HomeMy Public PortalAbout9451 LA ROSA DR_Electrical__ 76 X663- 9-67
I— APPLICATION FOR ELECTRICAL PERMIT
t� COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING /
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER �Av
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Cp/Y ` Y
NEARESTy
FOR APPLICANT TO FILL IN CROSS ST
NO. IEAC FEE
RECEPT._
$ s OWNER
MAIL
LIGHT ? TOTAL FIRST. 20 20 ADDRESSlR�al,3
SWITCH�" _ OVER 20 .10 CITY ,'f EL. NO- QUO �,SZ
LIGHTING �TOTAL FIRST 20 20 "� CONTRACTOR6 d6v �'FIXTURES OVER 20 .10 ADDRESS 4L O 5
ppC., /
^ �
RANGE—DRYER—WTR.HTR.— CITY �/VJ A EL. NO. Z 06S', 2
STA.COOK_DISP. F.A.U._ LICENSE NO.
SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._D ISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN—OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS RED U IRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE ESIBE RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1 00 OF PERMITTEE
, - 10 3 00 DISTRICT NO- GROUP I ZONE P OCES$ED BY OV
v a�lie
0 - 50 5 OG 9x
50 - 100 1000 NOTES:
v
100 - soo ,s oo !ilipi,/r/,�64���),I_r�qq,��4,D."����v �L.F�D �s_��°�) a
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 ' I,}.O�fL. ((L,d}/(J �/i!/v'i
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 /1 / �.. J.^.� /ry ,.�v
fP 6 4- I" .0 C! G APPROVALS' DATE�l i INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK / / tr (J .,ljlAf#
ROUGH CONDUIT �~
ISSUING FEE 2.001
WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE UTILITYCO.NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE (J JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENG
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. . CAS
I i 9 :a DEC ?
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /
.'76A663-C;806 9-67 APPLICATION Fb ELECTR CAL`PEitMIT
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
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECE-T._
$ $ OWNER
MAIL _/
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITYlj d-jo , JCI, -TEL. NO. 7 S~2
LIGHTING 1 TOTAL FIRST 20 20 CONTRACTORe 1
FIXTURES )j OVER 20 .10 ADDRESS .9&t
�� y r���•�
RANGE_DRYER^W TR.HTR.— 'CITY TEL. NO'.
STA COOK_DISP. F.A.U._ LICENSE NO.
SPACE HTR. AIR COND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
,AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
CLOTHES WASH._DISHWASH._ ELECTRICAL WIRING
FANOTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
•LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIZE,& TYPE OVER TO SIGNATURE
0 - 1 1 1.001 OF PERMITTEE
0
1 - 10 3 00 DISTRICT NO. GROUP ZONE PROCESSED BY U
�� r
10 — so s oo 9x
O
50 - 100 . 10.00
NOTES:
• � r • � � ...mow..- � W �
100 - 500 15 00 d
h
SIGN,GAS SIGN AND ONE CIRCUIT 3 00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS ] 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP J 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP."POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2.00 WIRING dil '
FIXTURES
SUPPLEMENTARY ISSUING FEE I-001 POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED
i
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL'FEE 1-0JOSEPH C. ROO AN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M 0 CASH PERMIT VALIDATION CK. M,0 CASH
- _3.0 6-9_�g FEB 13 2 3: .0•N
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE'
APPLICATION FOR ELECTRICAL PERMIT
76A663-CEBO: 10/72
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB 4si
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY _ (J•�:NEAREST
-�j
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACHI FEE OWNER OR
FIRM NAME
RECEPT.S
$
$
L/>
MAIL
3
FIRST 20 25 � , ADDRESS
LIGHT TOTAL S
CITY TEL. NO
SWITCH-Ar- -1-3,_ OVER 20 10 PLAN CHECK
LIGHTING TOTAL
FIRST 20 25 APPLICANT
Il
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
/ PERMIT
RANGE DRYERWTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 100 {\ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
(J AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC. HP. KW KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY AT I AM PROPERLY REGISTERED ANO/OR
O - 1 100 LICENSED AS REOUI D Y LOS ANGELES COUNTY A STATE OF
f
CALIFORNIA OR TH 1 I AMTHE EGAL OWNER T E ABOVE y.
1 - 1O 300 DESCRIPED RESID NTI PROP Y. O
PERMITEE
U
10 - 50 500 SIGNATURE
O
50 - 100 1000 F-
DISTRICT NO. PROC SED BY W
100 - 500 1500 ®� c Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS ®®® DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING
2 -
TEMP LIGHT OR RECEPT. SYSTEM 300 FIXTURES �� 4
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES; y
PLAN CHECK FEE
PERMIT ISSUING FEE 300 3 00
TOTAL FEE '?j Z �
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C m. CASH
3 6 5 473 OCT 17 2 0 8.2 SZ
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE