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HomeMy Public PortalAbout9962 LA ROSA DR_Electrical__ 76AS63.CE806 10.82 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES ' DEPARTMENT OF COUNTY ENGINEER ' BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE. COUNTY ENGINEER _ WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY �s4'/ NEAREST 3G /G t//.^/ �J FOR APPLICANT TO FILL IN c2oss sr. RECEPT.3 ` TOTAL NO. EACH FEE OUTLETS FIRsr 20 .L. S 2O $ (F O� OWNER uOXr a41 MAIL nn AGG'L (, RIB ✓ 0 SWITC X. OVER 2O Q •1D (/ TOTAL CITY A PT TEL. NO. LIGHTING I FIRST 20 / .20 (� _ FIXTURES I( / Aoo'L to ELECTRICIAN Q /V ��C•�/P/C OVER 20 RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS GARB.DISP. STA.COOK " clrr S/v AA/ /9 TEL.No. DOLS DISH WASH.! AUTO.-WASH. � 3 STATE SPACE HTRB. STA.APP.(:/H.P.MAX.) .50 LICENSE NO. S(.p MOTORS: OVER NOT OVER H.P. DISTRICT NO. GRQUP ZONE PRSICESSEq BY 0 1 1.00 'J . O 1C• 4 r y4•.V 1 s I.50 INSPECTION RECORD / n 3 6 2.00 S 15 2.50 0 15 50 3.00 �. J—/ /.iO ��_ rC SO IOD 5.00 K/ y 0. SIGNS: NO.TRANS. I NO.LAMPS ) N Z_ SERVICE 0.600V.NOTOVER200A 1.00 SERVICE 0.60OV-OVER 200 A. 2.00 I / SERVICE OVER 600V 5.00 MISC. d\ PERMIT ISSUING FEE 2.00 �Q SUPPLEMENTARY PERMIT ISSUING FEE 1.00 TOTAL FEE a1006 (j I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVAL$ DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING I 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES ( O CALIFORNIA OR THAT I AM THE LEGAL'OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PR{./�R�TTp/ POWER e� I/ OF PERMITTEE .!///GSC C( UTILITY CO.NOTIFIED / 41 C• L FINAL ��u0(L� M//) VMO, ARTHUR C. VEIT ✓ MO CASH SUPERVISING ELECTRICAL ENGINEER X0766- JUL 1 2 D 16.70- a 76A 663-C E806 3-69 � o /J • r APPLICAFOR ELECTRI AL PER` MI/ Y/ COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDIN BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS S NO. EACH FEE S $ OWNER RECEIPT. MAIL LIGHT TOTAL FIRST 20 ,2p ADDRESS SWITCH_ OVER 20 ,1p CITY / TEL.NO PLAN CHEC LIGHTING ll( TOTAL FIRST 20 .20 APPLICANT FIXTURES J OVER 20 ,10 ADDRESS RANGE_DRYER_WTR. HTR. CITY TEL.NO.. STA. COOK_DISP. _F.A.U. CONTRA /J SPACE HTR._AIR CORD, ADDRES 4— CLOTHES WASH. DIS HWAS H. Cl'T� 9 -TEL.NO. FAN OTHER 1.00 LICENSE N0. CLAS MOTORS,TRANS FORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE g TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIPING. p 1 '-OG ' HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/Oa LICENSED AS NEOUIRED BY LOS ANGELES COUNTY AND STATE OF 1 - 10 3.00 b CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO d E 510E IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O 10 — 50 5.00 U SIGNATURE , m 50 — 100 10DO OF PERMITTEE Q F 100 — 500 15.00 FFRA T GROUP ] w ©SIGN,GAS SIGN AND ONE CIRCUIT 3.00K TUBE, ORZMARQUUEEE ADDITIONAL CIRCUITS 1.00 :AMP 00 [PLANCHECK ER 600 VOLTS OR 200 AMP 5.00CE, POLE, &APPURTENANCES 3.00DATE IUGlECT.N'R SIGNATURE POW ER POLEE LAB WORKCONDUITE (SUB TOTAL) ES AUT HOR IZEOK FEE (50% PERMIT FEE)UING FEE 2.00 Y CO.NOTIFIEDTARY PERMIT ISSUING FEE 1.00 EE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION cK. M.O. cASa PERMIT-VALIDATION cN M.o. CASH u^ c n 5 0— JUN 3 2 D }7.00- SEE BACK OF APPLICATION FOR COMPLETE FEE ECIFDULE