HomeMy Public PortalAbout9166 LA ROSA DR_Electrical__ APPLICATION R ELERICAL PERMIT
70.66.3-CESi06 10/72
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY •'�� �� �
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. /� f
OUTLETS NO EACH FEE OWNER RM NAME {� w /� ♦/r L
RECEPT,221 $ $
MAIL
LIGHT TOTAL FIRST 20 .24� 25 Q D 'ADDRESS
SWITCH _ OVER 20 ,�� 1 D` '� CITY TEL. NO.
0 7 PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 00- APPLICANT
FIXTURES &J OVER 20 �( 10ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE' DRYER WTR. HTR. _ APPLICANT
STA, COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. N0�
CLOTHES WASH, DISHWASH. LICENSE OR `
REG. NUMBER CLASS iU�
FAN OTHER 100 1 HEREBY ACKNOWLEDGE.THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING r WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC HP KW. KVA. ELECTRICAL WIRING
SIZE & TYPE OVER , TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O _ 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF BOVE
1 - 1O 300 DESCRIBED DE L PROPERTY. d
O
PERMIT V
10 - 50 500 SIGNATURE Ij
O
50 - 100 1000 v
DISTRICT NO. PROF SED BY W
1 00 - 500 1500
t C Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE 1NSPECTo SIGNATURE
TUBE, OR i
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT / -7� w_ /
TEMPSERVICE,POLE, &APPURTENANCES &00 WIRING co �7✓
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED n
FINAL i x.9.4 AM '
PERMIT FEE` (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE �� U
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M 0 CASH
6 6 14 2 0 1 8.8 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �'
76A663-CE606 6/63 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES LS
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS "/ r� L :�- �t Os a.
- JOHN A. LAMBIE, COUNTY ENGINEER '� �r ✓ 4
WILLIAM A.JENSEN, SUPT OF BUILDING LOCALITY �-
NEAREST \
FOR APPLICANT TO FILL IN CROSS ST. , rte.', 1� ,-- ,J
FEwNO. EACH FEE .� c-�G^ TOTALOUTLET, FIRST 20 ffi20 OWNER �'� - "- �`r 176' 'I u-cL c"�.� � MAIL�7ADD'L 'ADDRESS c u.v-�{ OVER•2O �, •10 1 �(�t7TOTAL• CITY TEL. NO.
NG FIRST 20 �, .20RES U.J ADD'L 1O �S' r ELECTRICIANOV R 20 ' 1 t�, •�S CLO.DRYERS WTR.HTRS. 1.00 ADDRESS 0124 R .P. STA.COOK
CITY - TEL.NO.. 1
. AUTO.-WASH. - STATE ^/ GS. STA.,APP.'(t/.H.P.MAX.) ,50 LICENSE NO. 137586 586 X10
MOTORS: OVER NOT OVER H.P. DISTRI T NO. I GROUP ZONE PROCESSED BY
O 1 , ti 1.00 3 p r7 Zi
1 s 1.50 ;� INSPECTIOpN. RECORD
s 8 2.00 1-/ 0, 2/0
Al� t/� .t�'.did ; a
6 - 15 2.so 7 � �rYl'� O
15 so � 3.00 '• �G���?:`ar'���_��a�es :''x .:� s.° -��.� �.p.� O
50 100 5.00 •
SIGNS: NO.TRANS ( H
' .NO.LAMPS I r✓ `x Z_
SERVICE 0.60OV-NOT OVER 200A 1.00 ':po " ,idy- 1,.x�3 if alA d ` r
SERVICE 0.600V-OVER 200 A. 2.00 A{ .g-2
SERVICE OVER 600V 5.00 �� ` 1j` A t asG I OS P
MISC. % •J (1 Y!'� /ALN"i� � �.Qd .-� vL1 �19 .,
PERMIT ISSUING FEE, 2.00 V
SUPPLEMENTAIRY PERMIT I88UING FEE 1.00- AW
TOTAL FEE
1 HEREBY'ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATU E
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY .. �j/' /r"" ���•�
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING
1-HEREBY CERTIFY THAT I AM-PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES R!t
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVEy-
DESCRIBED RESIDENT I L 00,
PROPERTY. {�•+ POWER e
SIGNATURE J( 1 UTILITY CO.NOTIFIED A3 f �/
OF PERMITTEE
mimmm FINAL
-"
IDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
w i ;o.7� , JAN 21 2 D 33-.00—