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76A663 CE806 4 65 APPLICATIONOR EIRTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS SUP T OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEPTACLE TOTAL NO EACH FEE
LIGHT OUT FIRST 20 $ 20 $ a OWNER
ciii Ire
MAIL
SWITCH ADD L 10 ADDRESS
OVER 20
TOTAL
LFIRST 20 20 CITY TEL NO
IGHTING FIXTURES
FIXTURES _-AD DL 10 CONTRACTOR `
OVER 20
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
GARB DISP STA COOK C� I
CITY y�•>t1� TEL NO
DISH WASH AUTO-WASH STATE
SPACE HTRS STA APP (yx H P MAX ) 50
LICENSE NO O
MOTORS OVER NOT OVER HP DISTRICT NO I GROUP ZONE P SSED
O 1 1 00 ��
1 3 150 j j> INSPECTION RECORD
y�
3 8 200
s f5 250
15 50 300
SO 100 500
OG
SIGNS NO TRANS O
NO LAMPS GGG
SERVICE 0.60OV-Nor OVER 200A , 100 Od
N
SERVICE 0.60OV-OVER 200 A 200 a_
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200 dd
SUPPLEMENTARY PERMIT ISSUING FEE 1100
TOTAL FEE $ 9� APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT A
L'l�
TH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ECTRICAL WIRING WIRING HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND�OR FIXTURES
CENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFLIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO POWER
SIDE IN,THE ABOV D SCR10E E ENTIAL PROPERTY
GNATURE UTILITY CO NOTIFIED St! .rs007 HlF PERMITTEE -
FINAL �
LI O CASH ON JOSEPH C ROO
HAN
MO CAS
SUPERVISING ELECTRICAL ENGINEER
CK
Lt`I o 1 8 OCT 16 2 D
4.9 0
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX. County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIA , pe..1
CEIVED SY READY FOR DATE ISSUED
ADDRFS13 FIRST INSPECTION
CITY yr TEL NO. w
COUNTY LIC NSE NO. EXPIRES 70-,,r ADDREIN e fJ
PERMIT FEES
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES ` CROSS BT.
WALL SWITCHES OWNER _
TOTAL OUTLETS Sc $ J MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 28
FA CITY TEL. NO.
FIXTURES B
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNT' ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POBSEBS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVD HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
!/2 & LESS $ .25 BIGNATURE OF
I/2 2 .50 PERMITTEE
2 s 1.00 INSPECTJON RECORD
5 15 1.50
15 SO 2.50
50 200 5.00 �Z2VT e , APble
zoo 500 10.00 49 1� :-' J
SDD lOaa 15.00 - Q
r iSari r6 Z
OVER 1000 2000 [*J
M O. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of ORIS)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO TRANS.
NO. NO LAMPS APPROVALS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING 181.00 bD CONDUIT A
FIXTURES $100 QQ WIRING
v
SUPPLEMENTARY .50 FIXTURES
POWER A
TOTAL FEE >6� 0 UTILITY CO.NOTIFIED
FINAL
76A663 DBS#SA 2-53
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY ENGINEER
DIVISION OF WELDING & SAFETY ELECTRIC 1
WILLIAM J. FOX, COUNTY'ENGINEER
FOR APP CANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN /'f- 70 kO
ADDRE czzRECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION "
CITY TEL NO ^10
UILDING
COUNTY LICENSE NO �+�+�. EXPIRES � O— y B
PERFEES ' ADDRESS
- FEE 1
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST 0007 v
RECEPTACLES CROSS ST
WALL SWITCHES OWNER _
TOTAL OUTLETS Sc
MAIL
ELEC. RANGES 25' - 311d ADDRESS
ELEC HEATERS 25
FIXTURES 5 CITY TEL NO
MISC I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS '
APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS - '
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCR�ABE.
1/2 a LESS $ 25
SIGNATURE OF
1/2 2 50 PERMITTEE
z s 1 00 INSPECTION RECORD
5 15 1 50
15 SO 2 50 ZI
SO 200 5 00
200 Soo 10 00 1 c L C J
Soo 1000 15 00 a
OVER 1000 20 00
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA
GENERATORS •KW
TRANSFORMERS-KVA
TEMP MOTORS (75% OF ORIG )
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO NO TRANS. APPROVALS '
NO NO. LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1 OO WIRING Z--
SUPPLEMENTARY 50 FIXTURES
POWER /�
TOTAL FEE $ ' UTILITY CO NOTIFIED �i� /!A //
FINAL
76A 889 DSS# SA., 4-02 '
7GA663C-,PC606B 12/76 APPLICATION FOR ELECTRICAL PERMIT
�l
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
FResidential
Bldgs & Pools EACH NO FEE ADDRESS 1
Sq Ft $ — $ LOCALITY ~+
q Ft — NEAREST
CROSS ST
wimming Pools OWNER OR
FIRM NAME
Outlets Light,Switch& Receptacle MAI L
,,-First 20 %�C GI 1 ADDRESS11 i
Additional CITY Tel No L
PLAN CHECK
Lighting Fixtures APPLICANT
,First 20 ADDRESS_
Additional
CITYI. Tel No
PERMI e
Fixed Appliances Not Over 1 HP APPLICANT
Range Heater_ D W ADDRESS
Oven Dryer W M A in IPA1
Top FAU W H CITY j Tel No
Hood Fan LICENSE OR
Disp A C REG NUMBER Class 0
U
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING F
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING 1U
o_
Up to 1 Incl 1 HEREBY CERTIFY THAT 1 AM PROPERL` REGISTERED AND/OR Z
Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEG 4 OWNER OF THE ABOVE
Over 10 to 50 Incl DESCRIBED RESIDENTIAL PROPERTY
Over 50 to 100 Incl PERMITEE
Over 100 SIGNATOR
DISTRICT NO \W'CED BY
ServicesN
-0-200 Amp Under 600 V Cie,
201 - 1000 Amp Under 600 V APPROVALS1 TE INSPECTOR'S
Over 1000 Amp or Over 600 V i' % SIGNATURE
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT n
(Other) WIRING 7
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO NOTIFIED i
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE '
NOTES
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VA IDATION,,�> CK Mo CASH
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