HomeMy Public PortalAbout9503 LA ROSA DR_Electrical__ y- COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
DEPARTMENT OF COUNTY•ENGINEER
• • " "DIVISION OF BUILDING & SAFETY ELECTRIC , T
WILLIAM 1• FOX, COUNTY ENGINEER
✓✓
FOR APPLICANT TO FILL W DISTRICT NO. GROUP ZONE PERMIT NO. ,
ELECTRICIAN
ADDRESS .�/IJ RECEIVED BY READY FOR DATE ISSUE
FIRST INSPECTION y
CITY ^' TEL. NO. A y���J
COUNTY.LICENSE NO. O / EXPIRES BUIL{11N6 - '
PERMIT FEES ADDRESS 56 3 G
Pat��.�
FEE
NUMBER EACH LOCALITY
•LIGHT OUTLETS � .�++ NEAREST -
RECEPTACLES - ,i ROSa ST.
WALL SWITCHES - OWNER `
TOTAL OUTLETS .. 5c $ 'y MAIL' '
ELEC.• RANGES 25 ADDRESS -
ELEC. HEATERS 25
FIXTURES..- S O CITY TEL. NO.HAVE READ THIS
MISC. I` I4EREBY ACKNOWLEDGE THAT 1
NUMBER OF'LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOYfi IS CORRECT
AND-AGREE TO COMPLY WITH ALL COUNTY '.ORDINANCES
NUMBER OF RECEPTACLE CIRCUITSAND STATE LAWS REGULATING ELECTRICAL, WIRING.
MOTORS
I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
•
NUMBER HORSEPOWER
FEE_ ANGELES COUNTY LICENSE, OR I AM THE. LEGAL OWNER
New MvD. HP DveR INC. EACH OF THE RESIDENTIAL PROPEw7"'t,
DESCRIBED RI ED ABOVE.
I/a&LEsB $ .25
- ' SIGNATURE OF. 2 .50 PERMITTE
v
2 s 1.00 INSPECTION RECORD "
` 5 '-15 -1.50 '
15 '•50 • -2.50
50 200 5.00 L O/1./ "5!gL? 4-
200 -500 10.00 .J
�oJwc .a 2,lt7,11
500; 1000 is.00 Z
OVER 1000; .20,000i7"��
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-kVA
GENERATORS -KW' '
TRANSFORMERS-KVA - -
TEMP. .MOTORS (75% OF ORIG.) '
MOVED MOTORS (7S% OF ORIG.)
MISC.
SIGNS
NO., _ "' NO. TRANS. _ APftPPROV SS
NO. NO. LAM - • - - - '
• FOR EACH PERMIT: - -
DAri INSPECTOR'S NAME.
WIRING "$1.00 / U 6- CONDUIT - ,v/��e • /a�/ -
FIXTURES $1.00 ( 0 d WIRING
SUPPLEMENTARY ,gp FIXTURES /
•
S3l
POWER
TOTAL FEE $ UTILITY CO. NOTIFIED
• - FINAL -
76A 663 DBS# 5A, 4-32 - -
76A663-CE806 9-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 2 D
BUILDING AND SAFETY.DIVISION ADDRESS ® r. +I4-
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NO. EACH FEE
$ $ O W N E R 4444- ®K LA
RECEPT._ MAIL �G1 C0 f
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. N` J
LIGHTING �TOTAL FIRST 20 20 CONTRACTTORWA/ � L/t/ , TfFIXTURES OVER 20 10 ADDRESS�T/�p71�' (,�'e �' " ,`L
RANGEk-DRYER WTR.HTR.— CITY ,L`-l����yT� TEEL �L. Nl �f��T
STA.COOK—DIS P.—F.A.U.— LICENSE NO. ` � fge 1. 4j{{/
SPACE HTR. AIR COND. D I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AN STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN—OTHER / 1 00 Y 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE 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 ROPERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 1 11 00 OF PERMITTEE
O
1 - 10 3 00 DISTRICT NO.1 GP P SED,
10 - 50 5 00
O -
50 - 100 10 00 NOTES: G
W
100 — Soo 15 00
N
SIGN,GAS SIGN AND ONE CIRCUIT 3 00
TUBE, OR
MARQUEE ADDITIONAL CIRC ITS 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
a
APPROVALS DATE INSPECTOR'S SIGNATURE
IR
MP. POWER POLE
DERSLAB WORK
UGH CONDUIT
ISSUING FEE 2 00 ING
TURES
SUPPLEMENTARY ISSUING FEE 1 00 WER AUTHORIZED
PERMIT FEE LITYCO.NOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL '
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELEC CAL ENGINEER
PLAN CHECK VALIDATION CK M 0. CASH_ PERMIT VALIDATION CK, M.O. CASH
7 41L0 5 7 4 0 AUG 5 2 .0 5.0 0
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
4
08S5-A 1-46. ' APPLICA IO FOR PEYtU11Li
DEPARTMENT OF .BUILDING AND SAFETYI
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX CHIEF ENGINEER
Q NAME I DISTRICT NO. GROUP ZONE PERMIT NO.
1UU ADDRESS,/��� O �.(- ✓ lC G� !/(o J U
U CITY TEL.NO. YP�� �es� .RECEIVED BY READY FOR DATE ISSUED
FIRST INSPECTION
J COUNTY V4,44
�
W CERT.NO. / V EXPIRES of ��
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
JOB
DESCRIPTION OF WORK . ADDRESS ��
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS FniT CROSS ST.
CIRCUIT A B C D E F - G H It NAME �t•t�u7/� lC
= MAIL
3 ADDRESS
O
CITY TEL.NO.
I HE LEGAL OF THE BOVE LOS
AN COUNTY C 1 O UAL CATION..
0
ELECTRICIAN.
1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
a
Z
r
TOTAL
n
- o
i
NO. OF OUTLETS SP s APPROVALS
I NO. OF FIXTURES DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. B CONDUIT
NO. OF SIGNS TRANS. B WkIRING
NO. OF RANGES OR HEATERS $ FIXT4448
MISCELLANEOUS $ s p -POWER-
PERMIT FEE $ UTILITY CO.NOTIF o — &
TOTAL FEE FINAL 1)