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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