HomeMy Public PortalAbout4821 DOREEN AVE_Electrical__ 7GA663-CEBOB 10-60 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS C
JOHN A. LAMBIE. COUNTY ENGINEER -
WILLIAM A.JENSEN, SUPT GP BUILDING LOCALI
NEAREST /]
FOR;=�PERMIT
FILL IN CROSS S
OWNER icl
1 T E M NUMBER EACH FEE MAIL
ADDRES
OUTLETS: S S s
LIGHTS RECEPT. BW. C TEL..10
LIGHTING FIXTURES .10
ELEC. RANGES CLO. DRYERS ELECTRI IAN -
WATER HEATERS .50 ADDRESS
ELEC SPACE HTRS. DISHWASHERS
CITY TEL NO,
GARBAGE DISPOSERS AUTO.- STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO,
MOTORS: OVER INC. H.P. DISTRICT O. GROUP ZONE I PR CESSED BY
.25
v— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50 0
15— 50 2,50
K
50— 200 5.00 - O
G
SIGNS: NO TRANS, aW
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT
TOTAL FEE S p`
IHEREBY ACKNOWLEDGE THAT 1 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.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRINGS`
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 M THE LEGAL OWN F THE ABOVE ,f '�
DESCRIBED RESIDENTI OPERTY. POWER A�ph�
SIGNATURE UTILITY CO.NOTIFIED •=a<.A
OF PERMITTE
I
V IDATIQN'1 ARTHUR C. VEIT
v D (��cASH SUPERVISING ELECTRICAL ENGINEER
9 7 5 2 e JUL 10 2 D
L�i�,2/ �✓t /J
TIEMPL E MTV
laenea-casae♦-no APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �+'S
JOHN A.LAMBIE, COUNTY ENGINEER p _
WILLIAM A.JENSEN. SUPT OF BUILDING LOCAL,&
FLIGHTINGFIXTURES
OR APPLICANT TO FILL IN NEAR—CROSE
PERMIT FEES OWNER
ITEM NUMBER EACH FEE��) ��ee { ,ne�ww ^•��j
5 5 v e% AD RE S O� / �'e!/'� /� /LCY
CEPT SW. .10 �j
XTURES '_Pj f0 .� CI TELN "/'-4 CLO. DRYERS ELECTRIC( NR HEATERS .STRS. DISHWASHERS CITY TEL.NO.
c. GARBAGE DISPOSERS AUTO.. STATE
o
WASHERS STA. COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DISTPICTTN GRO P Z NE PROCE SE BY
0 — V2 .250�7 A/i,
— 2 INSPECTION RECORD
so
~ 2 5 1.00 �//� 1YnI \ �n �� /♦i�. n d //� �i a
5 —_ 15 1.50 �' /Qe/ ` ) /ov<c /; :.._J:<>•T p
15 — 50 2.50c7
S�i/4 ✓•
,1uLT Lr , Q
p so — 200 5.00\ / ~
SIGNS: NO TRANS. d
NO. LAMPS z
Z
SERVICE O-SOOV 1.00
SERVICE OVER 600V 5.00
a MISC.
WIRING PERMIT 1.00
FIXTURE PERMITI
7.00
SUPPLEMENTARY PERMIT .50
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I 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 ;
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES CO TY AND STATE OF FIXTURES Iz Z
CALIFORNIA OR THAT 1 AM THE LEGAL NI OF THE A OVE • /
DESCRIBED RESIDENT, ROPERTY. POWER /
SIGNATURE ` UTILITY CO. NOTIFIED C� LrJ C S+�-i/�iI_I fti—-
OF PERMITT FINA l3hll,A 0- 7��✓'r/�
ALIDATIQjh ARTHUR C.VEIT.
OK Ma �AAS�H SUPERVISING ELECTRICAL ENGINEER
LAC01 7 9 7 AN 30 2 D 3 .2/0