HomeMy Public PortalAbout9801 LAS TUNAS DR_Electrical__ A 6C3-LFF--h I n� APPLICATION FOR ELEC RICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �O� L • ��35 /vn-/11
JOHN A. LAMBIE. COUNTY ENGINEER / /'
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING LOCALITY L /�/ `C y I �4
NEAREST ii _
FOR APPLICANT TO FILL IN CROSS ST. 1, 1 "$10- WES /#
NO. EACH FEE
E, /E 4 H
S S OWNER Cir � S GC06L (f'yl�
RECEPT._ MAIL Ur
LIGHT TOTAL FIRST 20 .20 ADDRESSySO��'�E/�+Oly
SWITCH OVER 20 .10 CITY ��7f, rr�� / TEL. NOLO
PLAN CHECK
LIGHTING �TOTALI FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYERWTR.HTR._ CITY TEL. NO.
STA.COOK_OISP.-F.A.U._ CONTRACTOR 7'/f( C_
SPACE HTR. AIR COND. ADDRESS C A d e
CLOTHES WASH._OISHWASH._ CITY s/s'TG�' k TEL. NO.
FANOTHER 1.00 LICENSE IJO. V CLASS. C-/d
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 RESIDE IN, THE ABOVE OESCRIP,ED RESIDENTIAL PROPERTY. 0
50 - 100 10.00 SIGNATURE U
OF PERMITTEE W
00 - 500 15.00O
DIST ICT O. _ OUP ZONE PROCESSE BY G
TUBE,A �SIGN AND ONE CIRCUIT 3.00 � 4 s 0
N
MARQUEE CL
DDI TIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 c
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
0� k 3. r-:
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL ( %'
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICALENGI
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0 CA
I p,r v _ ,�4,ti 4 U '•,ice j
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
78A863-CE80v 3-69
APPLICATION FOR ELECTRICAL PERMIT' l
COUNTY OF LOS ANGELESE1 /E
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING Lf 6
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS y
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST �! ��LS T
CROSS ST. / r
NO. EACH FEE D
RECEIPT. $ $ OWNER LOCI 'J' RL�/Lls G/ISS
MAIL
�, �EInrJ�
AD-DRESS
LIGHT TOTAL FIRST 20 .20 CITY /cCl�{, ' � �/
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. COOKDISP. F.A.U. CONTRACTOR r[t
SPACE HTR_ AIR COND. ADDRESS X,6/ Ctq o
CLOTHES WASH._DISHWASH. CITY V a &W TEL.NO. 1
FAN OTHER 1.00 LICENSE NO. S CLASS.C` U
MOTORS,TRANSFORMERS RATING 1 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 & 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
C
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
1 - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO \`
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROP E TY.
10 — 50 5.00 c
SIGNATURE
50 - 100 10.00 OF PERMITTEE
L
u
100 - 500 15.001 DISTRICT NO GROUP ZONE PR C E
SIGN,GAS SIGN AND ONE CIRCUIT 3.00
PIL-
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 Gr�
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 li
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
t OQgR j-I� U
UNDERSLAB WORK
ROUGH CONDUIT -I
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 0 itV UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 U FINAL
TOTAL FEE JOSEPH C. ROOHAN Q.
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
2 7 g 2 D 7.0 0- �
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