMBER CLASS..—C-/,f
Y� l
FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTOflS, TRANSFORMER HATING - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. -
SIZE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OS
O - 1 100 LICENSED A$ REQUIRED BY LOS ANGELES COUNTY AND STATE OF y
CALIFORNIA OR THAI I AM THE LWAL 4'
1 - 10 3.00 DESCRIPED RESIDE NTI L Pfl OPEFTCZ,
PIGNATUE / /// 0
10 - 50 500 SIGNATUREU50 - 100 10-00 DISTRICT NO y00 — soo sooSIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DAE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1,00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAS WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT �7
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) --TT NOTES:
PLAN CHECK FEE -Sy
PERMIT ISSUING FEE 3.00 l _
TOTAL FEE A)
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
58 .1 SEP .10.: - 2 D ✓ A98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE