HomeMy Public PortalAbout5204 DOREEN AVE_Electrical__ 76A683-CE6083-69 & Y OI7 /���yy
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APPLICATION FO ELECTRIC�,L PERMIT
COUNTY OF-LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
43UILDING AND SAFETY DIVISION qoo REI55 -�)�
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BU ILOING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. f F
NO. EACH FEE
$ 5 OWNER
RECEIPT. MAIL '
LIGHT TOTALADDRESS
FIRST 20 .20 s
CITY TEL.NO-
WITCH
EL.NO.WITCHOVER 20 ,10
PLAN CHECK
LIGHTING l(l TOTAL FIRST 20 .20 APPLICANT
FIXTURES J OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP. F.A.U.
CONTRACTOR
SPACE HTR._AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO.
FAN OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
INC. HEATERS, ETC. NP. KW. KVA. ANO 5TATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
p - 1 1.00 1 HEREBY CERTIFY THAT I A PROPERLY REGISTERED ANO/OR
/ LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
1 - 10 / 3.00 D` CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d
PESIOE N. THE ABOVE DESCRIBED HESIOENTIAL PROPERTY. O
10 - 50 5.00 V
SIGNATURE
50 - 100 [2.00
OF PERMITTEE t 'tip 6 O
100 — 500 DISTR1cT NO. GRouP zoNE - cE SED BY
W
SIGN,GAS SIGN AND ONE CIRCUIT
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS NOTES: -
SERVICE NOT OVER 600 VOLTS OR 200 AMP JSERVICE OVER 600 VOLTS OR 200 AMP
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'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 2_100 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1,00 FINAL
TOTAL FEE /O� .' JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION ON. M.D. c s
( Ar, 7 s 2 ar NDV30 .2'. D7.00-
SEE BAC.K OF APPLICATION `Pl COMPLETE FEE SCHFOULF
SA669-CEBO610-61 APPLICATION FOR L CTRCAL PERMIT
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER BuaDIN wS ^�L, _ 1 L
BUILDING AND SAFETY DIVISION ADDREss //,/1
JOHN A. LAMBIE, COUNTY ENGINEER /
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY .e7✓
1, NEAREST
FOR APPLICANT TO FILL IN c.Oss
1
T9 M NO. EACH FE
OUTLETS IRST 20) / $ S OWNER 1
LIGHTS RECEPT. SW. [J •20 _`v MAIL
ET : (A —
OUTLDD'L UNIT ) 1O ADDRESS
LIGHTS RECEPT. SW.
LIGHTING FIXTURES: (FIRST 20) .20CITY A TEL. NO.
LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIAN 'r'l. tr
RANGES CLO.DRYERS WTR.HTR3, 1.00 ADORES �A
GARB.DISP. STA.COOK
CITY (� j TEL. NO.
DISHWASH. AUTO.-WASH. �Q STAT
SPACE HTR3.^ STA.APP.I'/.H.P.MAX)( ,50 LICIE NO.
MOTORS: OVER NOT DYER H.P. DIST
EtI/GT O. GR UP ZONE P �SSED BY
O i 1.00 -�G C�- �p --�� �.
