HomeMy Public PortalAbout9126 LAS TUNAS DR_Electrical__ L2
76A663'-CE806 ,1,-7, APPLICATION FOR ELECTRICAL PERMIT 3qq '
COUNTY OF LOS ANGELES
DEPARTMENT OF-COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS S 'TJJ
LOCALITY'
NEAREST �c+
FOR APPLICANT TO FILL IN CROSS ST. r _7 Ul—_. /V
OUTLETS NO. EACH FEE )/ p- 7- /
$ $ OWNER _ !Y I' 1
RECEPT._ -MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
�X
CITY TEL. NO.
SWITCH OVER 20 .10
PLAN CHECK
LIGHTING TOTAL FIRST 20 ff 25 •APPLICANT
OVER 20ADDRESS
FIXTURES v
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMITRANGE DRYER_WTR. HTR. APPLICANT Pk6 NT t� V IS /�-n
STA. COOK DISP. F.A.U. ADDRESS,
SPACE HTR, AIR COND. CITY J> /a�! T IT
TEL. N0,/— Fj-6
CLOTHES WASH. DISHWASH. LICENSE NO.J4Z21, CLASS. 4, Q
FAN OTHER 1.00 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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 THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF., AND INTEND TO 0
1 — 1O 3.00 RESIDE IN, THE ABO E DESCRIBED RESIDENTIAL PROPERTY.
V
10 — 50 5.00 SIGNATURE Im
OF PERMITTEE O
� I
50 100 10.00 ~
DISTRICT NO. CLASS ZONE PRO ESSED BY W
100 — 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600VOLTS OR 200AMP 3.00 6 G
' APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINA 72i
PERMIT ISSUING FEE 3.00 t-50
TOTAL FEE 25
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. CASH
,SEE BACK OF.APPLICATION FOR COMPLETE SCHEDULE
.76A663-CE806 1.1.71 APPLICATION FOR ELECTR CA�PER� IJ
COUNTY-OF LOS ANGELES / , /
DEPARTMENT OF COUNTY ENGINEER BUILDI S 6 �� LJ/v IS BUILDING AND SAFETY DIVISION
LOCALITY
JNEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO. EACHI FEE
OWNER )�lnS 1/ T Z /r I/ /J
RECEPT._ $ $ ADDRESS / �/ 4-15U
LIGHT TOTAL FIRST 20 .P9
OVER 20 CITY F j-r C TEL. NO.
SWITCH' .10 PLAN CHECK
LIGHTING TOTAL
FIRST 20 25 APPLICANT
_
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY �jTEL. NO.
1 p
RANGE DRYER_WTR. HTR. APPLI ANT /V (r!�(% r�-(iC7 e
STA. COOK DISP. F.A.U. ADDRESS, 6 VT11_1V 7,0
SPACE HTR. AIR COND. CITY 4lg1V 17 f j I r TEL. NO.5_Zy •r2�L
CLOTHES WASH. DISHWASH. LICENSE NO.li � / CLASS. 0
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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 THAT 1 AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANDSTATE OF
CALIFORNIA OR.THAT I AM.THE LEGAL OWNER OF, AND INTEND TO O
U/V 7 1 — 1O 3.00 Q RESIDE IN, THE ABOVE rCRIBED R'ESID'PENTIAL PROPERTY. v
10 - 50 5.00 SIGNATURE �""""' Iw
OF PERMITTEE i Q
50'— 100 10.00 ~
DISTRICyNO. CLASS ZbNE� 'PRO SED BY L
100 - 500 15.00 , h
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00 (�
TOTAL FEE 0
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA 1DATION c y M.O. CC
CASH
0 '? N GGI 10 2 D 9.0 O N
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
DBS SA 25M giETS 1-48
�DEPARIzENT '0F AND SAFETY
�PLYCA�'Y®14T FOR PERMIT
COUNTY OF LOS ANGELES ELECTRIC 1.
WM. J F �75itilkE BNql!MER
Z DISTRICT NO. GROUP I ZONE PERMIT NO.
Q NAME ,
ADDRESS
U CITY r��UNTY '( _ _ T@L.NO. 1', 9�k RECEIZL�-t
VEDBY FIRST INSPECTION READY FOR DATE ISSUED
W ERT.NO. V� B7GPIR f�..�"?' -f � `'.., I'D,
�
APPLICANrr FILL IN HEAVILY OUTLINED PORTION ONLY
IDESCRIP'I'IO1�1 OF WOR ADDRESS
NUMBER OF OUTLETS ON CIRCUITS LOCALITY
LOCATION BY ROOMS rf
NEAREST L .M. y,,
LIGHT OUTLETS fYl. PLUGS FIZT C SST. fit, ��/
CIRCUIT A B C D E F G H IX NAME
l� /0 }� ADDRESS
d O
CITY TEL.NO.
I AM THE LEGAL POSSESSOR OF THE ABOVE LOS
ANGELES COUNTY CERTIFICATE OF QUALIFICATION..
.Vy ELECTRICIAN.
I AAA THIS LEGAL OWNER OF THE PROPERTY DESCRIBED
Jgf/ f ABOVE
Oft �i
OWNER.
�
7�g�+ g
C0Se.FN.0 MONS
J
Ily
— a
z
o
OT 0
NO. OF OUTLETS K $ APPROVALS
NO. OF FIXTURES $ � DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. $ CONDUIT beV
NO. OF SIGNS TRANS. $ WIRING
NO. OF RANGES OR HEATERS $ FIXTURES
A
us POWER
PERMIT PEE °UTILITY CO.NOTIFIED
T �� 1 A