HomeMy Public PortalAbout9915 DAINES DR_Electrical__ - C
�76A663-LfE80Q 9-67 APP
LICAT O0OR�' ELECTRICAL PERMIT
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;. COUNTY OF LOS ANGELES
bEPA4FRTMENT OF COUNTY ENGINEER BUILDING a �.5 11.
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
$ $ OWNER
RECEPT MAIL
LIGHT TOTAL FIRST 20 2 ADDRESS '
SWITCH_ OVER 20 10 CITY TEL. NO. e- 57 '
LIGHTING TOTAL FIRST'20 20 CONTRACTyOR- QQf� eeefy/'e'
FIXTURES OVER 20 10 ADDRESS G� `
RANGE_DRYER_WTR HTR.— CITY 14/y TEL. NO n 7s
STA COOK_DISP _F.A U LICENSE NO
SPACE HTR AIR CONE) . I HEREBY ACKNOfVLEbGE THAY I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISH WASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN-OTHER 1 00 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'I AM THE LEGAL OWNER OF, AND INTEND TO
IND HEATERS, ETC HP KW KVA RESIDE IN, THE ABOVE DEE/SCRIBEEDDI RESIDENTIAL PROPERTY
SIZE &"TYPE OVER TO SIGNATURE /✓ r �`-'��
_ O - 1 1 00 OF PERMITTEE J
O
1 - 10 3 00 DISTRIC GR P ZONE R V
10 - 50 5 00
O
50 - 100 10 00 NOTES . G
W
100 - 500 15 00 u"
N
TUBE,GOR AS SIGN AND ONE CIRCUIT 3 00
MARQUEE ADDITIONAL CIRCUITS 1 00
ERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 15 00
TEMP SERVICE, POLE, &APPURTENANCES 3 00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
^ WIRING
ISSUING FEE 2 00 00
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 1 00
POWER AUTHORIZED
PERMIT FEE 4r tw UTILITY CO NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) a FINAL
TOTAL FEE Da JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
09:, mAy16 .2 D .00N
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE C
0
76A663-CE806 I-66 APPLICATION J FOR ELECTRICAL PERM
'
COUNTY OF LOS ANGELES '
DEPARTMENT OF COUNTY. ENGINEER BUILDING /S-
BUILDING AND SAFETY DIVISION ADDRESS _
5 JOHN A. LAMBIE• COUNTY ENGINEER
'_COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCA TY
'NEA ST
FOR APPLICANT TO FILL IN CROs ST J% v�a
NO ACH FEE
$ $ OW ER
RECEPTf� '
LIGHTTOTALFIRST 20 6Y 20 Q ADDR
SWITCH OVER 20 10 CITY TEL. NO
PLAN CHECK
LIGHTING '1 TOTAL FIRST 20 Z 20 APPLICANT -
FIXTURES - OVER 20 10 ADDRESS `
t
RANGEDRYER-WTR HTR._ CITY TEL NO
,
STA COOK_DISP F.A U CONTRAC T-OR
SPACE HTR, AIR CONO ADDRESS r
CLOTHES WASH _D,ISHWASH CITY TEL. NO, 6 qq0
FAN_OTHER 1 00 LICENSE NO CLASS.
MOTORS TRANSFORMERS RATING '
IND HEATERS, ETC HP KW KVA _ I HEREBY ACKNOWLEDGE THAT I, HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
HEREBY CERTIFY THAT 1 PROPERLY REGISTERED AND/OR
1` - 10 3 00 LICENSED AS REQUIRED BY S ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM T E LEGAL OWNER OF, AND INTEND TO d
10 - 50 5 00 I RESIDE IN, THE ABOVE SCRIBED RESIDENTIAL PROPERTY O-
V
50 - 100 10 00 SIGNATURE -OF PERMITTEE w
100 - 500 15 00 DnRICr G P Z CQN E P $ 0
•SIGN,GAS
TUBE, OR SIGN AND ONE CIRCUIT •3 00 W
- d
MARQUEE ADDITIONAL CIRCUITS 1 00H
n NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 v -
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 -
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED '
PERMIT ISSUING FEE 2 00 0 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUI NG FEE 1 00 FINAL
TOTAL FEE JOSEPH C. ROOHAN ,
SUPERVISING ELEC CAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION
CK
M O CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,