HomeMy Public PortalAbout10147 LA ROSA DR_Electrical__ 76"6312-54 APPLICATION FOR ELECTRIC PERMIT 1
DIVISION OF BUILDING AND SAFETY
Department of County Engineer
-- County of Los Angeles t�
BUILDING
WM. J.FOX. COUNTY ENGINEER, ADD RESS
.CASSATT D. GRIFFIN. SUPT OF BU D_DING /T� �•f // ../L
FOR APPLICANT TO FILL IN LOCALITY{-�'.'�?-///A� Cf- /
PERMIT FEES NEAREST f
" CROSS ST.
NUMBER EACH FEE
" LIGHT OUTLETS - OW N E R
A DDRESRECEPTACLES. MAIL 1CC�
" S .
WAL (7�u`�
L SWITCHES c� �- (J �1
TOTAL OUTLETS ///J 5t S CIT ^L�L//�Ui ��/�-(TEL. NO��7,-T yV
ELEC. RANGES 25. ELECTRICIAN
EI-EC. HEATERS _ 25 ADDRESS �J/•Y ��n PTS
KW EA ."'CITY TEL. NO.
_FIXTURES 1 5 LICENSE NO.
NUMBER OF LIGHT CIRCUITS DISTRICT NO. GROUP O uEADr FORJNSPECTJ
NUMBER OF RECEPTACLE CIRCUITS / � •.,,�J(J Lp/�
MOTORS ,5 56•" I'vl1, Glr
NUMDER HORSEPOWER FEEINSPECTION. RECORD
NEW MVD. HP OVER, INC. EACH
_
W.LESS "S . .25 _
2- 5
1.00
2 ,-tZ Paf'lct;trfsGO f' /!,
15 'so 2.50rpM;6jAj: /(}"'/n�/I'//\
so zoo 5.00 '7j.D e1//1,1.4
MISC.
. —_ 1,1ilL LA-Y�/aifR,tai7/_T'
NO. SIGNS NO. TRANS.
NO. SIGNS NO.LAMPS .L'�A/64'ry /l Fry/P.1-- A
FOR EACH PERMIT:
WIRING '. S1.00 - /Ks/9'+
FIXTURES ..SI100 N"
SUPPLEMENTARY .50 T_
APPROVALS
TOTAL FEE $ .DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION CONDUIT SS //
LY
WITH ATATE THAT LL ALL COUNTYHE ABOVE 15 ORDINANCESCORRECT AND
STA EAND
LAWSAGREE
REGULATING WRING 7Z ll���
ELECTRICAL WIRING. .FIXTURES' �I.� • T.y
AI�
1 HEREBY CERTIFY THATI AM" PROPERLY .REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF POWER '
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDE 11 PROPERT
A UTILITY CO. NOTIFIED
SIGNATURE
OF PERM TT e - VE^Yt�,�� ���� ♦ 1 FINAL
WILLIAM J.'FOX, COUNTY ENGINEER VALIDATION
:A67 2.8 JUN2? 2' 3.00
BY-
DEPUTY
7BAS63-CES0610.62 APPLICATION FOR ELECTRICAL PERMIT Ti
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ISION ABUILDING '
BUILDING AND SAFETY DIVO DRESS A
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING - LOCALITY �Q� -
NEAREST
FOR'APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO, EACH FEE
_ OUTLETS FIRsT 20 6 2O 8 OWNER _
uGXT MAIL
ADD'4O .1
0 ADDRESS
SWITC X. L OVER L '
TOTAL FIRST 20 .20 CITY TEL, NO.
LIGHTING ,I
FIXTURES I( OVER ADo'L ELECTRICIAN (� 6 r�
LO -1D (�
RANGES ' CLO.DRYERS WTR.HTRS. 1.00 ADDRESS �1
GARB.OISP. STA.COOK .n
CITY v LTEL. N
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(%H.P.MAX.) ,50 LICENSE NO.
O r/
MOTORS: OVER NOT OVER H.P.- DIST CT GROUP ZONE PROCESSED BY
O 1 1.00 a 1
1 . — 3 1.so INSPECTION RECORD
3 8 2.00 - d
8 — is 2.50 O
V
is 50 3.00 - K
50 100 5.00 O
SIGNS: NO.TRANS. �A
a
NO.LAMPS z
Z_
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0.60OV-OVER 200 A, 2.00 -
SERVICE OVER 600V 5.00 -
B
MISC.
PERMIT ISSUING FEE 2.00 '
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
.TOTAL FEE S d
I
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING -
ELECTRICAL WIRING: - WIRING
1 HEREBY CERT FY THAT I AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ✓�
DESCRIBED SI THAT 1 AM THE LEGAL WNEq OF THE ABOVE
CALIFORNIA
flEEIO P P T POWER
SIGNATURE t UTILITY CO.NOTIFIED
OF PERMITT
FINAL
`LI O CAS - - SU HVISIUR N VETT
MO CASH SUPERVISING.ELECTRICAL ENGINEER
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