HomeMy Public PortalAbout4820 DOREEN AVE_Electrical__ 70^463-CEaaa3-e9 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER eu1LDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING - LOCALITY T: Gn
FOR APPLICANT TO FILL IN NEAREST
I PERMIT FEES CROSs
ITEM NUMBER EACH FEE OWNER ~i UTLE
MAIL
LpIGHTS TS. RECEP'1! 6W. S .Ip $ ADDRESS 4/.,g d.y��..1 r�!)-'�r•�/-/\'.-I C,f
LIGHTING FIXTURES 10 CITY .I /r.,,•,..n/8{A� TEL.NO.-
ELEC.RANGES CLO.DRYERS ELECTRICIAN �, ( .yQ_7
WATER HEATERS .50 ADDRESS t
ELEC.SPACE HTR6. DISHWASHERS
CITY TEL. NO.
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .2S LICENSE NO.
' MOTORS: OVER INC. H.P. DISTRICT NO. IGROI}E ZONE P )CESS BY
O— +/z .25
(" +i:- "2w50 INSPECTION RECORD
5— 75 7.50 �- 4 L o�•K 1J T,j
s
is— 50 2.50
50-200 5.00 _
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 7.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. - WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. ��i' POWER
SIGNATURE T/ C..� �' UTILITY CO.NOTIFIED
Ij OFPERM ITTEF)�+1-2v1 f (IiYn-:Z✓
� ION ARTHUR C. I
M0 CASH SUPERVISING ELECTRICAL.ENGINEER
1 „1725; ra26 2A 2.70
I6.663-DE006 D.B'!, APPLICATION FOR ELECTRICAL PERM!
COUNTY OF LOS-ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ^ 1.
BUILDING AND SAFETY DIVISION ADDRESS . O N• a R e E ry
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMA14 W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST �> .pp
FXTURES
PPLICANT TO FILL IN CROSS ST. W ,` V E
NO. . ACK, FEE
$ $ OWNER _ II
1'V
MAIL
FIRST 20 20 EQ ADDRESSOVER 20 .10 CITY TEL. NO.
FIRST 20 .20 O CONTRACTORLII �� C L C? ► L OVER 20 .10 ADDRESS
RANGE_DRYER-j-WTR.HTR._ CITYC /77- �J
I 1 1�/ TEL. NOC- Y
STA.COOK—DIS P.1—F.A.U.— LICENSE NO.
SPACE HTR.—AIR COND. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH.�DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
FAN ) ELECTRICAL WIRING.
FAN)—OTHER-1/ 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REOUIRED 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, t4E ABOVE CRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTEE
a
i - Io 3.00 FWIRING
ICT NO R P Z P E uU
10 - 50 5.00 '+ w
O
50 - 100 10.00 : 1-
W
100 - Soo 15.00 o.
N
TUBE, A SIGN AND ONE CIRCUIT 3.00 Z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 -41
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, & APPURTENANCES 3.00
PPROVALS DATE INSPECTOR'S SIGNATURE
OWER POLE
LAS WORK
CONDUIT
ISSUING FEE 2.00 T �' I 'ESSUPPLEMENTARY ISSUING FEE 1.00AUTHORI2EDPERMIT FEE CO.NOTIFIE D PLAN CHECK FEE (50% PERMIT FEE)
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGI
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. . CASH
Lftio= G g ; utc 21 2 0 1 1 .21u
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /