HomeMy Public PortalAbout5111 DOREEN AVE_Electrical__ 76A663-CE80610-62 APPLICATION FOR EdECTRICAd�PERMIT
COUNTY OF LOS ANGELES nn
DEPARTMENT OF COUNTY UILDING ER AND SAFETY DIVISIONADDRESS 5111 l V�RL--L'-
B �
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING Fl LOCALITY - S
NEAREST eq
FOR APPLICANT TO FILL IN CROSS (�Sjo-ic A4
Z S
RECEPT. TOTAL NO. EACH FEE I
OUTLETS FIRST 20 $ 20 $ �, O OWNER
ucXr MAIL
ADD'L ADDRESS
9WITC X. �_ OVER 20 '10
J
'..ST 20 GHTING .20 CITY
LTOTAL FTEL. NO.
I 1 � -
FIXTURES I ADD'L
2O 1O ELECTRICIAN - (rL
OVER
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS t5
h GARB.D��. STA.COOK CITY n.
TEL.NO.
1 DISH WASH. AVTO.-WASH. STATE Q
SPACE HTRS. STA.APP.('H.P.MAX.) ,50 LICENSE NO. L
MOTORS: OVER NOT OVER H.P. DIScT ICaT GROJp Z NE PROCfSSED BY
O 1 1.00 �J
1 a 1.50 INSPECTION RECORD v
1
3 B 2.00 a `
6 15 2.50 0
_
15 50 3.00 p�
50 100 5.00 0
F
1 SIGNS: NO.TRANS. I9a
NO.LAMPS 1n
_Z
SERVICE 0-600V-NOT EVER2ODA 1.00 0
,. SERVICE 0.60OV-OVER200 A. 2.00
SERVICE OVER BODY 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC ' 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 I -3)
ELECTRICALWIRING. WIRING /_1 , 1C //�P'+1/✓� T-
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
CE /
LINSED AS REQUIRED BY LOSANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
EEI _ _ .JJJ FINAL 4
All
-1 ALIDATION ARTHUR C. VEIT
c MO CASH SUPERVISING ELECTRICAL ENGINEER
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10AB03.CEBOG 10-62 APPLICATION FOR ELECTRICAL PERMIf
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER /
WILLIAM A. JENSEN, SUP'T of BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN I CR055 ST.• zfit
RECEPT. 1 TOTAL NO. EACH
ucRTFEE /
I` OUT_LEIS nxsT 20S20 $ OWNER
MAIL
fJ ovER 20 ,10 ADDRESS
SWITLK.
GHTING
LTOTAL FIR9T 20 .20 CITY EL. NO T
I' I � Ii
FIXTURES ADD 10 ELECTRICIAN
OVER 20 /J
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADD EBB
GARB.DISP. STA.COOK
CITY TEL. NO.
G OISHWASH. AUTO.-WASH. STATE
` E �^
SPACE HTRS. STA.APP.I/.H.P.MAX.) .50 LICENSNO.
MOTORS: OVER NOT OVER H.P. DISTRI TPr GROUP ZONE PR CESSED BY
0 1 1.00 G
1 3 1.50 INSPECTION RECORD
3 8 2.00 0
8 15 2.50 v
G'
15 — 50 3.00 O
50 100 5.00j
a
SIGNS: NO.TRANS. h
NO. M S
SERVICE 0-60OV-NOT ER 200A 1.00 / Q
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION 'APPROVALS DATE INSPECTOR•S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT I /s
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Tpyp '�•� _
ELECTRICAL WIRING. WIRING 10
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RE51DENTIAL PRO Y. POWER I r
SIGNATURE ,.mss UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
,VALIDATION ARTHUR C. VEIT U'
SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
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