HomeMy Public PortalAbout5121 DOREEN AVE_Electrical__ 76A 663-C.E B06.10/.2 AY Y LICA ID(Y / uE YY\ bP'1L+ W ERMI Y
COUNTY OF LOS ANGELES VVV
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS C;)-/ // '
-- - LOCALITY TGm /C '
NEAREST r
FOR APPLICANT TO FILL IN CROSS ST. �1
ERECEPT.— -
NO. EACH FEE OWNER OR /
FIRM NAME
MAILpFIRST 20 25 ADDRESS �/y OAL `CITY / EL. N0.OVER 20 .10 PLAN CHECK
APPLICANT
FIRST 20 25TALOVER 20 AOORESS
.10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT nqq
RANGE_ORVERWTR. HTR._ APPLICANT C 1 Il, / 1/
STA. COOK_DISP. F.A.U._ ADDRESS
SPACE HTR. AIR COND. CITY 16 TEL. NO,!V(1.1-7071)
CLOTHES WASH. DISHWAS H._ LICENSE OR
REG. NUMBER .4- CLASS.
FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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
HEREBY CERTIFY D BY AM PROPERLY REGISTERED ANO/OF
D - 1 1.00 CALIFORNIAAS REQUIRED 1 BY LOS ANGELES COUNTY AND STATE OF
CA LIFR NOR THAI AM THE LEGAL OWNER OF THE ABOVE D-
C-
1
1 - 10 3.00 O DESCRI"ED BESI ENTIAL PROPER Y CJ
U
PERMITEE
If 10 — 50 5.00 SIGNATURE O
H
50 — 100 1000 DISTRICT NO. C _SED BV w
d
100 - 500 15.00 -5,
9.00r
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC SSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.00 UNOERSLAB WORK
S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING 1 G
TEMP LIGHT OR RECEPT.•SYSTEM 3.00 FIXTURES
� 4 /D POWER AUTHORIZED
l/ UTILITY CO. NOTIFIED I/r
FINAL
PERMIT FEE (SUB TOTAL) Gv NOTES: /VG/ (1) JI2'�/
PLAN CHECK FEE //``
PERMIT ISSUING FEE 3.00 V�
TOTAL FEE V
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION crc M.O. CASH
IA( 25013 ;
L3O p Da.00A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE `
I6A 6t3-CE806 S-fit APPLICATION F�®� / ELECTRIC
bEq4RIC�L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
- NEAREST ^^^^1111
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. ,� TOTAL NO. EACH FEE
FIRST 20 $ 20 S OWNER
/♦''11
-OUTLETS ( ♦ •'•i.LR�></y�C •'=Z/ l
LIGHT hr ^2 ` pD0'L `• MAIL
ADDRESS
SWITCH. ♦ Fel OVER 20 _.10 _
LIGHTING TOTAL FIRST 20 x.20 CITY /.. TEL. NO. 1
FIXTURES l _ to ELECTRIC
OVER 2
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS-6/A6 ♦��l'
GARB.BIER. STA.COOK CITY I / TEL. NO. �
/, .{>'J
DISH WASH. AUTO-WASH. STATE
SPACE XTRS. STA.APP.(Y H.P.MAX.) .50
LICENSE NO. ♦a1
MOTORS: OVER NOT OVER H.P. DISTRICT y0. .., GROUP ZONE PROCESSED BY
O 1 1.00 ))
1 3 1.50 INSPE TION REc6/ RD ! aa
3 B 2.00 0 /� ♦ . ri . 'V/ ✓ /..� /� PA.
8 Is 2.50 / .♦ � - `, }
4V 0
is SO 3.00 V
s0 I00 5.00K
0
SIGNS: NO.TRANS
-
NO.LAMPS
d
N
SERVICE 0-600V-NOT OVER 200A 1.00 � .��� ♦ Z
SERVICE 0.600V.OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
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 CONDUIT'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING G�
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR /
LICENSED AS REO RED BY LOS ANGELES CO NTY ANO STATE OF FIXTURES LUnM.G
CALIFORNIA Op T T I AM THE LEGAL O ER F THE ABOVE /
DESCRIBED RESIDE IA AD /yJ .POWER II
SIGNATURE \�//� /i ////` UTILITY CO.NOTIFIED / -!♦L�-G�. /N.e.tei✓L4Y
OF PERMITTE (� /fi (LyEK3;<Eiii ��((�� !
.-. - - - FINAL f �'f$. (P2_ -04A—..-iA
LIDATION ARTHUR C. VEIT V /
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LA;06 5,6 5% NOV 7 2 D 1 5.30- d
I