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Home My Public Portal About5004 FARAGO AVE_Electrical__ DD 5-A 4 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY �� COUNTY OF LOS ANGELES WM J FOX CHIEF ENGINEER NATURE F INSTALLATION DISTRICT NO GROUP ZONE PERMIT No T N3 6 WIRING I FIXTURES SERVICE READY FOR RECEIVED BY DATE ISSUED RANGE HEATER POWER FIRST INSPECTION g SIGNS MISCELLANEOUS � 12— 9 APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY �i Q NAME ADDRESS ADDRESS LOCALITY n / WH NEAREST CITY /7 TEL No CROSS ST W COUNTY RIG NO EXPIRES w NAME DESCRIPTION OF WORK z MAIL a NUMBER OF OUTLETS ON CIRCUITS 3 ADDRESS��e (� LOCATION BY ROOMS O v CITY ,{� A TEL No LIGHT OUTLETS II SWI PLUGS IFIXT CORRECTIONS CIRCUIT IA IBICIDIEk IFIGIHI LIVING ROOM / / I / I F7 �— DINING ROOM BRFST RM BATH ENT HALL I J HALL NO I Q FRONT PORCH OUTSIDE p KITCHEN 3d SERV PCH BDRM NO CLOSET _ Y BDRM NO CLOSET __ APPROVALSY . IdV _ Iy A/TE INSPECTOR 5 NAME N—CONDUIT �'/ WIRING v /— .• TOTAL I I r I C FIXTURES , A ` NO OF OUTLETS 9� $ /�� POWER NO OF FIXTURES UTILITY CO NOTIFIED NO OF MOTORS H P $ �l FINAL NO OF SIGNS TRANS $ 1 AM THE LEGAL OWNER OF THE ABOVE LOS ANGELES COUNTY REGISTRATION NUMBER NO OF RANGES OR HEATERS $ M ISCELLANEOUS $ � ELECTRICIAN I AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED PERMIT FEE $ / �1a ABOVE J I�� 1 TOTAL FEE $ / 4 Lf ' /� OWNER 76A6_-CE806 3-69 �e r d ^ APPLICATION FOR ELECTRIC LPERMIT/_ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDI -S f� 1/ />19 l7'"r1 ADDRESSS �/d /L V JOHN A LAMBIE, COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST /�)/'1 CROSS ST /I��N//..J NO $ $ACH FEE OWNER RECEI MAIL FIRST 20 20 ADDRESS LIGHT TOTAL CITY '.S/iJoV CAA �,7� EL NO SWITCH OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 20APPLICANT ADDRESS FIXTURES OVER 20 10 RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U CONTRACTOR JL/q *-('20Ao f rCC)- SPACE HTR AIR COND ADDRESS 2 094 L,/F A34 V CLOTHES WASH _DISHWASH CIT<S OV TEL NO ,r_7000-/Td/ FAN OTHER 1 00 LICENSE NO S6 Q- CLASS MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - 1 1 OO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR -ICENSED AS REQUIRED BY OS ANGELES COUNTY AND STATE OF } 1 - 10 3 00 CALIFORNIA OR THAT HE LEGAL OWNER OF AND INTEND TO RESIDE IN THE ABO CRI BED RESIDEN TIA OPERT O 10 - 50 5 DO s V SIGNATURE �� O 50 - 100 10A0 OF P EE 100 - 500 1500 DISTFjjLT�NO R P ZONE PR C ED 0 `�Jj1 ! W SIGN,GAS SIGN AND ONE CIRCUIT 3 00 l N TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00 TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELECTR L ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M O CASH SEE BACK OF APPLICATION FOR COMPLETE FEF SCHFOULF C' 76A 663-CE806 3-69 APPLICATION FOR ELECTRI AL PER IT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION BUILDING ADDRESS JOHN A LAMBIE COUNTY ENGINEER oo ara O F COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST NO EACH FEE $ $ OWNER C RECEIP,266 MAIL LIGHT 116 TOTAL FIRST 20 20 ADDRESS East Valle SWITCHj- 9 531 OVER 20 ll 10 51 O CITY TEL NO PLAN CHECK LIGHTING TOTAL FIRST 20 20 APPLICANT FIXTURES } 116 OVER 20 96 10 Q O ADDRESS RANGE DRYER_WTR HTR / CITY TEL NO , f� , KK CONTRACTwarr Electric STA COOK_DISP �F A U SPACE HTR AIR COND ADDRESS Valley CLOTHES WASH1 DISHWASH �- 97 9 oo CI TEL N0333-591 FAN�OTHER 1 00 / LICENSE NO CLASS - MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE S CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 — 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LO ANG LES COUNTY AND STATE OF 1 — 10 3 00 CALIFORNIA OR THAT I AM TH LEGA OWNER OF NO INTEND TO CL RESIDE IN THE ABOVE D SC ED RE IDENTIAL P OPERTY O 10 - 50 5 00 V SIGNATU pd 50 - 100 10.00 OF P MITTEE O H 100 — 500 1500 DISTR O GROUP ZONE PR C Y W 3, SIGN,GAS SIGN AND ONE CIRCUIT 3 00 to TUBE, OR Z MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES �- �' SERVICE NOT OVER 600 VOLTS OR 200 AMP 16 2 00 �L ouk r SERVICE OVER 600 VOLTS OR 200 AMP 5 00 T i7 76 TEMP SERVICE, POLE, &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK yy � WIRINGu L�fblY PERMIT FEE (SUB TOTAL) 197 7 19 A99 FIXTURES POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE FINAL JOSEPH C ROOHAN TOTAL FEE SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M Q CASH 6264r AUG11 2 0 19 70- SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE