HomeMy Public PortalAbout9713 DAINES DR_Electrical__ e .
76A661-C'E8C351 67 APPLICATION FOR ELECTIOCAL PER#0 T l
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER L R V
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY I
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE C� •
$ S OWNER
RECEPT MAIL
LIGHT / TOTAL FIRST 20 20 ADDRESS
SWITCH OVER 20 10 CITY TEL NO. ar 3 s-4
LIGHTING �TOTAL FIRST 20 20 �ZQ CONTRACTOR s,9At� / �// IT 'eFIXTURES OVER 20 10 ADDRESS
RANGE—DRYER—WTR HTR CITY TEL NO
STA COOK_DISP F A U LICENSE NO
SPACE HTR AIR COND I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONV
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO'COMPLY
CLOTHES WASH -DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING (1�
ELECTRICAL WIRING
FAN-OTHER 1 0000
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF ND INTEND TO
IND HEATERS, ETC HP KW KVA RESIDE IN, THE ABOVE DECRIBED RESI E AL PROPERTY
SIZE & TYPE OVER TO SIGNATURE
O - 1 1 00 OF PERMITTEE
1 - 10 3 00 DISIE�l CTGR P ZOLNE PR E D V
10 - 50 5 00 - v a i
50 - 100 10 00 NOTES
1 00 - 500 15 001 14--Ki if
TUBE, A SIGN AND ONE CIRCUIT 3 00
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, & APPURTENANCES 3 00
IFIXTURES
PROVALS DATE INSPECTOR'S SIGNATURE
OWER POLE
LAB WORK
CONDUIT J
ISSUING FEE 2 00
rN
SUPPLEMENTARY ISSUING FEE 1 00 AUTHORIZED
PERMIT FEE CO NOTIFIED PLAN CHECK FEE (50% PERMIT FEE) `•
TOTAL FEE 440JOSEPH C. ROOHAN
SUPERVISING ELEC CAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M o CASH
LALO.1 s� NOV 2 9 2 D 4.4 0- Q
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
a
76AG63-CE606-657 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
,DEPARTMENT OF COUNTY ENGINEER BUILDING /r
BUILDING AND SAFETY DIVISION ADDRESS /
JOHN A.LAMBIE.COUNTY ENGINEER d
CASSATT D GRIFFIN,SUPT OF BUILDING LOCALI
NEAREST
FOR APPLICANT TO FILL IN CROSS ST "
PFaWT FEES
LIGHTS RECEPTACLES SWITCHES MAIL OWNER - /
NUMBER 1 T E M EACH FEE ADDRE l.C.
TOTAL OUTLETS 10
ELEC RANGES, WATER HEATERS, CITYflll TEL NO
CLOTHES DRYERS 50 ELECTRICIAN C
q ELEC SPACE HEATERS, STA7'Y COOK- `
ING UNITS GARBAGE DISPOSERS, D ADDRESS//.q`/2,_ ` ✓?
AUTO WASHERS, DISHWASHER 25
LIGHTING FIXTURES to 0
CITY /✓/l7Qi�C- TEL N g -
STATE
MOTORS LICENSE NO
HORSEPOWER
H P OVER INC DISTRICT GROU ZONEREADY FOR INSPECTION
.1.'
1/ °S&LESS 2 Q
1/2 2 50 INSPECTION RECORD
2 — s too
s — is 1 so
15 — so 250
sa 200 Boo
MISC
SIGNSI NO TRANS
NO LAMPS
SERVICE O-600V too Q d
SERVICE OVER 600V Boo
WIRING PERMIT 100,
/ C7
FIXTURE PERMIT too
SUPPLEMENTARY PERMIT so APPROVALS
TOTAL FEE E O
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED REr PROP Y.
SIGNATUREUTILITY CO NOTIFIED r�� ,
OF PERMF
FINAL _ � �/ad
JOHN A.LAMBIE. S/,/ ATION Su SUPERVITHUR SING ELECTRICAL ENGINEER
COUNTY ENGINEER (u(//
MO CASH -
T,0 2 8'4 5S-1 GCT 1 2 1 1.10
i