HomeMy Public PortalAbout9803 DAINES DR_Electrical__ 76ABSS-CESO87-58 APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
`4
BUILDING AND SAFETY DIVISION JOHN A LAMBIE, COUNTY ENGINEER
CASSATT D GRIFFIN, SUPT OF BUILDING ..-,.�.
FOR APPLICANT TO FILL IN CROSS ST
- PERNIIT =
I T E M NUMBERI EACH FEE OWNER /
OUTLETS $ $ ,MAIL
LIGHTS RECEPT SW Z.. to 2.0 (ADDRESS
LIGHTING FIXTURES to ' CITY TEL NO.
ELEC RANGES CLO, DRYERS r
-ZLECTRICIAN
WATER H EATERS 50 ADDRESS 3
ELEC SPACE HTRS DISHWASHERS
CITY L No. - !�x
GARBAGE DISPOSERS AUTO-
STATE C
WASHERS STA COOKING UNITS 25 LICENSE NO •(1d '�
MOTORS OVER INC H P DIST:,IGT LVO G� ZONE P OCESS BY
O— 1/2 / • 25 �_
1/2— 2 so INSPECTION RECORD
2— 5 100
5— 15 150
1 s— 50 250
50—200 5 00
NO TRANS --
SIGNS
NO LAMPS -
SERVICE 0-600V too
SERVICE OVER 600V 500
MISC
I s
WIRING PERMIT 100 (�-0
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT 50
TOTAL FEE APPROVALS
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 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I THE LEGAL OW ER OF THE ABOVE
DESCRIBED RESIDENTIAL PER POWER
SIGNATURE UTILITY CO NOTIFIED g .�.�.��y
OF PERMITTEE FINAL tI- =1 17:2-,VIE
V ATION ARTHUR C VEIT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
i ?,, 94 � '1T r4 2 A 1 .45
1�
76A663-CE806 3-69
APPLICATION F �EECe_T_ 'R��ICAA L PERMIT
ubUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING O
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST i--
CROSS ST
NO, EACH FEE ,
$ $ OWNER
RECEIPT MAILS
LIGHT TOTAL FIRST 20 20 ADD ES
SWITCH OVER 20 10 CITY p Cj� TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES } OVER 20 10 ADDRESS
RANGE_DRYER WTR HTRCITY TEL NO
y �
STA COOK4:�.DISP F A U CONTRACTOR
SPACE HTR AIR COND ADDRESS �!N
CLOTHES WASH _DISHWASH CITY TEL NO
FAN_OTHER n I 00 LICENSE NO a l y CLASS Q
MOTORS,TRANSFORMERS RATING (f Z/ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
,SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 OO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3 00 CALIFORNIA OR THAT 1 AM THE EGAL OWNER OF, AND INTEND TO CL
RESIDE IN, THE ABOVE DESCRI RESIDENTIAL PROPERTY O
10 - 50 5 00 V
SIGNATURE .�
50 - 100 10A0 OF PERMITTE Q
0
100 - 500 1500 DISTRICT NOyO ROUP ZONE P CESSED B W
CL
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 ^ ®�� � N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES ��B
�
SERVICE NOT OVER 600 VOLTS OR 200 AMP i 2 00 t
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
oe
POWER AUTHORIZED �'C
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED
oa
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL '
TOTAL FEE AGV JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M O CASH
l,,kf_1, .98, 1%a su24 2 D6.00N
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE