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HomeMy Public PortalAbout4832 DOREEN AVE_Electrical__ 76A 663-CE806 3-69 J APPLICATION FOR ELECTRICAL PERMI �f COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER eULD ING p . ,,,, BUILDING AND SAFETY DIVISION ADDIE ' p y� 0Y� JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF eUiLDING LOCALITY - NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO. EACH FEE E $ OWNER RECEIPT. i�L.l1\ p !` MAIL LIGHT'/ TOTAL -FIRST 20 J .20 I L ADDRESS —l1 CITY TEL.NO. SWITCH OVER 20 .10 PLAN CHECK LIGHTING l(l TOTAL FIRST 20 .20 A p APPLICANT FIXTURES J 1_ OVER 20 ,10 ADDRESS RANGE ORYER WTR. HTR. CITY [[TT TEL.NO. STA. COOK_DISP. F.A.U. CONTRACTOR - �(�// ///f 4.A.eJ L-O SPACE HTR. AIR COND. ADDRESS �i.J � -91/'. Q �(V/'� •6 y CLOTHES WASH._DISHWASH._ CITY -f -.Cp(AJ TE L.NO. 7 YQ�D b 2-+. FAN_OTHER 1.00 LICENSE NO.yq-S -5 p A CLASS. \;- '-'I D MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIPING. D - I I'DO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICE NSEDAS REQUIRED BY L05 ANGELES COUNTY AND STATEOF } I - 10 3.00 CALI Fop IA OR THAT 1 A THE LFOAL OWNER OF, AND INTEND TO RE51DE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 - 50 5.00 U SIGNATURE ad 50 - 100 IODO OF PERMITTEE O 100 - 500 15.00 015 TRIC O. 4R0 ZONE P 0 5 U W SIGN,GAS SIGN AND ONE CIRCUIT 3.00 WN (� N TUBE, OR /J Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 a SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS JATE INSPECTDN'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 Ir" .FINAL TOTAL FEE `' JOSEPH C. ROOHAN O SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.Q. CASH PERMIT VALIDATION cK. M.o. CASH FEB j 2 D 6.80- SEE BACK OF APPLICATION FfP CDMPLFTF FEE SCHFOULE 76A663-CE8061/70 APPLICATION FOR ELECTRICAL PERMIT IJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST. OUTLETS 40. EACH FEE v OWNER RECEPT. / 1 S S MAIL J11(` FIRST 20 .Zp © ADDRESS LIGHT_ TOTAL OVER 20 CITY TEL. NO. SWITCH \ .10 PLAN CHECK LIGHTING I FIRST 20 20 APPLICANT )) TOTAL OVER 20 ADDRESS FI%TURES .,0 APPLIANCES CITY N TEL. NO. PERMIT RANGEORY ERWTR. HTR._ APPLICANT STA. COOKDISP. F.A.U._ ADDRESS_ SPACE HTR.-Al R COND. Cl TV EL NO. C/ r CLOTHES WASH. DISHWASH._ LICENSE NO.�..s L CLASS. G FAN_OTHER 1.001 I' HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 1 D LICENSED AS REQUIRED BY LOS /ANGELES COUNTY ANO STATE OF CALIFORNIA OR THAT I AM THE L GAL OWNER OF, AND INTEND TO 1 - 10 3.00 RESIDE IN, THE ABOVE DESCR P.ED RESIDENTIAL PROPERTY. } SIGNATURE d 10 - 50 5.00 OF PERMITTEE O V 50 - 100 1000 DIS�T^R^I CT NO. CLASS GqO UP ZON P ESS EO C 100 - 500 1500 - • 08 ..� l G SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: W Q. TUBE. OR MARQUEE ADDITIONAL CIRCUITS 100 - Z PU SERVI CENOTOVER 600 VOLTS OR 200 AMP 200 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CEOVER 600 VOLTS OR 200 AMP S00 TE .POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 300 - UNDER AB WORK TEMP LIGHT OR RECEPT. SYSTEM 300 ROUGH NDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURE POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) UTI Y CO. NOTIFIED PERMIT ISSUING FEE 2.00 AL SUPPLEMENTARY PERMIT ISSUING FEE 100 JOSEPH C. ROOHAN TOTAL FEE , �,� SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION cK.' M.O. CASH nn g 9 4 1 2 D 1'.2 0� a SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE• DBDEAPPLICATION FOR PERflIYI• PARTMENT OF BUILDING AND SAFETY. COUNTY,OF LOS ANGELES ELECTRIC M. J. FOX CHIEF ENGINEER T ry! DISTRICT NO. - GROUP ZONE PERMIT NO. NAM /I/ /`O !'_6�n,.,_ _ �. ir��/ _ ,�, ,�� I U ADDRESS/_ q,%f-�i��/ivi�� yt7�r.re�0. —� CITY 1,/ ��Y An-I it li/ TEL.NO!Tr1, 9/t RECEIVED BY READY FOR DATE ISSUED /y Yry -/ / FIRST INSPECTION - 3/- 0/_ .r W CECOR NO. X�7 Jf J_ EXPIRES/n'�/7 -V J l_j� /O f/� APPLICANT FILL IN HEAVILY OUTLINEED PORTION ONLY Z DESCRIPTION OF.WORK ADDRESS/ '�S� !//-SSG l C CJ '�. C+C✓ice NUMBER OF OUTLETS ON CIRCUITS LOCALITY ��].�� ,I il'.Ct/ -7tli LOCATION BY ROOMSNEARE �) EST LIGHT OUTLETS SW. ' PLUGS I FI%i CIR CUIT A B C D E F G H / B NAME ; MAIL ADDRESS 1 t D ( CIT.4%._. •C1/Sl in� TEL.NO. I AM THE LEGAL 'POSSESSOR OF THE.ABOVE LOB ANG€LEB COUNTY CERTIFIC�ALIFICATION.. Adr / ELCRRILIAH. A/Mfi TN6 LEGAL OWNER OF THE PROPERTY DESCRIBED ASO /E -41", / / 1. OWNER. CORRECTIONS 11 If7 / / � . i'7 vr.f.l'th• , .11PAJG.fl�f-J . .+.1 FC ,7 a — ED v R D /Oq /�/ NO. OF OUTLETS `T]I 6 1 F Z) APPROVALS I NO. OF FIXTURES 7 c1 ^ DATE INSPECTOR'S NAME NO. OF MOTORS H.P. $ CONDUIT NO. OF SIGNS TRANS. S WIRING FW O. OF RANGES OR HEATERS / 6 L 5FIXTURESISCELLANEOUS 6 POWERERMIT FEE S .LUTILITY CO.NOTIFIED / Z //`iOTAL FEE L" 0 FINAL Ll /