HomeMy Public PortalAbout6160 ENCINITA AVE_Electrical__ "°°" APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Sm LD NG
BUILDING AND SAFETY DIVISION ADDRE (,n N Fmninita
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAMA JENSEN,SUPT OF 5UILDI1G LOCALITY Temple City
FOR APPLICANT TO FILL IN NEAREST
` PERNIIT FEES CROSS ST. Lorid on
OWNER Hoe ler
ITEM NUMBER 1 EACHFEE MAIL
OUTL 5: $ $ ADDRESS
LIGHTS ...... SW ,10 1 7O
LIGHTING FIXTURES 5 .10 0 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIANCOnlee son Electric
WATER HEATERS .50 ADDRESSlOJpO N. Grandview Ave.
ELEC.SPACE HTRS. DISHWASHERS
0IT Sin GabrielrEL. N0At.0-2007
GARBAGE DISPOSERS AUTO.-
STATE rL -t O
'- WASHERS STA.COOKING UNITS .2$ LICENSE NO. l 7707 C-10 1
MOTORS: OVER INC. H.P. DISTRICT NO. IGROUPI ZONE IP CESSED Y
i— z .50 INSPECTION RECORD
z- 5 1.00
5— 15 1.50
is— 50 2.50
50-200 5.00
SIGNS: NO,TRANS,
NO.LAMPS
SERVICE 0-600V LOO 1.00 °
' SERVICE OVER GOOV 5.00
MISC,
WIRING PERM IT 1.00 1. 00
FIXTURE PERMIT 1.00 1 .00
SUPPLEMENTARY PERMIT .50
TOTAL FEE - $ 20
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWSREGULATING CONDUIT
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR WIRING f2f�f[C IBX y��
LICENSED AS REQUIRED LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT
A T LEO OWNER OF THE ABOVE
DESCRIBED RESIDENTL POWER
SIGNATURE fall I UTILITY CO.NOTIFIED
_. OFPERMITTE ... FINA
®r DATION SUPE
MO CASH RVISING ELECTRICAL ENGINEER
CK
�1�102352 ,;W17 2 D 520
16Afi6C- 8E8O6B 12/75 AP UCrA -M�2�O.�R GE ,jr.EgM. A. 9 PERM
_ BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN SOB
New Residential Bldgs. & Pools
EACH NO. FEE ADDRESS 00 !/Y F)i/y
1 &2 Finaily Sq. Ft. LOCALITY
Multi-family Sq. Ft. — NEAREST
✓CL ./1�-�-�-
Residential Swimming Pools - CROSS ST.OWNER OR
/ 6
FIRM NAME
Outlets: Light, Switch & Receptacle MAI L
First 20 Y ADDRESS
14
Additional CITY Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 �r� ADDRESS
Additional
CITY Tel. No.
PERMIT /S� 1
Fixed Appliances Not Over 1 HE APPLICANTtill
Range Heater D.W. //
Oven Dryer — W.M. ADDRESS /�i��(p�A� �J
Top FAU W.H. CITY (N r� rV - Tel. No.
Hood Fan LICENSE OR O
Disp. A:C. REG. NUMBER Class. U
Y AD.INCINCII.CD THAT I AVE READ THIS APPLICATION
O
Power Apparatus& Large Appliances Ro,NANCES ANED FD z.ATE LAWS REGULATIN
LEI
Size&Type HP, KW, KVA,or KVAR ""TF""`COUNTY
d
DO
Up to 1 Incl. z
/ HEREBY AND/OR _
Over 1 to 10 Incl. i�
LEGALER of THE aeoVE
Over 10 to 50 Incl. DESCRIBED R�ES�1f JNRo 6T
Over 50 to 100 Incl. SIGNATEEti-yj �HAT I AG THE
Over 100 sGry ATUR� `�
Services DISTRICT NO. P CES BY
0-200 Amp. Under 600 V v ` 0/3
201 - 1000 Amp. Under 600 V APPROVALS D64 E INSPECTOR'S
Over 1000 Amp.or Over 600 V SIGNATURE
TEMP, POWER POLE
Temp. Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT �>
(Ott l WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Feel
FINAL
PERMIT ISSUING FEE '�
TOTAL FEE NOTES
PLAN CHECK VALIDATION CK. M O. CASH PERMIT VALIDATION CK. M.O. CASH
1 9 0 0�Jur3 8 2 a 2 1.80 e`o