HomeMy Public PortalAbout10023 LA ROSA DR_Electrical__ 76A663-CE806 8-62 APPLICATION FOR ELECTRICL PERMIT '
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �j
BUILDING AND SAFETY DIVISION ADDRESS J
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN. SUPT OF BUILDING LOCALITY 72flnl
NEAREST /
7HTRS. SDTAYCAPP.('/.
OR APPLICANT TO FILL IN cRo55 ST.
l TOTAL NO. EACH FEE �t
t OUTLETS FIRST 20 S 20S OWNER1 MAIL21OADDRESSpyEfl 20TOTAL CITY L �. TEL. NO.ING l FIRST 20 .20
ES I ADD'L .10 ELECTRICIAN T A01<119-7 Xl<
OV R 20S CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
P. STA.COON
CITY TEL. NO.
. AUTO.-WASH. STATE
S. STA.APP.(yy H.P.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. .DISTRICT N G ZO E P E 8 D B
O 1 1.0012
1 3 1.50 INSPECTION RECORD
3 8 2.00 / //„/63 /L, -ziIm,14L/
8 15 2.50
t _
15 50 3.00
a
50 100 5.00 O
SIGNS: NO.TRANS
NO. LAMPS
O
f
SERVICE O.600V-NOT OVER 200A 1.00 W
SERVICE 0-600V-OVER 200 A. 2.00 y
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE A
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT / I
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING / SIA/CYJ./LM/
i HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR A -
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FI TURES
CALIFORNIA OR THAT I AM-THE LEGAL OW R OF THE ABOVE
DESCRIBED RESIDENTIAL P PE s W .�P�.�.�.��
SIGNATURE 71LITY CO.NOTIFIED . /
IT
OF PERMTE '�” -FINAL I!>IG vrs..01 h la
DATIO�1 ARTHUR C. VEIY '
CK MO (/CASH SUPERVISING ELECTRICAL ENGINEER
uU05 3 4 = MAY 28 2 D 4.50-, t
'SAGOS-CEBO310.60 APPLICATION FOR ELECTRICAL PERMIT 1 .
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING :
+ BUILDING AND SAFETY DIVISION ADDRESS /00a3 .AOS.
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY / l/
NEAREST -
FOR APPLICANT TO FILL IN CROSS ST.
PERMIT FEES OWNER
I T E M HUMBER EACH FEE MAIL•
OUTL $ $ V ADDRESS Y
LIGHT RECEPT' 6W. •tO CITY TEL. NO.
LIGHTING FIXTURES .10 1 140
I
ELEC. RANGES CLO. DRYERS ELECTRICIAN// A `J////�j /1
WATER HEATERS .50 ADDRESS
ELEC.SPACE MY". DISHWASHERS - _ JED
CITYC !L TEL N QA BAGEDISPOSERS AUTO.. / STATE / T/ l'WASHER6 STA.COOKING UNITS .25 '/.JL LICENSE NO. .J JMOTORS: ovER INc. H.P. DISTRICT GR ZO E PR
2, O— Ih .25 41 12 _
az— 2 50 INS TION RECOR
' 2— s 1.00 S
O
5— 15 1.80 v
D:
15— 50 2.80 O
50— 200 5.00 C
W
- a
SIGNS: NO TRANS. - 17
NO.LAMPS �z
SERVICE 0.600V 1,00
SERVICE OVER SOOV 5.00
MISC. 1.00
WIRINGPERMIT
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .50 /
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS A PL(ATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE I6 CORRECT AND AGREE TO COMPLY CONDUIT
ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIF WIRINGIEREBY CAT 1 AM PROPE REGISTERED ATE ORLICENSED A BY LOS ANGEL COU TY ANO STATE OF FIXTURES IAM THE LEGA OWI R OF T1{E BOVREROPE TY. POWER
SIGNATURE I �. UTILITY CO.NOTIFIED /
OF PERMITT FINAL . �j /,'„?.
-V )ID
�I O CAS ARTHUR C. VETT
GASH SUPERVISING ELECTRICAL ENGINEER
LA;039 ; 6 CCT 16 2 0 9:95
p