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HomeMy Public PortalAbout5018 DOREEN AVE_Electrical__ 76A663-CE806 $-69 I APPLICATIONFOR ELECTRICAL PERW . COUNTY OF LOS ANGELES t DEPARTMENT OF COUNTY ENGINEER BUILDING d BUILDING AND SAFETY DIVISION AooREss JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR P,LICANT TO FILL IN -NEAREST CROSS ST. NO, EACH FEE RECEIPT- 13 $ $ OWNER ' MAIL LIGHT TOTAL FIRST 20 .20 PITY TE L.NO. ADDRESS SWITCH '✓ OVER 20 .70 PLAN CHECK LIGHTING TOTAL FIRST 20 .20 O APPLICANT FIXTURES } OVER 20 .10 ADDRESS RANGE_ORVER_WTR. HTR. CITY TEL.NO. STA. COOK DISP. F.A.U.__ CONTRACTOR 73tU &4w SPACE HTR._AIR COND. ADDRESS . CLOTHES WASH._DISHWASH._ CITY • J/ %4-6 TEL:NO. y - FAN_OTHER 1.00 LICENSE NO. - CLASS. MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT 1 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 WIPING. Q - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATEOF } 1 - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER Cl. NO INTEND TO (L RESIDE N. THE ABOVE OESC IBEB RESIDENTIAL PROPERTY. O 10 - 50 $.00 n V SIGNATURE /y! 50 - 100 10 D0 OF PERMITTEE � Q F 100 - $QQ 15,00DI 1� / GRO ZONE PR ,S F�B�B'A" / W SIG N,GAS SIGN ANO ONE CIRCUIT 3.00 TUBE, OR Z ' MAR pDEE Ap01T10 NAL CIRCUITS 1.00 p NOTES:. SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, $APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE. TEMP. POWER POLE UNDERSLAH WORK ROUGH CONDUIT WIRING PERMIT FEE ISUB TOTAL) FIXTURES POWER AUTHORIZED PLAN CHECK FEE 150% PERMIT FEE) PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE Q JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION o M.D. CASH ilf _.9422�- WkR29 2 D - 3.60 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �'J 76A663A-CE806A 6/72 APPLICATION FR ELECTRICAL PERMIT LJ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / e BUILDING AND,SAFETY DIVISION ADDRESS LOCALITY �L NEAREST FOR APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH FEE / OWNER 7 RECEPT. 1 S S MAIL D� J LIGHT1(1l FIRST 20 ADDRESS J TOTAL CITY T L. 0 SWITCH OVER 20 PLAN CHECK GHTING TOTAL LFIRST 20 1 APPLICANT I 1 / FIXTURESIII I( OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL. NO. PERMIT RANGE_DRVER_WTR. HTR._ APPLICANT / STA. COOKOISP._F.A.U. ADDRESS �, SPACE HTR. AIR COND. CITYY, EzyL. NO. CLOTHES WASH. DISHWASH._ LICENSE NO. CLASS. FAN_OTHER I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION O AND STATE CTHATOUNTY THE ABOVE IS CORRECT AND LAWS TO COMPLY O MOTORS, TRANSFORMERS HATING WITH ALL COUNTY DflOINANOES 4N0 STATE LAWS REGULATING (J IND. HEATERS, ETC. HP. KW. KVA. ELECTR IC4L WIq INS. S1ZE 6 TYPE OVER TO O I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR I- 0 - 1 LICENSED AS RECLINED BY LOS ANGELES COUNTY AND STATE OF W CALIFORNIA OR TNA I AM THE LEGAL OWNER OF, AND INTEND TO [L 1 - 10 RESIDE IN, THE 4 OVE OESCR IPED RESIDENTIAL PROPERTY. SIGNATURE 10 - 50 OF PERMITTEE 50 - 100 ' DISTRICT NO. CLASS ZONE R SE B 100 - 500 U SIGN, GAS SIGN AND ONE CIRCUIT NOTES: TUBE, OR MARQUEE ADDITIONAL CIRCUITS SERVICE NOT OVER 600 VOLTS OR 200 AM P APPROVALS DATE INSPECTOR'S SIGNATURE SERVICEOVER 600 VOLTS OR 200 AMP TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES UNDERSEAS WORK TEMP LIGHT OR REC ERT. SYSTEM ROUGH CON DIUT WIRING FIXTURES in POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE PERMIT ISSUING FEE TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION (C'."'D M.D. CASH 4 8 7 ,NOV 29 2 U 6.5 () A56 76AC6;C= CE8068 13/75 APPUCAT0 FOR ELECT AL p[ RMT eDL BUILDING ANAFETY DIVISIO FOR APPLICANT TO FILL IN JOB -�© New Residential Bldgs. & Pools EACH NO. FEE ADDRESS 1 &2 Finally Sq. Ft. $ - $ LOCALITY e '1 Multi-family Sq. Ft. - NEAREST Residential Swimming Pools CROSS ST.OWNER OR FIRM NAME VR Outlets: Light, Switch & Receptacle MAIL YI' i First 20 ADDRESS Additional CITY Tel. No. PLAN CHECK / Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D.W. ADDRESS Oven _ Dryer _ W.M. _ Top FAU W.H. CITY 5' el. No. U v( Hood Fan LICENSE OR ....11 Disp. A.C. REG. NUMBER Class.C,-- CJ J Reay . OC AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Size&Type HIS, KW, KVA,or KVAR LE CTR.c.L wiR inc. i Up to 1 Incl. I ...4BY CERTIFY THAT I A. PROPERLY REGISTERED rn AND/CRz Over 1 to 10 Incl. LICENSED AS RED REB PLUS COUNTY AND STATE OF 'Over 10 to 501ncl. oESCR,ReDARE/// EA LEc.L OWNER OF THE ..DOU Over 50 to 100 Ind. PERMITEE " I Over 100 SIGNATURE DISTRICT Nq--� Q PFjpCZ, Services 0/J// 0-200 Amp. Under 600 V � 201 - 1000 Amp. Under 600 V - APPROVALS DATE INSPTOR'S Over 1000 Amp.or Over 600 V SIG ATURE TEMP. POWER POLE Temp. Power Pole& Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH'CONDUIT (Other) WIRING J-2, FIXTURES POWER AUTHORIZED may_ PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED ��3a-7� (//�� -�`• PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL —j -2 7 S� PERMIT ISSUING FEE NOTES TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK: M.O. CASH 9 6 2 X-DEC 30 2 9.0 0 =