HomeMy Public PortalAbout9564 DAINES DR_Electrical__ 7GA663 DBS SA B-49 ® APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR AP LICANT TO F !_ IN DISTRICT -NO. - GROUP ZONE PERMIT NO. ,
-!5- /1�3S
ELECT C N RECEIVED BY READY FOR DATE ISSUED
ADDR • FIRST INSPECTION �Q
CITY Zr - TEL �►1
COUNTY LICENSE NO {J �J EXPIRES G BUILDING T L
PERMIT FEES ADDRESS
FEE
NUMB OUTLETS EACH LOCALITY
LIGHTS 5c $ NEAREST 4
CROSS ST
�j RECEPTACLES 5
FIXTURES 5 OWNER 1
/y I WALL SWITCHES 5 MAIL s�p1® `
ELEC RANGES 25 ADDRESS 4: O
�I ELEC HEATERS 25 CITY
MISC
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED APPLICATION AND STATE THAT THE ABOVE IS CORRECT
?-„ LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBERHORSEPOWER I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
FEE NEW MVD. HPh7V.RANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP OVER I INC EACH
OF THE RESIDENTIALPROPERTY DESC ]BED ABOVE.
+/a Ess $ 25
2 50 SIGNATURE OF ,7
PERMITTEE
2 5 1 00 r
5 15 1 50 INSPECTION RECORD
15 50 2 50
50 200 5 00
200 500 10 00
500 1000 15 00
OVER 1000 20 00 Z
M G SET/FREQ CHANGER-HP
WELDERS AC-KVA 0
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (75% OF ORIG )
MOVED MOTORS 75% OF ORIG )
MISC
SIGNS
TYPE. NO TRANS
TYPE. NO LAMPS APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT-
CONDUIT
WIRING $1 00 WIRING r �4//•�/� /i� F, - `�'"-
FIXTURES $1 00
SUPPLEMENTARY 50 FIXTURES
POWER,
TOTAL FEE $ UTILITY CO NOTIFIED
\/�\\ FINAL
�l V
76A663C- CE806B ,V75 , APPLICATION FOR ELECTRICAL PERMIT � "
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs &Pools EACH NO FEE ADDRESS
1 &2 Finally Sq Ft $ — $ LOCALITY .�/� �GG �/
Multi-family Sq Ft — NEAREST
Residential Swimming Pools CROSS ST
OWNER O
FIRM NAME, �G C
Outlets Light, Switch& Receptacle r* 8' MAIL G /
,First 20 1/ _�
Additional CITY �/�jn�L C C Tel No �Z
PLAN CHECK
Lighting Fixtures APPLICANT� '
First 20 ADDRESS
Additional
CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater_ D W ADDRESS
Oven _ Dryer W M
Top FAU W H CITY Tel No
Hood Fan - LICENSE OR
REG NUMBER Class
Disp A C v
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING U
Size&Type HP, KW,KVA,or KVAR LIJ
a
Up to 1 Incl I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR Z
Over 1 to 10 Incl LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LE AL ER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED OPERTY
Over 50 to 100 Incl PERMITS R L PR
Over 100 SIGNATU
Services DISTRICT NO PROCESSED BY
0-200 Amp Under 600 V
201 - 1000 Amp Under 600 VAPPROVALS DATE INSPECTOR'S SIGNATURE
Over 1000 Amp or Over 600 V ,
TEMPI POWER POLE
r
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits CONDUITs /
(Other) WIRING Q—/�
FIXTURES
POWER AUTHORIZED
PERMIT,FEE (Sub-Total) UTILITYCO NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
NOTES, ,
TOTAL F,EE / IJ s[ 13 �`. ,�—J '•r.- .rte
PLAN CHECK VALIDATION CK MC, CASHr,✓ PERMIT VALIDATION CK MID CASH
4;9 5`r-1 OCT 13 2 0 1 8.3 5 ,&-
_ 1 F
ISA663 CE806 10-61 APPLICATION FOR ELECTRICS L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING C 1
BUILDING AND SAFETY DIVISION ADDRESS L� 6 /
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY I2:-rzo 77
NEAREST
FOR APPLICANT TO FILL IN CROSS ST L p
1 T E M NO EACHI FEE
OUTLETS (FIRST 20) $20 $ OWNER
LIGHTS RECEPT SW MAIL /
OUTLETS (ADD'L UNITS) 1O ADDRESS f 4 t
LIGHTS RECEPT SW
LIGHTING FIXTURES (FIRST 20) 20 CITY ' E TEL NO -
LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN
RANGES CLO DRYERS WTR HTRS 1 00 ADDRESS
GARB DISP STA COOK
, CITY TEL NO
DISHWASH AUTO-WASH STATE
SPACE HTRS STA APP (l/a H P MAX) 50 LICENSE NO
MOTORS OVER NOT OVER HP DISTF2I�T �rP I ZONE777
D
O 1 100 04:1 , ,72R'
1 3 150 INSPECTION RECORD
GtJ d�S�Z r
3 8 1200 D_
O
8 15 250 ,A _ U
Cke
15 50 300 Q
50 100 Soo rW
G.
SIGNS NO TRANS V)
NO LAMPS r `L
SERVICE 0.60OV-NoT OVER 200A 100
SERVICE 0-60OV-OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTA13Y PERMIT ISSUING FEE 100 G
TOTAL FEE $
A413HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS 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 �� /n���%.f�lGif✓v
1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQ
UIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNE OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY POWER
SIGNATU UTILITY CO NOTIFIED //� -lam J.�-✓�/�
OF PERMI FINAL A / /nl/_ Y�1:;✓alcfi.
VA tDATlO/N_,J ARTHUR C. VETT
CK MO ASH S`ERVISING ELECTRICAL ENGINEER
�'`� 1 7 APR ?6 2 D 5.0 u