HomeMy Public PortalAbout9561 LA ROSA DR_Electrical__ DB; S-A 12-44
DEPARTMENT- CF BUILDING AND SAFETY APPLICATION FOR PERMYT
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOXCHIEF ENGINEER
Z DISTRICT NO. GROUP ZONE PERMIT NO.
i NAME,
Ua- ADDRESS le 11, /
READY R
CITY (/L ' TEL NOL/d RGB� FIRST INSPECTION DATE�ISSUIE'
W
COUNTY
W CERT NO. Q EXPIRES >/6
APPLICANT FILL IN HEAVILY OUTLINJOBOqE��D PORTIO ONLY
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(DESCRIPTION OF WORK ADDRESS OG�t /
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS isw PLUGS FIXT CROSS ST.
CIRCUIT A B C D I E F G IH ]"VVN
/� f(�--•
" TEL.NO.AL PO R F THE OVE LOY CE F j ALIF ATION.ELECTRICIAN.
OWNER OF THE PROPERTY DESCRIBED
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I
OWNER.
CORRECTIONS
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J
Q
Z_
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TOTAL p
NO. OF OUTLETS $ 0 v APPROVALS
1 NO. OF FIXTURES ® $ S-0 DATE INSPECTOR'S NAME
NO. OF MOTORS H P. $ CONDUIT °'
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
MISCELLANEOUS $ POWER
PERMIT FEE $ UTILITYCO NOTIFIED 9
TOTAL FEE �S FINAL ¢�
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
"— of County Engineer
..
DIVISION OF BUILDING & SAFETY
WILLIAM J FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT N . GROUP I ZONE PERMIT NO.
7
ELECTRICIAN
RE EI ED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTIONu!
CITY TEL. NO / //
COUNTY LICENSE NO. EXPIRES BUILDING nn/,
ADDRESS
AIL� Ph-
PERMIT FEES
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CRO BBST.
t/ wi
RECEPTACLES -�� •,./�m�
WALL SWITCHES OWNER
TOTAL OUTLETS Sc S MAIL
ELEC. RANGES 85 ADDRESS 0,57a r t ELEC
FIXTURES HEATERS 2S_ _ CITY ��c��j �/;/ TEL. NO. F(
I HEREBY ACKNOWLEDGl THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS _ AND STATE LAWN REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVO HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 a LEES $ .25 SIGNATURE O
I/2 Z .50 PERM
2 S 1.00 INSPECTION 'RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
_ 500 1000 15.00[—�:—— a
Z
OVER 1000 2000
M O. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIG) _
MOVED MOTORS (75% OF CRIG.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
N0. NO. LAMPS
FOR EACH PERMITS /RATE INS EC)rOR'S NAME
WIRING 01.00 CONDUIT �L..
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE >6 J UTILITY CO.NOTIFIED
FINAL
76A663 DBS#6A 4-82
76A 663C CEBO6B 1275 APPLICATION FOR ELECTRICAL PERMIT
- '
BUILDING SAFETY DIVISI
FOR APPLICANT TO FILL IN SOB
New Residential Bldgs & Pools EACH NO FEE ADDRESS S g
1 &2 Finaily Sq Ft $ — $ LOCALITY C
Multi-family Sq Ft — NEAREST"—�
CROSS ST
Residential Swimming Pools
OWNER OR
FIRM NAME t�
Outlets Light, Switch & Receptacle ,j MAI L
First 20 V ADDRESS -^ .
Additional CITY "�}�"� C- Tel No
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 — V ADDRESS
Additional f CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range— Heater_ D W ADDRESS
Oven Dryer _ W M
Top FAU WH CITY Tel No
Hood Fan LICENSE OR o
REG NUMBER Class c.;0
Disp AC
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATIONo
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING W
Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING
Up to 1 Incl I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
. CALIFORNIA OR THAT 1M THE LEGAL OWNERZ01E ABOVE
Over 10 to 50 Incl DESCRIBED RESIDE AROROPERTY
Over 50 to 100 Incl PERMITEE
Over 100 SIGNATURE /
DISTRICT NO ROCE ED BY
Services /' D Q
0 200 Amp Undpr 600 V C/
201 - 1000 Amp Under 600 V APPROVALS DATE I P TURE
Over 1000 Amp or Over 600 V SI NATURE
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit ROUGH CONDUIT
Additional Sign Branch Circuits
(Other) WIRING ���•� �A /�v{�L
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL 24-- '1 R6p)g_0,d6 —
PERMIT ISSUING FEE NOTESOtlP7'S-Lj7U• SN✓ t -oK
TOTALFEE L� SALhm 09
PLAN CHECK VALIDATION CK MO CASH 6 7 p6l"11WAL!qATI2N() <f _
76A663-CE806A-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMEIIT OF COUNTY ENGINEER BUILDING /
BUILDING-'AN&SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 1
NEAREST �Q
FOR APPLICANT TO FILL IN CROSS ST �� v 1Y_14U
RECEPT,ab TOTAL NO EACH FEE
OUTLETS FIRST 20 $20 $ „� OWNER Q P d
LIGHT MAIL +7
SWITCH,Jo Ao ADD L 10 ADDRESS + r.
OVER 20
TOTAL FIRST 20 20
LGHTING FI
CITY E Q V S TEL NO
IXTU S �4�
FIXTURES ADD L
I OVER 20 10 CONTRACTOR
RANGES DRYERS WTR HTRS 1 00 ADDRESS
GARB DISP BTA COOK CITY TEL NO
DISHWASH AUTO-WASH STATE
SPACE HTRS BTA APPL �/ 50 V LICENSE NO
MOTORS OVER NOT OVER H P DISTRICT NO. GROUP ZONE PROCESSED BY
O 1 100 .Z—
1 s 150 INSPECTION RECORD
s s 200 2qp
j 8 15 250 G
yr.
15 50 300 V a
so 100 500
SIGNS NO TRANS , 0
NO LAMPS .�. A
SERVICE 0.60OV-NOT OVER 200A 100, oc i d
SERVICE 0.60OV-OVER 200 A 12001
SERVICE OVER 600V 500
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200 UPJ
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRINGrp
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS"REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR AT I AM THE LEGAL OWNER OF AND INTEND TO POWER /
RESIDE IN,THE AB VE DESCRI RESIDENTI ROPERTY p
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTE
FINAL
(:q7KMO
ON JOSEPH ROOHAN
CASH SUPERVISING ELECTRICAL ENGINEER
1 %01 1 3 4 0O OCT 10 2 D 1 6.8 0-
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