HomeMy Public PortalAbout5024 FARAGO AVE_Electrical__ 16A663 CES06 la 6I APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 2
JOHN A LAMBIE COUNTY ENGINEER
WILLIAM A JENSEN SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
I T E M NO EACH FEE b
OUTLETS (FIRST 20) $20 $ OWNER
LIGHTS RECEPT SW MAIL I
OUTLETS ADD L UNITS 10 .� ADDRESS
LIGHTS RECEPT 8 (
LIGHTING FIXTURES (FIRST 20) eel 20 CITY TEL NO
LIGHTING FIXTURES (ADDITIONAL) 10 ELECTRICIAN
RANGES CLO DRYERS WTR HTRS 1 00 ADDRESS
RB D STA COOK
CITY TEL NO
DISHWASH AUTO WASH STATE f' a
SPACE HTRSAPP (+/ 50 f LICENSE NO ^J
MOTORS OVER NOT OVER H P DISTRICT N G P Z N �7�
w
O 1 1 00
1 3 150 (y{f�4 INSPECTION RECORD r
3 S 2 00 �1/7f�'�i �` I^ }G.-d
8 15 250
15 50 300 P
50 100 Soo
d
NO TRANS h
SIGNS NO LAMPS Z
SERVICE O 600V NOT OVER 200A 1 00
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS ICA ION APPROVALS DATE INSPECTOR S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT OJ
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING Pf
ELECTRICAL WIRING WIRING 7
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ^�
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM TH i GAL O R OF THE ABOVE
DESCRIBED RESIDENTIA OP POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
CLIDATION ARTHUR C VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LALo,3 3 4 2% AUG 22 2 D , 13.3 0-
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76A663-CE6061-60 APPLICATION FOR ELECTRICAL PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS '2
JOHN A.LAMBIE. COUNTY ENGINEER �-
WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY 1421L- ty
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. Lw-
PERMIT FEES .'
OWNER
1 T E M NUMBER EACH FEE MAIL �>>>
OUTLETS: /�. $ $ ADDRESS �y r
LIGHTS RECEPT- SW. .10
TE N r
LIGHTING FIXTURES ,10 CITY r
ELEC. RANGES CLO. DRYERS ELECTRICIAN 1
WATER H EATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO.
GARBAGE DISPOSERS I AUTO.• STATE
WASHERS STA. COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DIS,'RI T NO. UP ZONE PR�OCE��Y
0 '�z .25 �J ,�y
1/2 2 .50 INSPECTION RECORD
2 5 1.00
D_
5 15 1.50 0
15 50 2.50 Q
50 200 5.00 U
NO TRANS. UJ
SIGNS: D_
NO. LAMPS N
Z
SERVICE 0.600V 1,00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT 50
TOTAL FEE $
IH
ACKNOWLEDGE THAT I 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 LAWS REGULATING CONDUIT
ELECTRICAL WIRING, i
WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGA OWNER OF THE ABOVE
DESCRIBED RESIDEN F.IR ERT POWER
SIGNATURE f UTILITY CO. NOTIFIED
OF PERMITTE
FINA
VALIDATIQN--j ARTHUR C.VEIT,
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
LCo8 3 1 4 'd f; 2 D 2.75