HomeMy Public PortalAbout10245 LA ROSA DR_Electrical__ 76x663-CEB06 468 APPLICATION FOR ELECTRICAL PER T/T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING IAC/
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS V
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN
NEAREST.
ST. CAS
NO. EACH
FEE
Fs s OWNER
RECEPT._
MAIL
LIGHT_ TOTAL FIRST 20 .20 ADDRESS Q nC _ Oil
SWITCH_ OVER 20 .10 CIT T L. NO.
PLAN NE
LIGHTING 1TOTAL FIRST 20 .20 APPLICANT
FIXTURES i( OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP. F.A.U.— CO i4 TRA CTOR "Aw 7-
SPACE HTR._AIR COND.— ADDRESS 114,f,C -{/'r
CLOTHES WASH._DISHWASH._ CITY ,f�' pTEL. NO.Vy3"3 6`S1
FAN_OTHEft 1.00 LICENSE NO. �� 7L0 a CLASS. CC �6
MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE IN TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1 .00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
I 10 3.00 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 S.00 RESIDE IN, THE ABOV DESCRIBED R SIOENTIAL PROPERTY.
50 - 100 110.00 SIGNATURE V a
OF PERMITTEE U
100 - 500 15.00 DISTRICT O. GffO :1-
ED BVpSIGN,GAS SIGH ANO ONE CIRCUIT 3.00 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOT ES: CLSERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 C>SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE. POLE. IN APPURTENANCES 3.00 APPROVALS DATEOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 �` UTILITY CO.NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE I.OD FINALW2, mewjQ JO PH •SUPERVISING ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. cns 1
5� SEP 2 322 D / 4.0 0 r Q
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ✓ (,/N.(�/ --
7GA663-CEBOG 3-69 n ,
V
APPLICATION FOR EL CTRICALERMIT�d
COUNTY OF LOS ANGELES
DEPARTMENT OF,COUNTY ENGINEER BUILDING
- BUILDING AND SAFETY DIVISION ADDRESS -
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NO. EACH FEE
r5 $ $ OWNER P y
RECEIPT. MAIL
LIGHT I.O TOTAL FIRST 20 ,20 ADDRESS /� / �J
CITY I[ („ TEL.NOL Z '/ Z
SWITCH OVER 20 6 .10
PLAN C ECK
LIGHTING TOTAL FIRST 20 r ,20 APPLICANT 1
04
FIXTURES ` OVER 20 ,10 ADDRESS
RANGE DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP. _F.A.U. CONTRACTOR
SPACE HTR AIR COND. ADDRESS
CLOTHES WASH._DISHWASH._ CITY oj>7 TEL.NO'
FAN OTHER 1.00 LICENSE NO. y CLASS.
MOTORS,TRAN5FORMERS RATING I/ U I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE 8 TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
D - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR
_I CENSE. AS REQUIRE BY LOS ANGELES COUNTY AND STATEOF }
I - 10 3.00 CALIFORNIA OR THAT I A THE LEGAL OWNER OF, AND INTEND TO >.
RESIDE IN, THE ABOVE DEM IBE. REST DEN IAL PROPERTY. 0
10 — 50 5.00
SIGNATURE Z '� �` u
50 — 100 70-00 OF PERMITTEE 0
O
100 — 500 15.00 DIST,gycr x0. GROVP zoxE PR < G
W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 ti� F Q N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1,00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 2koll AMP 2.0
SERVICE OVER 600 VOLTS OR 24 AMP 5.00
TEMP SERVICE, POLE, &APP T N E 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK '�
ROUGH CONDUIT f
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 cT v
UTILITY CO.NOTIFIED q)
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL -7- 7. /f)
TOTAL FEE O JOSEPH C. ROOHAN
- SUPERVISING ELECTRI L ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION GA. M.o. GASH
5 1 0 3� i§AY26, _ 2 D 12.60
E:A -. - -
SEE BACK OF APPLICATION POP COMPLETE FEE SCHEDULE %?`%3 ✓Vi .`-'
76p663-cE800 a0/]2 APPLICATION FOR ELECTRICAL PEWIT
- COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER .IOBADDRESS
l JIL c
BUILDING AND SAFETY DIVISION L, ✓
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
RECEPT. 1? 5 $ MAIL
LIGHT TOTAL FIRST 20 ADDRESS
25
OVER 20 CITY TEL. NOA/
SWITCH �� .10 PLAN CHECK
GHTING TOTAL11
LFIRST 20 25 APPLICANT
FI%TURES 10 I
OVER 20 ADDRESS
.
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER' WTR. H'IR._ APPLICANT
STA. COOKDISP._F.A.U._ ADDRESS
SPACE HTR. AIR COND.� CITY TEL. NO.
CLOTHES WASH._DI SHWASH._ LICENSE OR
REG. NUM9ER CLASS.
FAN_OTHERL00 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
51ZE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHD/OR
D - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL 0 ER OF THE ABOVE d
1 - 10 3.00 U
DESCRIP.ED REE ENTIAL PR RTY. O
PERMITEE
10 - 50 5.00 SIGNATURE O
H
50 - 700 1000 U
DISTRICT NO. OC O BY La/
d
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS, DATE 1NSPEC R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP L GHT OR RECEIPT. SYSTEM 3,00 FIXTURES
L119 /1 POWER AUTHORIZED
G /•T UTILITY CO. NOTIFIED
C Cf FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 '31a O
TOTAL FEE
PLAN CHECK VALIDATION CK. M.G. CASH PERMIT VAL ATION CK. M.o. CASH
0 0 4 973 RkR� D 9.7 5- G
1
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE