HomeMy Public PortalAbout10156 LA ROSA DR_Electrical__ APPLICATION FOR ELECTRICALPERMIT 'Q
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERBUILDING �/.
BUILDING AND SAFETY DIVISION ADDRESS ) Y
JOHN A.LAMBIE, COUNTY ENGINEER J
WILLIAM A. JENSEN, SUPT OF.BUILDING LOCALITY &'FOR APPLICANT TO FILL IN NEAREST
CROSS ST /' T
PERMIT FEES OWNER `
ITEM NUMBER EACH FEE MAIL //
OUTLET S S L ADDRES
LIGHT9 RECEPT 8W. .10
LIGHTING FIXTURES 10 O CITY TEL NO
ELEC. RANGES CLO. DRYERS ELECTRICIAN r
WATER HEATERS .$O ADDRESS _
ELEC.SPACE HTRS. DISHWASHERS CIT' E O
GARBAGE DISPOSERS / AUTO.- STATE /J
WASHERS STA.COOKING UNITS ,2g LICENSE NO. CJ
MOTORS: OVER INC. H ^ / DISTRICT O. GROUP ZONE. PR SSED BY
O — V. Iv ,z5
— 2 .50 INSPECTION RECORD
2 5 1.00 r
a
5 — 15 1:50 O
V
15 50 2.50
O
50 200 5.00 ~
U
w
SIGNS: NO TRANS. - d
NO. LAMPS �
A� Z
SERVICE O-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT ,50
TOTAL FEE S
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT ..
ELECTRICAL WIRING. WIRING / L---
1HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANG LES COON STATE OF FIXTURES /
DESCRIBED AOR THAT TI AM THEPERTLE AL O NE THE ABOVE POWER /���Y I LSI/ 1 ✓. ' /
SIGNATURE UTILITY CO. NOTIFIED I /
OF PERMITT EE
FINAL "ll-�/ 7,1011 0.2
VA�IDATION ART ISIN VETT.
MG CASH SUPERVISING ELECTRICAL ENGINEER
-0? 70a � F-3 17 2 D 1 1 .0 5 7