HomeMy Public PortalAbout10051 GREEN ST_Electrical__ TeAeea-cElloe 4-ee APPLICATION FOR ELYMTR L PERM IJ
COUNTY OF LOS ANGELES
DEBUILDI1NG AND SAFETY DIVISIONENT OF COUNTY ENGINEER
DING
ADDRESS 4 �/ LC/Y S
JOHN A. LAMBIE,.CouNTY ENGINEER ^� ��
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY c
NEAREST
FOR APKI TO FILL IN CROSS GT. //y
REC6PTACL TOTL NO. EACH FQ
°�A— FIRST 20 x.20 S OWNER
TIGHT MAIL
SWITCH ADD'L .10 ADDREAG J14 1
OVER 20
1
TOTAL OVER
.20 CITY I TBL NO.�7' d
LIGHTING l FIXTURES FIRST
FIXTURES Jr
OVIER V1O CONTRACTOR dd ,E OG 71-
ER 20 2
RANGES Cl o.DRYE71• wTR Err". 1.00 DDREGI orQ �` 'c/{/
awls DISp. BTA.cooK CITY FJL{ j WL NO. 4/ r
DI SINASH. AUTO.-WASH. NATE
BT.AC=HT". STA.M.P.oA H}.MAX.) ,CO LICENSE NO.
MOTORS. ovxR NOT OVER HS. DISTRICTG Z ;7=,
O 1 1.00
1 a 1.60 INSPECTION RECORD
a a R.00
6 1D l.eo
1D 6o 3.00
U
60 100 n.00
ce
SIGNS. NO.TRANS. Q
NO.LAlPS IIV-L
SERVICE 0.600V-NOT ovER 200A 1.00 a
N
SERVICE 0-600V-OYER 200 A. 1.00
GERVICE OVER 600V 8.00
OTHER (SEE COMPLETE FEE scHEDULE)
PERMIT ISSUING FIX 2.00
SUPPLXMENTAQY PXRMIT ISSUING FIX 1.00 4r'
TOTAL PEE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UN0E •LAC WORK
AND STATE THAT THE AMOVE Hs CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCKS AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING 11-21
1 HEREBY CZIlMFrY THAT 1 AM PROPERLY RXQISTE7[ID AND/OX FIXTU ` ' �•��J
LICENSED AS REQUIRED BY LOS ANGERS COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO POWXR
RESIDE IN,THE ABO sCRICED RESIDEN AL OPERTY.
SIGNATUR¢ UTILITY CO- OTIFI D
OF FERMI
FINAL
VALIDATI� JOSEPH C.SI G ELM
CK YO GSH SUPERVISING LXCTRICAL ENGINQR
L-AG362 59:3 90 8 2 D 3-00K
76Ae53cseoa ,=-06 APPLICATION FOR ELECTRI L PERMIT:
i COUNTY OF LOS ANGELES
Y DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. LOCALITY F / C%
NEAREST �p l A 1
POO A O F CROSD ST. /&A J' /[7
RECEPT, TOTAL NO toFRI
ouTLETe FORST 20 S.2o s OWNER G,Sffi�L d G7'O
LIGHT MAIL �f
ADD'L ADDRESS 514,vl (.
BWIT OVER 20 .10
TOTAL FIRST 20 .20 CITY TW. NO.
LIGHTING 1 FI URES p
FIXTURED J OVER 20 .10 CONTRACTOR D E/71� /, S 1%,c7-d'17
RANGES DRYERS wTR-Hrm 1.00 ADDRESS &O—
,v¢�
DAIS-DISP. STA.COO[
DIX&fWASH. AUTO.-WASH. STATIC - -
SPACE HTRS- STA. APPL .SO LICENSE NO.
