HomeMy Public PortalAbout10117 LA ROSA DR_Electrical__ DBS-5AII.ES'� APPLICATION- FOR ELECTRIC PERMIT 1
`DIVISION OF BUILDING AND SAFETY
Dep. out of County Enginew BUILDING J
County of Loa Angeles ADDRESS-
JOHN
DDRES JOHN A. LAMBIE.COUNTY ENGINEER
CASSATT D. GRIFFIN. SUPT OF BUILDING LOCALITY ✓r.
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
NUMBER OWNER A
LIGHT OUTLETS MAIL
/ ^ �•- /� -(/�/p F
RECEPTACLES
ADDRESS
Y
WALL SWITCHES FEE CITY EL. NO.
TOTAL OUTLETS ® u $ ELECTRICIAN
ELEC. RANGES 23
ADDRESS -G
ELEC. HEATERS 23
KW EA CITY TEL.NO.
STATE
FIXTURES g LICENSE NO. O&1 /
MOTORS DISTRICT NO. GROUP ZONE READY FOR INSPECTION
NUMBER HORSEPOWER FEE I 1 I A I
NEW MVP. I P OVER INC. EACH
14&LESS S .25 INSPECTION RECORD
14 2 .50 d
2 5 1.00
5 15 1.50
IS 50 2.50
71 50 200 1 5.00
MISC.
NO. SIGNS NO.TRANS.
NO. SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 (�
FIXTURES $1.00
zaza;
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE S - DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE LEDGE THAT i HAVE READ TH IB AP LIGATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALLELECTRICALWIRING.ORDINANCES AND STATE LAWS REGULATING WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPE Y. UTILITY CO.NOTIFIED
SIGNATURE B
OF PERMITTEE FINAL A `sq �7
JOHN A.LAMBIE,COUNTY ENGINEER VALIDATION ARTHUR C.VEIT,CHIEF ELECT. INSPECTOR
CK MO CASH
MC 3 4 4 5 n DEC 17 2 7.5 5 IG
76A661-CE606 9-66 C� r A
APPLICATION FOR ELECTRI AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER r
LDING /
BUILDING AND SAFETY DIVISION RESS DJOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGALITY
NEAREST
FOR APPLICANT TO FILL IN I CROSS ST.
RECEPT. I TOTAL NO. EACH FEE
OUTLETS FIRST 20 16.20 $ _OWNER
LIGHT
SWITCH ADD'L 10 -
OVER 20
1 TOTAL FIRST 201 .20 CITY TEL. NO.
LIGHTING l FIXTURES
FIXTURES J ADD'L to CONTRACTOR
OVER 20 _
RANGES DRYERS WTR.HTRS. 1.00 I ADDRESS
GARB.DISP. BTA.COOK T
CITY TEL. NO. l d U
OISHWASH. AUTO.-WASH. STAT //
SPACE HTRS. STA. APPL. ,50 LICENSE NO. ,f f
MOTORS: OVER NOT OVER H.P. DIST�F C/T� G E PR D
O 1 1.00 A (,/
1 3 1.50 INSP CTION RECORD
3 6 2.0011
B 15 2.501
15 50 3.00 I d
50 100 —1-5.00 -10
SIGNS: NO.TRANS
NO.LAMPS
W
SERVICE O.600V-NOT OVER 200A 11.001 1
SERVICE 0.60OV-OVER 200 A. 2.00
Z
SERVICE OVER 600V 5.00
OTHER ISEE COMPLETE FEE SCNEOULE)
PERMIT ISSUING FEE 2.001
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE iNePECTOR'851GNATURE
TOTAL FEE 6
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING, WIRING
I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA Ofl THAT M THE LEGAL OWNER OF.AND TEND TO POWER
RESIDE IN.THE ABOV $CRI BED REB' NTI POPE
61 GNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
FINAL
KI O CAS JOSEPH C. OOHAN
ELEC
CK NO CASH SUPERVISING ELECTRICAL ENGINEER
Ao8 5 7 4'� MAY 16 2 0 3.00- Q