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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 �� 0 - r 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