HomeMy Public PortalAbout5006 1/2 (5004 1/2) ENCINITA AVE_Electrical__ 76A663-CE806 3-64 APPLICATION FOO ELECTRI AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING y
BUILDING AND SAFETY DIVISION ADDRESS J
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. n L
RECEPT. TOTALNO. EACH FEE
OUTLETS FIRST 20 ffi 20 $ OWNER G lS VA sin
LIGHT MAIL
ADD'L 10 ADDRESS --
SWITCH. OVER 20
CITY TEL. NO. &'Fl
LIGHTING TOTAL� FIRST 20 .20
FIXTURES I ADD'L 10 ELECTRICIAN 2
I 0V9R 20
RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS2_7 2- S p. -
GARB.DISP. STA.COOK
CITY --r /^'eg,TEL. NO.A?-q- S
DISHWASH. AUTO.-WASH. STATE
SPACE HTRB. STA.APP.(y:H.P.MAX.) ,50 LICENSE NO. I OQ S Z' C
MOTORS: OVER NOT OVER H.P. DIST ICT NO. OUP ZONE P ESSED
O 1 1.00 ,
s t�, �`e
1 5 1.50 INSPECTION RECORD
a
5 6 2.00 O
u
S 15 2.50
15 50 5.00
V
50 100 5.00 w
a
N
SIGNS: NO.TRANS Z
NO.LAMPS
SERVICE 0.600V-NOT OVER 200A 1 1.00 C
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 "D
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE _ ffi 3 v(j
IHEREBY ACKNOWLEDGE THAT 1 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
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT,�M THE LEGAL WNER.QF T E ABO
DESCRIBED RESIDENT L PJtOPE Y. ` POWER
SIGNATURE /
OF PERM PERMITTEE / UTILITY CO.NOTIFIED
FINAL
VALM,o (A-H ARTHUR C. VEIT
CK MO ASH
(��-� SUPERVISING ELECTRICAL ENGINEER
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76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
AOB
DDRESS p ���'s!/./��'
BUILDING AND SAFETY DIVISION
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OUTLETS NO EACH FEE OWNER OR
$ $ FIRM NAME � �
RECEPT MAIL
LIGHT TOTAL FIRST 20 25 ADDRESS
CITY TEL NO
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
OVER 20 ADDRESS
FIXTURES f0
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE-DRYERIT
HTR APPPERLICANT G�+�iL-/'7 L_-G.6•`-�/ L ���.
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY �� ���✓�j� EL NO
CLOTHES WASH DISHWASH REG NUM ER ;Z7_519 CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS 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
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS RE LOS ANGELES COUNTY AND STATE OF
CALIFORNIA THAI I T GAL OWNER OF THE ABOVE
1 — 10 300 DESCRIPED/F?E;S?lNTl>lePPER
C7 U
PERMITEE ,.--.���_�
10 - 50 500 SIGNATUR CD
H
50 - 100 1000 U
DISTRICT NO PRO SED BY L.IJ
a.
100 - 500 1500 dv
Z
SIGN GAS=SIGN ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 500 WIRING 7 -7el
,
• � G
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL _w"- Ivi 101(*�_i +
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE Gd
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
, 4NAUL 15 2 D 1 6.0 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE — '