HomeMy Public PortalAbout10122 LA ROSA DR_Electrical__ T ..'..l APPLICATION FOR ELECTRId PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER J
CASSATT D. GRIFFIN._SUP'T OF SWLDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
a�
OWNER
ITEM NUMBER EACH FEE MAIL
7� R
$ $ ADDRESS
C 9 .10
IXTURES 10 CITY ZCI T O.
CLO.DRYERS ELECTRICIAN -/-Q--
R HEATERS .50 ADDR Y G
TR9. DISHWASHERS
< CITY TEL. NO. `L b
09ER81AUTO.- ESTA.COO KING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. DIS ICT NO. I GROUP ZONE PROCES D BY
O— v. .25 ��
v:— 2 .50 INSPECTION RECORD
2— 5 1.00
L 6
5— 15 1.50 � � � • C., r
L
18— SO 2.50
50-200 5.00 /
NO.TRANS f
SIGNS:
NO.LAMPS
SERVICE 0-600V 1.00 1
SERVICE OVER 600V 5.00
MISC. –
WIRING PERMIT 1.00 (�.
FIXTUREPERMIT 1.00 '� �1 IQ C.� a Ade
SUPPLEMENTARY PERMIT .50 Q. ztaouo T,
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS PPLICATION APPROVALS DATE INSPECTOR'SSIGNATURE
AND STATE THAT THE ABOVE I6 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT /
ELECTRICAL WIRING. WIRING -/-x I
I HEREBY CERTI THAT I AM PROPERLY RE BRED AND/OR .y
LICENSED AS RE ED BY LOS ANGELES COU NO STATE OF FIXTURES
CALIFORNIA OR H T I A THE LEG OW THE ABOVE
DESCRIBED OR N IAL P PER POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITi
FINAL 7--7-%>!_2'1 a�t.Aws'; N.:
�• QASH SUPERVISING ELECTRICAL ENGINEER
CK MO CAEH
76A663-CE80611-71 APOLICATION �y ELIC ICAL PERMIT LI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION AODR Ess
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER
REG EP T._�$ 5 MAIL
LIGHT_ TOTAL
FIRST 20 28 ADDRESS
CITY TEL. N0.
SWITCH OVER 20 ,ip
PLAN CHECK
LIGHTING TOTAL FIRST 20 ZB APPLICANT
FIXTURES .10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT /
RANGE_DRYER_WTR. HTR._ APPLICANT ,y
STA. COOK_DISP. F.A.U._ ADDRESS J V
SPACE HTR. AIR CON CITY '� ���� TEL. NOr46',f"
CLOTHES WASH. OI SHWASH._ LICENSE NO. 7 CLASS. C
FAN_OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
NO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORSTRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIIE 6 TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED PND/OR
0 - 1 1 G LICENSED AS REQUI REO BY LOS ANGELES COUNTY AND STATE OF
Cd LI FORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 4'
1 - 10 p RESIDE IN, THE ABOVE DESCRIBE I RESIDENTIAL PROPERTY. O
V
10 - 50 r03
^—_ SIGNATURE � ji �� d.
OF PERMITTEE / O
60 — 100 ri
DISTRICT NO. CI.A95 ZONE BSED W
100 - Soo �G7g CL
Z
SIGN, GAS SIGN AND ONE CIRCUIT NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICENOT OVER 600 VOLTS OR 200AMP
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 8.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
RfF[XTURES
UT
ORIZED
PERMIT FEE (SUB TOTAL) NOTIFIED
PLAN CHECK FEE
3
PERMIT ISSUING FEE 3.00
TOTAL FEE 6179
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT V CK.
�/11IDATION M.O. CASH
� N
iaGG1104r_j rz�620 2 D 9,00-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE