HomeMy Public PortalAbout9555 LA ROSA DR_Electrical__ 76A663-CE806 3-69
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APPLICATION FOR EL CTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION BUILDING �S S
ADDRESS i
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY y J GC
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
$ $ OWNER
RECEIPT MAIL :
LIGHT TOTAL FIRST 20 20 ADDRESS l_
CITY L/1 TEL NO
SWITCH OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 20 _ APPLICANT
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 a e e CITY U,�� ZZ TEL NO 9"(o - 3/
FAN_OTHER 1 00 0 LICENSE NOCLASS
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND HEATERS, ETC. HP KW KVA, AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 — 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 — 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 2
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
10 - 50 500 V
SIGNATURE oC
50 - 1 D 1000 OF PERMITTEE
H
100 — 500 1500 DIST NO� GROUP ZONE 1=5E Y w
IJJ� CL
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
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 APPROVALS DATE INSPECTOR'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 a DD UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEEl JOSEPH C ROOHAN
Il SUPERVISING ELECTRI AL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
{ r� 6 4 20 2 D 4.00 Q
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
DBS_S-A 12-44 (I APPLICATION FOR PESlmj
HDEPARTMENT'OF -HUILDING AND SAFETY � ELECTRIC
COUNTY OF LOS ANGELES
M. J. FOXCHIEF ENGINEER
NAM DISTRICT NO. GROUP ZONE PERMIT N4O...``
U
ADDRESS /
/� f� READY
W CITY A ' TEL NO. G 9 �-6 � RECEIVED B� FIRST INSPECTION DATE ISSUED
W CERTCOUNTYwzO. () EXPIRE 7i_3 1
APPLICANT FILL IN HEAVILY OUTLINED PORTION
/ONLY
JOB
DESCRIPTION OF WORD ADDRE d�
/
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW PLUGS FIXT CROSS ST. n
CIRCUIT A B C D E F G H E- NAME
Z MAIL
3 ADDRESS
O
CITY_ _ TEL NO.
I AM THE LEGAL POSSESnR�OF THE ABOVE.LOS
ANG TY CER TE®F AL1F1C ION..
ELECTRICIAN.
AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED
ABOVE
OWNER.
' CORRECTIONS
J
a
z
9
0
TOTAL
NO. OF OUTLETS $
APPROVALS
I NO. OF FIXTURES $ DATE INSPECTOR'S NAME
NO. OF MOTORS H P. $ CONDUIT A e A4j- „
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITYCO NOTIFIED
TOTAL FEE 1FINAL U2 sr-2
76A66C CE#806 5-61
APPLICATION FOR ELECTRICAL
L PERMIT
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER , BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
' WILLIAM A JENSEN,SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
PERMIT FEES OWNER `
I T E M NUMBERI EACH FEE MAIL
OUTLET S S 1 ADDRESS
LIGHTS RECEP7 SW- 10 CITY TEL NO
LIGHTING FIXTURES /1010
ELEC RANGES CLO DRYERS (ELECTRICIAN
WATER HEATERS 50 ADDRESS
1 LE SPACE HTRS DISHWASHERS �ry
CITY
GARBAGE DISPOSERS AUTO--r �.--.r.-o--. STATE �+
WASHERS STA COOKING UNITS 2S LICENSE NO.
MOTORS OVER INC H P DISTRI/CC,�' G P Z NE P D
0- 1/2 25 A `�//
'/2- 2 _ 50 1"/ -7
�INSPECTION RECORD
2— 5 1 00 _ -y'Z /Kk'-✓,� 1 �� i t� �
5— 15 150
15— 50 250
50— 200 500
NO TRANS ggl�I) ,/] IL
ty
SIGNS NO LAMPS W 1/..7 ,Y "l. '� V/I�i1 X Z_
SERVICE 0-600V 1 pp 17 J W y A n
SERVICE OVER 600V 500 —
MISC
WIRING PERMIT too
FIXTURE PERMIT '
00
SUPPLEMENTARY PERMIT 50 -
TOTAL FEE $ 0
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS /� DATE INSPECTOR�''SSIGNATURE _
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT �/
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRLD BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE -.1 . 1
DESCRIBED RESIDENT AL PROPE TY POWER
SIGNATURE /� UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
y
OIMIATI%l, ARTHUR C. VEIT
SUPERVISING ELECTRICAL ENGINEER
-70 JAN 31 2D 8.30 � ,