HomeMy Public PortalAbout5423 & 5323 ENCINITA AVE_Electrical__ I ` ,_ 1 'r, �
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'6A663-CE606 5-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ,(�
BUILDING AND SAFETY DIVISION ADDRESS Z-3 C ciooi � �v
JOHN A LAMBIE, COUNTY ENGINEER �- /� +
WILLIAM A JENSEN, SUP T OF BUILDING LOCALITY /�
NEAREST
/ FOR APPLICANT TO FILL IN CROSS ST
RECEPT �4f TOTAL NO EACH FEE
LIGHT OUTLETS FIRST 20 y, ffi 20 $ vO OWNER
f' MAIL
ADD'I. ADDRESS
SWITCH �2 OVER 20 10 SO
TOTAL u� CITY TEL NO
LIGHTING IFIRST 20 20 7
d FIXTURES I� OVDR'L t0 ELECTRICIAN 140 V` n-)Q-
RANGES CLO DRYERS WTR HTRS 100 ADDRESS /0!9'7.2 ' I o v_0�• Y "`�•
GARB DISP STA COOK 1/
CITY /•!O Ij�L- TEL NO #1/1/3
DISHWASH AUTO-WASH STATE
SPACE HTRS BTA APP (/a H P MAX z so O„ LICENSE NO O.S—S }
MOTORS OVER NOT OV HP DISTRICT NQ GROUP ZONE PR CESSED QY
r 1
O 1 100
J i ( i
1 s 150 INSPECTION ,REEC�O�RD _
8 a 200
8 Is 250
so too Soo r 0
vc O
NO TRANS
SIGNS NO LAMPS U
W
I
CL
SERVICEO 60OV-NOT OVER 200A 100, OQ ,a ,g N
Z
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200 00 v
0 _
SUPPLEMENTAgY PERMIT ISSUING FEE 1 00
TOTAL FEE J 3I- FINAL
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATIOAPPROVALS DATE INSPECTOR 8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINELECTRICAL WIRING NG1HEREBY CERTIFY THAT I AM PROPERLY REGISTEREDAND/OLICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OURES
CALIFORNIA OROTHAT 1 AM THE LEGAL OWNER OF THE ABOVDESCRIBED RESIDENTIAL PROPERT ERSIGNATURE `�� � ITY CO NOTIFIEDOF PERMITTEE
LIDATION SUPEIiUR�C VEIT
ELECTRICAL
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAL;o B a o S* DEC 26 2 D 1 3.20— r
1 t
76A663 CE-806(11 /78)
APPLICATION-FOR ELECTRICAL PERMIT - -
- COUNTY OF LOS ANGELES J BUILDING AND SAFETY
t � N
FOR APPLICANT TO FILL IN JOB
New Residentiol Bldgs &Pools EACH NO FEE ADDRESS J a 4
1 &2 Family,Sq Ft $ 025 — $ LOCALITY —
Multi family Sq Ft 02 — NEAREST
Residential Swimming Pools 25 00 CROSS ST
"
OWNEROR f
FIRM NAME 01 '1 fll!G �= Lq I
S✓
Outlets Rec Light _ Sw MAIL
First 20 50 ADDRESS i C 0A
Total NoAdditional 30 CITY (� 1 + } Tel NoLYV 4- "��
PLAN CHECK
APPLICANT : 0'J r" �
Lighting Fixtures t First 20 50 ADDRESS
Total No Additional
30 I
CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT_
Range—Heater_D W APPLICANT-, -
Oven_Dryer_ W M— ADDRESS
Top —FAU — W H CITY Tel No
Hood_Fan —Other LICENSE OR y
Disp _Room Air Cond 2 50 REG NUMBER Class
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&LaJge Appliances TION AND STATE THAT THE ABOVE,IS*CORRECT AND AGREE TO d
Size&Type HP, KW, KVA,or KVAR - COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 0
2 50 REGULATING ELECTRICAL WIRING -U
Up to 1 Incl a I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR W
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl 12 50 CALIFORNIA O THAT I AM THE LEGAL OWNER OF THE ABOVE L6
4 25 00 DESCRIBED RE ENTIAL PROPERTY �' r• r
Over 50 to 100 Inc JIM
4000 PERMITEE
Over 100 SIGNATU r R � •� " O
Services DISTRICT NO 1PROCESSED BY
0 200 Amp Under 600 V 12 50
201 1000 Amp Under 600 V 25 00
Over 1000 Amp or Over 600 V 5000 Z �+
TI s O c
Temp Power Pole&Appurtenances 1000
Signjwith One Branch Grcuitt ' 1000 MT
Additional Sign Branch Circuits 2 00 INSPECTION >
` INFORMATION'
Misc-Londuits&Conductors lo0o LU
ON
t ON REVERSE
Other(See Complete Fee Schedule) SIDE u u
d .. _ g
V7,1 P a
PERMIT FEE )Sub Total)
- . 4,�4��,�;7,0V4
PLAN CHECKING FEE (One Fourth Permit Fee) K O
PERMIT ISSUING FEE $7 00 1_7
' TOTAL FEE # >
r
INSPECTION FINALED "
W
date By Qv s