1 3 Iso I INSPECTION RECORD r
3 8 2.00 t VJi'�t'1f.t ,/' 0
B 15 2.50
15 s0 3.00
50 100 5.001 1
SIGNS: Z_
NO.LAMPS n
SERVICE 0.60OV-NOT OVER 200A 1.00 /♦ //�7a,♦J/,/+ �r� ,�•t
SERVICE 0-60OV-OVER 200,A. 2.00 `9/ ✓KP r /]�`✓iY1 � '� /
SERVICE OVER 600V 5.00
MISC. J/
` z
PERMIT ISSUING FEE 2.00 � O � w
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 siL Aav L A
AAl
TOTAL FEE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS GATE INSPECTOR'S. R
AN
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING / // /
1 HEREBY CERTIFY THAT I A PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED B LO ANGELES COUNTY AND STATE OF FIXTURES a4 G^
CALIFORNIA OR THAT 1 M HE LEGAL OWNER OF TH ABOVE
DESCRIBED RESIDE P F Y POWER F� A
SIGNATURE UTILITY CO.NOTIFIED /
OF PERMITTE
;- FINAL
OCKLIDATION ARTHUR C. VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
CK MO CASH
9-0 2 � i„-,Y .l . 2 D 1 11.8 U
76A663-CES06 3-68 ` f
APP.LICAp.N FOR ELECTRICAL '.P.ERMIT
COUNTY OF LOS ANGELES
'-DEPARTME NT`OF-COUNTY,ENG I NEER'V f -
BUILDING AND SAFETY DIV.IS,IONN:)2 a'3? BUIL
D REISS•�4' +O}•� YY �''Z:{ice 'J...,..r
'- JOHN A. LAMBIE', COUNTY ENGINEER
COLEMAN W. JENKI'NS, SUPERINTENDENT OF BUILDING ,LOCALITY"`
.FOR APPL".ICANT TOUFI L'.L(INIRrH l:fn':l Irn {CROSS ST;I,t],'Vf f`G t`'�f f]I'jrA+W Lr6}7'!•!RL'lll E(11 @(71t}�,
NO:. EACH FEE L ,7E1(Jlll:t.i 3i�1NJf.' (IBijJ\9�J.I�YI\•1,'•v,il 1� D9{y-l:J(�NVJ ��,•.•
$...., $ j IOWNEft:. .a/ ( 1' l1 .r1'!`. n .:d r •'- .
RECEIPT ,MA'IL�lt Yfy! l� (1'T'41,)iJ-.1110111.v<; 91)5JLINJJ oosl
fifj 1 t 'ADDRESS
LIGHT ( Y TOTAL FIRST 20 20
-
SWITCH {J '�• - OVER 20 10 \CITY ' ll r3 t.$'-]Lll�-1 %TEL}NOJ SSI{]Ijel I i0,�.
-PLAN CHECK.IO85 1IF171U hJ r {-
LIGHTING Ile TOTAL FIRST 20 20 +- 'APPLICANT' -1 L 'lC. i ''•v } �•�! '
ADDRESS3. '. r^$ SY7; LI$}.(Iirl x t t1C}furl YG ^E3lUCe f0-I' ;
FIXT UR ESE }
'OVER 20 10 ' -
�.. ! '`CITv li •:3.,6 u] e�.�ttt.t`lgIJ rEL'.'NO 5�1aSFi�nT YO
RANGE_DR VER_WTR.`HTR._ a, 7Sjl
'STA. COOK DISP. - F:A.0.e < •' ICONTR ACT OR { frC ! fie f 1. + P•r �1
tt L„f,� � IP! 1 $ 15Ja. •ri;a +uv1 - :rt r; arfr'o rr J -
'SPACEiHTRr !.. �A'IR CONDry'n .1111 ]I�.r'. 2Li i`x/.3%:.t ]7f.] Z i:A00RE55A fFi}Y..Zt. AsiFrEISOUt ].n II{•V+frit},TR�r-Ox),I iD=r
CLOTHES WASH'ii r,i1D15 HWASFinur101 ,",TQ]I `i:(IF, )(.2Y9( 34 f10 IC ITV l 1V^.' T "�)•Tl-�IYC T t'I1TE L-:NO 'fYli, �j
. -• .ppU) FqO % ICENSEINOfO bli6,n1(;9n1+`.�U17a,'r'_RI:IHPC LA55�f�f)r O. �'.
FAN'_OTHER ' 1.00 l„
. R S -H$r7 A xHA EVREA _r Lawn
MOTORS,TRANSFORMERS RATING 'r• E EBYy ACµ O -E04EC'I T 6F E4RE40yTGREE POCOM ION.
IND. HEATERS, ETC. HP. KW. EVA. `- r!rvp STAT.-i HRT TNEABOV E's co RRCCT`4x0�' GREE'i0 COMPLY
/'A ITX- AT -COUNTY�OR01N4N CES.- D STATE..LAW9 REGULATING
SIZE[$)T_YPE OVER TO - _ /(. -
_ •ELEC IC L WIRING
O - 7 l DD \ r IMEP BY,:C ERT I FYI THAT,( AM ROPERLY(RCGI STER EO AND'/OR ''.d
• T'r t / [ LICENSED 45 REOV RED•BY�105 ANGEtl.S-C6V.TYANO•STATF OF, O
1V- IO' y 300 ,•�+; ! � tCALI FOR II OR�THATV I�AMjT- LL•GALA,OWNERIOF:LAND�'INTENO TO - •-v
''ESI OE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPEft TY
10 - 501. 5 00 '11 • . p, J [_ .V x 19 J
>• lar.ovr, 1 u'nn v - - v.w g S IGNATURE tf1;,IA IO Visr'I)4t44i� iO� /�'{}•¢�{ _ .ry
` S0.- 100 fODO�l,i l OF, PERMI.T.T,EEIn 'r -'•`
p ..A r aBl
qi:-n5OO Ij )v• ppSDO I`,{ ]t1)„ Ily} IISTRICT NO:A�twI rGROUP aY l IZGNEVjj 1' RO CE SS EO BY r }:.a'
i r. . r0^• .ti 10'!f O.J'L' d'�/.I�a YiTa 7lr}! 'ULb x.41 '../1 \G'°%,.r a•..w._ . K
# SIGN,GAS SIGN-ANO ONE CIRCUIT 3.00 s
TUBE, (�- - - ,'.. _ `UUI m)B::1 AJy'EV utf-, y I ilo JS1•`t I16 yut4ui LullO-
MAROUEE ADDITIONAL CIRCUIT$ 7 00 - NOTES:,
r.^n ...r ♦ L.4 N.•.A r w'r P. 5
SERVICE NOT OVER, VOLiS�OR 200 AMP:ifit`d 2 00 EII'!G]if 0�-f)� )6(JllO^. 97f\.}r I�i O(1:itig($r1 w 0]f,� - -~
SERVICE OVER 600,V OLTS OR 200 AMP /” 5.00 T `t�RI'.G i'T.O� I)SauT):5P GI H419•C'!1
APPROVALS ,-L�3 Qn IOATEf P 1{INISOECTOR$ SI6 ITURE '
TEMP$ERV{hE(POLE,-&APPURTENANCES- 3.b - - - -_
QD•• TEMP POWER POLE Ift O. miyATR I l'1FtflMA.l0�y
i„•U1 l�(Gel A4A4Oal 1812!(!'` 1B?&IE`��;'10�. rr
.uu1N - - :.-.o .•�!�•' NDERSLAB WORK
(:( 00,3 TBV{) 0 L•B.'*JtVI +{.`IQ-)ROUGH-CONDUIT -
AM )
n�•�• tl[.i63 6 0': .WtIR INGr,A 1 o1nC V� nO c t' R ulrSsnmci'P
4
PERMIT TEE• - 91{\(SU BST OT A'L 1! B 31'!Itt(IS SId.J.iifi' \FIXT URE S._1Al+I(A:1.') I7 IB PYtfJ �?
n .?I 06r;R]]fl0@brt 4r-i
1:! \ 'POWER AUTHORIZED •(t]I j2{-t•�197St:�lvr"('
PLAN CHECK FEE (50% PERMIT FEE) - r1 T9a Bf10::f0• $'71 1.64'6 ? 7O� �!
-Jlr-ul - UTILITY CO.NOTIFIED
'PERMIT ISS UING_FEE ' ' 2 00 -!IY r .!,^-.I W(,-_ I151IU Y P.nfG .) �� : fl9i 1 Uu9f1 -fI CFcI 7Q9� Vii'_
\ FINAL -
t. SUPPLEMENTARY PERMIT-ISSUING FEE 1 00
TOTAL FEE T r JOSEPH Cfr,ROOHAN
SUPERVISINGELECTRICAL ENGINEER. '
. -LAN,CHECK-VALIDATION •, :. cN M.O. cA.11 PERMIT VALIDATION.! cK cn5 .i
Sr B..E O C(1