MOTORS. ovER NOT Ov[R H.P. DISTRI�f' G
O 1 1.00 Q
t 3 1.210 1 -77
INSPECTION R ORD O
2 B 2.00 .(� — V
10 oc
6 15 It.1S0
15 AO 3.00
o_
so 100 e.00 -* Z
SIONsi NO.TRANS-
NO.LAWS
SERVICE 0.60OV-NOT OVER EOOA 1.00
SERVICE 0-600V-OVot 200 A. 2.00
QXIRVICE OVER 60OV 5.00
OTHER (/EE COMPLETE FEE SCH[DUL[)
P[IlMIT ISSUING Flm 2.00
SUPPLEMKNTARY PERMIT ISSUING 1" 1.00 DATE I
TOTAL FEE
UNDERDLAB WORK
I H[RaY ACKNOWLEDGE THAT I HAV[READ THIS AlPLICATIOH
AND STAT[THAT THE ABOVE 1/CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND /TAT[ LAW REQULATING
ELECTRICAL WIRING. WIRING
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURJ[S
Ll
QN•[D AS REQUIRED■Y LOS ANGELES COUNTY AND /PATI OF
IA OR THAT I AM THE LEGAL OWNER OF,AND INT[HD TO roW� -�
LCA,L,lFOptH,
D[INTHE ABOVE DESCRIBED RE/INATURE UTILITY NOT1F1 iPZRMITT
F I NAL
VALIDATI JOSEPH C. R OHAN
MO
CX YO CASH 811rtRVIGISINa E7.ICTRICAL ENGIN[=!!
LAC03 4 1 4Z8 JUL 11 2 D 5.6 0- q
�tf
APPLICATION FOR ELECTRICAL PERMIT 'I
COUNTY OF LOS ANalLAS
DErARTMIMT OF CQ UNTY EN61NIOCk BUILDING
dURDINd AND SJU dTY DIVISION ADDRI36o
JOHN A.LAIi1 M COUNTY ffAcl =
W1LlIAM A_JENBEN, Burr w'GUILDINO LNtALMY PSL
FOR APPLfCANT TO FILL IN tJaAR Q
PERMIT FEES OWNER
T[
mukBaR XACH MAIL
lisrrn RIC1pT.� 611. t f0ADDRrss 3/.3
L.IGI-MNG F MJREQ 10 crry JX6 NO,04L=
13ACL RANOM CLO DKYIMS ELECTRICIAN
W A T t R H K A T S R■ Aq lt--
,tic shat HTRs. DmrwASH10Ls C lry N
owa6Aat DLrrosRs 7--uTO- VrATIK
UCKN
LIGENaFC NO.
WA/HI" rTA.cpomita UNITE tX15
MOTOREI OVKR INC H.P. DIB�RI C3 P
.o — '/a IIe
it
IA II .DO INSPECTION R5CORD
II — D 1.00 :2 O
D — is 1.50 r u
a
15 — 50 II.DO
00 — zoo 15.00
QIGNJiI RO TRAPM.
NO.LAMPS
aLRV10E O,AOOY LOP
BENVICB cymt 60OY 15.00
MISC. �r/
L
WIRING PERMIT 7.00
FIXTURE PID:LMIT 1.00
SUPFLAMENTA.RY PERMIT .SO 7-1m MM
TOTAL FEE
I HRssy AmC tojVLmos THAT I HAVK RtAD 71TI6 APPLICATION APPROV /DATK 1}(sFiCTOR s-GNATIms
AND sTAT1,THAT THs A10Vt ID bORAiaT AND A"= TO OOMPLY CONDUIT
WITH A4 L COUIITY ORDINAmaxs AND /TATs LAWS RtsULL.ATINO
n rnttflaAL YFI RINs.
WIRING l
1 HRIDY CRTIp'Y THAT I AM PROPR.LY PM&ISTM= AND/OR
LIa>asm As RXQUIRIKD 6Y LQ6 ANOKLM COUNTY AND sTATt OP FIXTUREJs A.
CALIFORNIA OR THAT 1 AM THL �
p<smo4m
DIGKATURE UTILITY CO.NOTIFI�
OR PERM
AVON R C.VETT.
SUPERVISING I j XCMCAL_ENGRIMM
O]L
so CAM
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