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HomeMy Public PortalAbout5303 LOMA AVE_Electrical__ 76A663-CE806 10/72 APPUCAMN FOR ELEMMAL PERMH I COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS L_ c>m f1v LOCALITY - j-� LC ! "- NEARE FOR APPLICANT TO FILL IN CROSj u OUTLETS NO EACH FEE OWNES S FIRM J RECEPT MAIL �7 FIRST 20 25 ADDRESS S�� LIGHT TOTAL CITY •�,�Yv\( G' TEL NO SWITCH OVER 20 10 PLAN CHECK LIGHTING 25 TOTAL FIRST 20 APPLICANT 1 OVER 20 ADDRESS FIXTURES 10 I RESIDENTIAL APPLIANCES CITY TEL NO' RANGE DRYER WTR HTR PERMITAPPLICANT C5 , STA COOK DISP F A U ADDRESS ' SPACE HTR AIR COND CITY TEL NO CLOTHES WASH DISHWASH LICENSE OR CLASS REG NUMBER FAN OTHER 100 I 1 HEHEBN ACKNOWLEDGE THAT 1 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 ' 100 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE r 1 - 10 300 pv 11E5111IPED RESIDENTIAL PROPERTY CD PERMITEE V 10 - 50 500 SIGNATURE ✓ CD 50 - 100 1000 U FDISTRICT N0. t PROCESSED BY LLJ 1 00 - 500 1500 vii f Z_ SIGN, GAS SIGN AND ONE CIRCUIT 500 PROVALS DATE INSPE TOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS >100 OWER POLE SERVICENOTOVER 600 VOLTS OR 200AMP 300 UNDERSLAS WORK r SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES ` POWER AUTHORIZED - UTILITY CO. NOTIFIED FINAL PERMIT•FEE (SUB TOTAL) NOT S, PLAN CHECK FEE PERMIT ISSUING FEE 300 `` TOTAL FEE y PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH 5 0 ,2 P•IUN 2 2 b 6.0 0 " SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE , 768663-CE806 10/72 A° PP CAIMN FOP, ELECTMICAL pERWr COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS rJ 3a3' N Ld 111/1 BUILDING AND SAFETY DIVISION LOCALITY 'r 6-1A NEAREST ' - FOR APPLICANT TO FILL IN CROSS ST &-!5, v V OUTLETS NO EACH FEE OWN FIRNAOR ME L? O gg $ S MAIL RECEPT l ADDRESS LIGHT TOTAL FIRST 20 25 36 OVER 20 l�.O .CITY a, G I TEL NO E OR SWITCH 10 fid PLAN CHECK , LIGHTING 1 TOTAL FIRST 20 25 S O APPLICANT- FIXTURES ' I �0 ADDRESS OVER 20 , RESIDENTIAL APPLIANCES CITY TEL iNO PERMIT RANGE DRYER-/—WTR. HTR APPLICANT STA COOK DISP F A,'U ADDRESS SPACE HTR AIR GOND _ CITY. TEL NO CLOTHES WASH /DISHWASH LICENSE OR REG NUMBER CLASS FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION Q 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 L`OS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1 — 10 300 DESCRIDED RES E (TIAL PR PERTY O PERMITEE ^� V' 10 - 50 500 SIGNATURE " , O SO - 100 1000 DISTRICT NO. PROCESSED BY W " 100 - 500 1500 O� °' � Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE- INSPECTOR'S SIGNATURE -TUBE, OR - _ MARQUEE ADDITIONAL CIRCUITS 100 TEMP\\. POWER POLESERVICENOTOVER 600VOLTS OR200AMP / 300 B" UNDER\LAB WORK SERVICEOVER600VOLTS 0R200AMP 1000 ROUGH CON\IT 7 TEMP SERVICE;POLE, &APPURTENANCES •500 WIRING sir '� TEMP LIGHT OR RECEPT.,SYSTEM 300 F,IXITUNESa j - POWER AUTHORIZED ~ UTILITY CO. NOTIFIED FINAL.` PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE - 300 D TOTAL FEE ' PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION K' M O CASH 326JUN 6 2 0 21.1U0�18 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE — q jl 75A66,CE806 1/70 , /n�PPLI ATION F®R �I( ECIRICA PER/a,(T Mull �` fJ' �L ll f..,L i� ]fes b�T/N .� COlJNTY'OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING / ' BUILDING AND SAFETY DIVISION AooREss Q JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING NEAREST FOR APPLICANT TO FILL IN CROSS ST ut FFIXTURES LETS NO EACH FEE OWNERM. G $ $ MAIL ADDRESS TOTAL FIRST 20 20 CITY TEL NO OVER 20 10 PLAN C K FIRST 20 � PO /j APPLICANT TOTAL V OVER 20 ADDRESS 10PPLIANCES CITY TEL. NO. PERMIT DRYER_WTR HTR APPLICANT DISP ^F A U ADDRESS SPACE HTR AIR COND. CITY TEL NO CLOTHES WASH DISHWASH LICENSE NO CLASS FAN OTHER 100 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 14 TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO 1 — 1O 300 RESIDE IN, THE ABOVE OESCRIPED RESIDENTIAL PRO ERTY d SIGNATURE 10 - 50 500 OF PERMITTEE 50 - 100 1000p� DIST�TN _ICS GROUP ZONE P OC S BY 0 1,00 - 500 1500 �+) /nnVV�A)) �1Lu // 0 SIGN GAS SIGN AND ONE CIRCUIT 300 I NOTES. lam_ N TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 SERVI CE NOT OVER 600 VOLTS OR 200 AMP 200 APPROVALS DATE INSPECTOR'S SIGNATURE SERVI CE OVER 600 VOLTS OR 200 AMP 500 TEMP.POWER POLE TEMP SERVICE,POLE, &APPURTENANCES 300 UNDERSLAB WORK TEMP LIGHT OR RECEPT SYSTEM 300 ROUGH CONDIUT WIRING J np PERMIT FEE (SUB TOTAL) FIXTURES ('I/ � POWER AUTHORIZED �' l/I1 �V PLAN CHECK FEE (50% PERMIT FEE) UTILITY CO NOTIFIED PERMIT ISSUING FEE 200 � V d FINAL SUPPLEMENTARY PERMIT ISSUING FEE 100 JOSEPH C. ROOHAN TOTAL FEE i SUPERVISING ELECTRICAL ENGINEER. PLAN CHECK VALIDATION `CK M 0 CASH PERMIT VALIDATIONCK - M 0 `CASH ! x_ 9 ,0 6 5 WIR 9 2 D 7.80- V SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r��y' DBS 5A 11.46 QPgCATION FOR PERNM DEPARTMENT OF MUDING AND SAFETY Y6L�Y1Y COUNTY OF LOS ANGELES r j � RIC WM. J. FOX CHIEF ENGINEER NAME DISTRIC NO-. GROUP y�Z�(O/NE P{/ERMIT NO. uADDRESS r! / Cd s 20;z, READY FOR DA ISSUED N CITY TEL.NO. FIRST INSPECTION J COON W CE . O. EXPIRES p�AyPg+PLIITCANT FILL IN HEAVILY OiTI'LINEIGD.�Pcs RTION, ONLYJOB �1 DESC.RI Y-a.Oia OF WOlM ADDRESS'rA A NUMBER OF OUTLETS ON CIRCUITS LOCALITY v7f . A"- Cka (f 4-it<l-4 LOCATION BY ROOMS NEAREST LIGHT OUTLETS JSW. PLUGS FIXT CROSS ST. ✓!~.sQ /r 1 CIRCUIT A B C D E -G H 1% NAME �o Z MAIL Q P a (�, ' [� 3 ADDRESS i L16 C_' A4- 4_4 O CITY L-ne� G�{�'8�nom`TEL.NO. 7"l/'S.� 1 AM THE LEGAL POSSESSOR OF THE ABOVE LOS ANGELES COUNTY CERTIFICATE OF QUALIFICATION.. ELECTRICIAN. I AM TUC L WAL OWNER OF THE PROPF,RTY DESCRIBED ` ABOYB r win 'iYt (� OWNER. C01 EMONS a/z s J Q Z O TOTAL NO. OF OUTLETS $ APPROVALS r NO. OF FIXTURES $ DATE INSPECTOR'S NAME v NO. OF MOTORS H.P. $ CONDUIT p� NO. OF SIGNS TRANS. $ WIRING NO. OF RANGES OR HEATERS $ FIXTURES MISCELLANEOUS $ _POWER PERMIT FEE $ UTILITY CO.NOTIFIED �y TOTAL FEEFINAL ,I �-