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 �-