HomeMy Public PortalAbout5641 ENCINITA AVE_Electrical__ 76A663-CE806 9-64 APPLICATION FOR ELECTRI / AL PERniNIT I1 -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r7
BUILDING AND SAFETY DIVISION ADDRESS i T
JOHN A. BI
LE,
AMCOUNTY ENGINEER
COLEMAN W.L JBINS, SU P'T. OF BUILDING Lr, -L/
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Q ALo"IL
RECEPT. TOTAL NO, EACH FEE
(�—
LIGHT If OUTLETS FIRST 201 $ 20 5 O OWNER
MAIL
hy ADDII� ADDRESS
BwITC H. '' O OVER 20 10
TOTAL O CITY TE NO.
LIGHTING j ' LF)RST 201 .20
FIXTURES ADDL 1O ELECTRICIAN ✓
--fl DV R zo 6
RANGES CLO.DRYERS ' WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COON
TEL. NO.
'DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(%H.P.MAX.) ,50 LICENSE NO. �6 O
MOTORS: OVER NOT OVER H.P. DISTRICfT} NO_ GR P Z /P70 n E4
O 1 1.00
1 — 3 1.50 INSPECTION R C RD
r
3 6 2.00
0
8 15 2.50 U
19 50 3.001 I - CG
50 . 100 5.00 O
W
SIGNS: NO.TRANS. Q.
NO.LAMPS N
Z_
SERVICE O.SOOV.NOT OVER 200A 1 1.001
SERVICE 0-600V.OVER 200 A. 2.001
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 C—Q
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 6
144
IHEREBY,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
HEREBY .CERTIFY THAT AM PROPERLY REGISTERED ANO/OR FIXTURES
LIC ENSED AS REQUIREDBYLOS ANGELES COVNTY AND STATE OF
CALIFORNIA OR THAT M THE LEGAL OWNER OF, AND INTEND TO
BESIDE N, TNG ABO V,Spy'OE RIBEO 999///��� IO//E�N��TI L PROP RTv. .POWER
OF PERMITTEE
UTILITY CO.NOTIFIED
OF PERMITTEE l(Y-W ,`
FINAL �.
K
0MO CASH IOATION JOSEPH.C. ROOHAN -
SUPERVISING ELECTRICAL ENGINEER_
��C// 6.4
/,
76A663-CE8063-84 APPLICATION FOR ELECTRICAL ERMI4
COUNTY OF LOS ANGELES
DEPARTMENT
AND SAFETY DIVISION Ao..ss 00 5641 Encinitas
JOHN A. LAMBI E. COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY Temple City
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Broadway
RECEPT. TOTAL NO. EACH FEE
1Il OUTLETS FIRST 20 111.20 B OWNER'
LIGHT 1 10 . MAIL -
SWITCH. 2 OVER ADD'20' AO - ADDRESS
TOTAL CITY TEL.
EL NO. )
LIGHTING l F1Rsr 20 2 _.20 -
FIXTURES I 2 DVDA 20 to ELECTRICIAN Shannon Ele Ctrl Clans 1 G:'
RANGES CLO.DRYERB WTR.HTRB. t.00 ADDRESS S. Myrtle Ave.l
GARB.DIBP. .BTA.COOK CITY Monrovia TEL. NO. 47 7.372•
DISHWASH. AUTO.-WASH. STATE
SPACE HTRB. BTA.APP.(IAH.P.MAX.) .50 LICENSE NO. 164470
MOTORS OVER NOT OVER H.P. DIST��gtICT NO. GROUP ZONE PROCESSED BY
o t 1.00 DIS?
, A 2C ES
t 3 1.50 INSPECTION RECORD a
3 e 2.00 ! T O
8 15 2.50 .IM.� �,✓
15 50 3.00 ' I -
n
50 too 5.00
SIGNS, NO.
NOTRANS. •( " � �„f-*! Z
LAMPS /bC4SC -
r
SERVICE O•SOOV-Nm OVER 200A 1.00 '
SERVICE O.SOOV•OVER 200 A. 2'.00
SERVICE OVER 500V 5.00
I MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE ® 4 90 -
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INREROR'S SIGNATURE
AMD,STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT 1
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ff��Y /1! �1Y1'1.LY�Y/1
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR �fl'.n �y./�•�• /ten
LICENSED AB REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES 71 �Y, IJO M
CALIFORNIA OR THAT I AM THE LEGAL WNER OF THE ABOVE
DESCRIBED RES, orelrtr. POWER
SIGNATUOF PERMITTEES UTILITY CO.NOTIFIED r''f .
FINAL
CK
0DATION ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
MO CASH
Cos Af 1� NOV 2 2 D 4.90~ v.
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