HomeMy Public PortalAbout5327 ENCINITA AVE_Electrical__ 76A663-CE8061,_70 APPLICATION FOR ELECTRICA PERMIT
l_I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7ADDRE
BUILDING AND SAFETY DIVISION � Z7JOHN A. LAMBIE, COUNTY ENGINEER T COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGA-
IfFOR APPLICANT TO FILL IN OUTLETS NO. EACH FEE$ S "�i.f,b `"
RECEPT. �S MAIL y�
LIGHT TOTAL
FIRST 20 20 O ADDRESS 5
'
SWITCH OVER 20 10 CI TY TEL. NO.
PLAN CHEC
FIRST 20, 20 B' APPLICANT -
LIGHTING TOTAL
OADDRESS
FIXTURES 3 VER 20 10
APPLIANCES CITY ) TEL..NO.
PERRANGE DRYERWTR. HTR. .APPLIIICANT d a �� M O/J-e-
STA. COOK DISP. F.A.U. ADDRESS
IOO.� C LS S
SPACE HTR. AIR CONO. CITY S,4AI neS TEL_. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. 90fj y CLASS..G'/D
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT IHAVE 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
QI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
2 0 - 1 'L 100 0 ` LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIGNATURE d
10 - 50500 OF PERMITTEE
V
50 - 100 1000
' �DSTRdCT NOSS 0 SSBY
,DO _"500 1500 QG
ri
SIGN, GAS [SIGN ONE CIRCUIT 300 NOTES: CL
a
TUBE, OR h
MARQUEE ADDITIONAL CIRCUITS 100 ?
SERVICENOTOVER600VOLTS OR200AMP _200
SERVICEOVER 600VOLTSOR200AMP 5,00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB•WORK
ROUGH CONDI UT
WIRING
PERMIT FEE (SUB TOTAL). FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 J
FINAL - ..
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING.EL CAL ENGINEER
PLAN CHECK VALIDATION CK. M. A PERMIT VALIDATION cK" M.0. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
J 76 6`CEBtr� 1/.70 APPLICATION FOR ELECTRl L E MIT� •. .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS � G/�/
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST' G
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO EACH I FEE
OWNERs Is 1 Z.
RECEPT._ MAIL , ` - '
FIRST 20 20 ADDRESS ,3 � �.f �V
LIGHT TO"fAL CITY L NO � ,
SWITCH OVER 20 10
' PLAN CHECK
LIGHTING TOTAL FI RST,20 20 APPLICANT _
OVER 20 ADDRESS
FIXTURES 10
APPLIANCES CITY TEL. NO.
PERMIT -
RANGE DRYER_WTR. HTR. ••APPLICANT
STA. COOK% DISP. F.A.U. ADDRESS
SPACE HTR.- AIR COND. CITY TEL. NO.
CLOTHES WASH._Dl SHWASH. LICENSE N0. -CLASS. '•
FAN OTHER 100 1- HEREBY'ACKNOW LEDGE THAT I HANE-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 REQUIRED BY LOS ANGE 5 COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEG OWNE F, AND INTEND TO
1 — 10 300 RESIDE IN, THE ABOVE DESC .ED R EN TI PROPERTY.
10 - 50 500 SIGNATURE
a'
OF PERMI•TTEEiS`�'
50 - 100 1000 '
DISTRICT NO. CLASS GROUP ZONE P E DWI O
00 - 500 1 5 00 p 1 - U
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES: _ IL
d
TUBE, Oft Z
MARQUEE ADDITIONAL CIRCUITS 100 - s
SERVICE NOT OVER 600 VOLTS OR'200AMP -200 -
APPROVALS ATE INSPECTOR'S SIGNATURE'
SERVI CEOVER 600 VOLTS OR 200 AMP 500 _
TEMP.POWER POLE
TEMPSERVICE, POLE, &APPURTENANCES 300 '
UNDERSLAB WORK ,
TEMP LIGHT OR RECEPT. SYSTEM 300
ROUGH CONDIUT
�N Q A WIRING
PERMIT FEE ,ISUFIXTURES
B TOTAL) - '
_
PLAN CHECK FEE (50% PERMIT FEE) POWER.'AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 200 d
17
FINAL /�
SUPPLEMENTARY,PERMIT ISSUING FEE 100
JO E H C. ROOHAN
TOTAL FEE s�JV Y SUPERVISING ELECTRICAL ENGI
PLAN CHECK VALIDATION CK. M.O. -CASH PERMIT•VALIDATION CK. M.CLAS
L�Sr�
4--s r NOV 5 2 .0 3.0.0 d
t
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - ��
/z�/ 1,140
76e663-CE806 1_68 APPLICATION FOR ELECTRICAL PERMIT �39`o�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING���q r r
BUILDING AND• SAFETY DIVISION ' ADDRESS oo�L
JOHN( A. LAMBIE, COUNTY ENGINEER T
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY / / -
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. QLD
_ NO. EACH FEE
$ $ OWNER W C i /'j
RECEPT/��j�1 MAIL '
LIGHT TOTAL •FIRST 20 999 .20 � ADDRESS �O
SWITCH OVER 20 10 Q CITY ' c 1 TEL. NO.24 'Z -
l PLAN CHECK '
LIGHTING .1 TOTAL FIRST 20 20 C APPLICANT
FIXTURES I OVER•20 10 ADDRESS -
RANGE Daa��RYER—WTR.HT'Rt: CITY TEL..NO.
STA.COOK2--oIsP:—/—,—'F.A.U.�t— CONTRACTOR
SPACE HTR* ✓ - AIR 'CON D.' ADDRESS OO
CLOTHES',WASH,-.JDISHWASH.•"/— CITY 6-`3 3
FAN OTHER LICENSE IJ O. 6 CLASS.
MOTORS,TRANSFORMERS RATING
IND HEATERS, ETC. HP: KW. KVA I. HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15-CORRECT AND AGREE TO COMPLY
SIZE & TYPE. OVER TO WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
•_ELECTRICAL WIRING. -
a 0 - 1 1.00 -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND IN TO a
10 - 50 5 00 RESIDE IN, THE ABOVE DESCRIP,ED RESIDENTIAL PROPERTY. _ O
50 — 100 10 00 SIGNATURELJ
OF PERMITTEE p.
�1 00 —.500 15 00 O
SIGN,GAS DIS ICT NO GROUP O E P OCE. QY
,OR s
i TUBE, OR SIGN AND ONE CIRCUIT 3 00, - 1 +' O � C.� Ti Pi 93-
MARQUEEADDITIONAL CIRCUITS 1.00
NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 1200 AMP 2 00 �G
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 t
TEMP SERVICE, POLE, & APPURTENANCES 3 00 APPROVALS DATE' ,INSPECTOR'S SIGNATURE
TEMP. POWER POLE -
rROUGH
RK -
• - TPERMIT FEE (SUB TOTAL)PLAN CHECK FEE (50% PERMIT FEE)
RIZED
PERMIT ISSUING FEE •2 00 Q( . TIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 .q FINAL �� �7'(. //�o�Ji✓�i�?�
TOTAL FEE `� Q JOSEPH C. ROOHAN ,
SUPERVISING ELE ICAL•ENGINEER
PLAN CHECK VALIDATION CK- M 0 CASH' PERMIT VALIDATION CK ' M.0 CASH,
;EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE -