HomeMy Public PortalAbout5104 DOREEN AVE_Electrical__ 21
961662-CE8083-89 APPLICATION FOR ELECTRICA PERMICT�
COUNTY OF LOS ANGELES __ __
DEPARTMENT OF COUNTY ENGINEER BUILDING )
BUILDING AND SAFETY DIVISION ODRESS 5/ D&LL�✓V
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCLITY ('
NEARAEST
FOR APPLICANT TO FILL IN CROSS ST. /)
��//^ NO. EACH S FEE OWNER /y
RECEIPT J e� MAIL
S
LIGHT TOTAL FIRST 20 E/ .20 ybC` ADDRES
SWITCH OVER 20 / y' .10 C�n CITY TEL. NO.
PLAN CHECK
- LIGHTING
TOTAL FIRST 20 ,20 APPLICANT
FIXTURES �� OVER 20 ,10 ADDRESS
RANGE_DRYER_1WTR. HTR. CITY TEL. NO.
STA. COOK_OISP. /J_,F.A.U.�Z CONTRACTOR t -,(- J (I/�• l.0 �D '
SPACE HTR.Gt�AIf�DIS HWAS H.�COND. ADDRESS
CLOTHES WASH. L�U yv1a.B�QO /'•�P- ,/(J (7/
/ CITY y(j, _(/ t-CPJ TEL.NO.
/ -/e IQ f0
1 , p
FAN ✓ OTHER 5 1.00 LICENSE NO. w p �� CLASS. C
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KV A. Ono sTwTE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE a4 TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS RE4VLPTIHG
ELECTRICAL WIRING.
D — 1 1'GO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
1 — 10 3.00 CALIFORNIA Ofl THAT AM TME LE44L OWNEfl OF, AND INTEND TO
RESIDE IN. THE ABOVE
DES CHIBEO RESIDENTIAL PROPERTY. O
10 — SG 5.00 r U
SIGNATURE
50 - 100 10,001 1 1 OF PERMITTEE Q
GROUP
100 — SDD 15,00 DIBT RICT NO. ZONE PR 1.J
W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 ' T h
TUBE
MARQUEE AO"IT'D
NAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 Q'C
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTORS SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING -7 If
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
i PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 a UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL -
TOTAL FEE A.A JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION <!n M.Q. CASH
0 0 9C� hAY 'j 2 D 2 0.00
SEE BACK OF APPLICATION FOR COMPLFTF FEF. SCHFDULF ' �_ '
76A663-CE506 3-69
APPLICATION FOR ELECTRIIICAC PCE-�RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 9 BUILDI1�NG r `
BUILDING AND SAFETY DIVISION ADDRESS JID pZ,Q,Qir1/
JOHN A. LAMBIE, COUNTY ENGINEER -
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY -42 & �-
-' - NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EPCX FEE
$ 'E OWNER t - C�
RECEIPT. MAIL
LIGHT TOTAL
FIRST 20 ,20 ADDRESS
SWITCH_ OVER 20 ,10 CITY TEL.NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES OVER 20 ,10 ADDRESS
RANGE_ORYER_WTR. HTR. CITY �E TEL. NO.
STA. COOK_DISH. F.A.U. CONTRACTOR
SPACE HTR.—AIR GOND. ADDRESS 9 ,3 -/w-.♦'�-t7 �/+1�- ((��pp pp
CLOTHES WASH._DISHWASH._ CITY (� �, p TEL.NO.� Tp�6/I �
FAN_OTHER 1.00 LICENSE NO. pc/n�L5 (] S O CLASS.
MOTORS,TRANSFORMERS RATING 1 HEREBY ACI(NOWLEOGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KV A. ANo STATE THAT THE ABOVE IS CORRECT AN AGREE TO COMPLY 1-
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES ANO STATEOLA WS REGULATING iY
ELECTRICAL WIRING. _
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LIC ENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO d
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
10 - 50 5.00 U
SIGNATURE
50 - 100 10DO OF PERMITTEE a O
ti
100 - 500 15,00 DISTRICT NO. 6ROOP ZONE ` PROCE E (f
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 O
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES;
SERV ICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 ^J a,A APPROVALS DATE INSPECTORS SIGNATURE
J TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED 7
PERMIT ISSUING FEE 2.00 T � UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL 7
TOTAL FEE ,per .JOSEPH C. ROOHAN
_ V SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CR. M.O. CASH PERMIT VALIDATION In M.D. CASH
( A(l 9 6 7 5�" APR13 2 D 5_.00~ a
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 1 ,^