HomeMy Public PortalAbout9319 DAINES DR_Electrical__ DBS-ZA3.58 APPLICATION ION Fl ®RELECTRIC PERMIT
OBS•SA
DIVISION OF BUILDING AND SAFETY
Department of County Engineer' r _
NG
County of Los Angeles nooRess =/ '31
WM.J. FOX, COUNTY ENGINEER
CASSATT D.GRIFFIN, SUPT OF BUILDING �f •�
LOCALITY f_7 C -
FOR APPLICANT TO.FILL IN NEAREST
PERMIT FEES CROSS ST.
FEE
NUMBER .EACH OWNER
LIGHT OUTLETSMAIL
yy _
RECEPTACLES �.�L S^ - ADDRESS.
WALL SWITCHES -
TOTAL OUTLETS 5¢ $ _ CITY - TEL. O.
ELEC.RANGES )ev /rte' 25 - 13 ELECTRICI/A "
ELEC. HEATERS .25 C'1 ADDRESS
KW EA - - CITY oC/ 'TEL.NO. � /Cp
FIXTURES 5 LICENSE NO.
MI
NUMBER OF LIGHT CIRCUITS - DISTRICT NO.. ZONE' .mm READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS ) IGROUPI
JQ
R
MOTOS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH
1�2&LESS $ .25 -
1/2 2 .50
.2 5 -1.00
_ 5 15 1.50
1'5 50 2.50 -
50 200 5.00 '
MISC.
NO.SIGNS NO.,TRANS.
NO.SIGNS NO-LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES SI.O0
SUPPLEMENTARY .50 APPROVALS -
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
1HEREBY_ ACKNOWLEDGE"THAT.'1 HAVE -READ THIS-APP CATION - CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING Z.�
ELECTRICAL WIRING. I -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED, AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE,OF
CALIFORNIA OR THAT I- AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROP TY.
SIGNATURE - � UTILITY:CO.NOTIFIED -
'Sc,
SIGNATURE
OF PERMITTE FINAL
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A. C.VEIT,CHIEF ELECT. INSPECTOR
2193p%o M1.5 2 _ 7A 5. m
76A6;63 SCE 80&R 1077 APPUCAMN FOR EILEC UPHICQL PERMY
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 2�0/ 'Al
m FOR APPLICANT TO FILL IN _ LOCALITY
New Residential Bldgs.&'Pools EACH NO, FEE NEAREST
1 &2-Family,Sq. Ft.
S 025 — $ CROSS ST.
OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME (/
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets:Rec Light_Sw. _ CITY 7-C, Tel. NO2? 7S"
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total.No. APPLICANT E
Fixed Appliances Not Over 1 HP ADDRESS 7S tJ
Range_Heater_D.W._ -+-'
CITY � M JE e'� Tel. No.
Oven _Dryer_W.M. LICENSE OR a
Top —FAU —W.H._ REG. NUMBER Q 6 Class.'^f(2)
Hood Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, d
O
7-v'ILAtILOver 1 to 101ncl. 5.00 j c_�
Over 10 to 50 Incl. 12.50 PERMITTEE
Over 5,0 to 100 Inc. 25.00 SIGNATUR
Over 100 40.00 DISTRICT NO. PROCES D!� 6 BY LU
/} ZalServices ° v
12.50 INS TORS
0 200 Under 600 V APPROVALS DATE NATURE
201-1000 Amp.Under 600 V 25.00
Over 1000 Amp.or Over 600 V
50.00 TEMP. POWER POLE
Temp. Power Pole&Appurtenances
10.00 UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Scheduler POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL 2 7`(
PERMIT FEE (Sub-Total) J T S Q NOTES I"�h ,
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00 7 06
TOTAL FEE o� ASO
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION e-6K7 ` -M.O. CASH
3 AUG D 2.4,5 C1 �
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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DOS-5A
5A 8.55 90 ALICA II I®DV FOR D ELECTRICtlUIC 9 EI! DtltlD�T
DBS-5A
DIVISION OF BUILDING AND SAFETY`
Department of County Engineer .y
County of Los Angeles BBUUILDIN ',>� LS �-�y d; �!//�y a�i
WM.J. FOX, COUNTY ENGINEER ADDRESS
CASSATT D.GRIFFIN, SUPT OF BUILDING
LOCALITY /-ty ,E� f (•/�•q�,
FOR APPLICANT TO FILL IN NEAREST
PERP/ITT FEES CROSS ST.
NUMBER EACH FEE
OWNER P/"�
LIGHT OUTLETS -
r�
RECEPTACLES MAIL��^ ADDRESS
WALL SWITCHES q
TOTAL OUTLETS _ ��Y 5¢ $ y= �I CITY )) TEL.NO.
ELEC.RANGES �' �� — 25 ELECTRICIAN 19 ✓O�/_•�A.�
_ELEC. HEATERS 25 ADDRESS JCfel N
KW EA CITY 4il�) L/.G7/J/-�r'il TEL. NO.
FIXTURES / 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS / - DISTRICTNO. IGROUP ZONApE I READY FOR INSPECTION
NUMBER OF RECEPTACLE'CIRCUITS ., Iy,
MOTORS
NUMBER HORSEPOWERINP C ION RECORD
FEE
NEW MVD. HP OVER I INC. EACH V,
Ka� 1/2 It LESS $ .25 _ �1 C\ I�
721/ 2 .50 [l7 n�
�5 1.00
t
15 50 2.50
50 200 5.00
MISC.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 d'J -
_ FIXTURES $1.00
SUPPLEMENTARY .50 ry t� APPROVALS
TOTAL FEE s ./ / DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT -1 HAVE READ THIS APPLICATION CONDUIT
DSTATEB 11
ANALLTHAT THE ABOVE IS CORRECT AND AG COMPLY WIRING Z� �� L_ UA AA,
WITH ALL COUNTY ORDINANCES AND STATE LAWSS REGULATING 1
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT L AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER A
DESCRIBED RESIDENTIAL ERQPERTY. /)
SIGNATURE UTILITYCO.NOTIFIED
OF PERMITTEE 1 - FINAL y u
WILLIAM J. FOX.COUNTY ENGINEER VAI ATION A. C.VEIT.CHIEF ELECT. INSPECTOR
. .L
29`29 X15 2 7.45