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Home My Public Portal About5360 LOMA AVE_Electrical__ 78DBS-5A 12.54 A683 - APPLICATION FOR ELECTRIC PERMIT ], ,DIVISION OF BUILDING AND SAFETY J- Department of County Engineer County of Los Angeles MBUILDING q fk q W . J. FOX, COUNTY ENGINEER ADDRESS S 1 G,, [i CASSATT D. GRIFFIN, SUPT OF BUILDING ' FOR APPLICANT TO FILL IN LOCALITY —re�,)1 ?b -G171 PERMIT FEES NEAREST /! ` CROSS ST Gj{1 I V L' S Z FEE NUMBER EACH LIGHT OUTLETS - OWNER RECEPTACLES MAIL ADDRESS WALL SWITCHES TOTAL OUTLETS -sl-. 5d S _ CITY TEL NO ELEC RANGES 25 ELECTRICIAN rU IIJ, ELEC. HEATERS 25 - ADDRESS / C..1-1'Q L� .P/C• J)L'V pq KW EA m e N y�8 tLlr c; TEL N¢Y�7 A'/ )q 0 CITY FIXTURES - 5 t) LICENSE NO. NUMBER OF LIGHT CIRCUITS DISTRICT NO, GROUP ZONE READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS MOTORS NUMBER HORSEPOWER FEE INSPECTION RECORD NEW MVD _HP OVER INC EACH LESS $ 25 _ 1/2 2 50 2 5 1 00 5 15 1 50 15 50 2 50 50 200 Boo - - -I Sc P 4ya- NO SIGNS NO TRANS NO SIGNS NO LAMPS FOR EACH PERMIT' WIRING $1 00 ' FIXTURES $1 00 ' SUPPLEMENTARY 50 APPROVALS TOTAL FEE $ / DATE INSPECTOR'S SIGNATURE 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ELECTRICAL WIRING I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES ' LICENSED AS REQUIRED BY LOS ANGELES COUNTY'AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER DESCRIBED RESIDENTIAL PROP RTY / Z J f UTILITY CO NOTIFIED SIGNATURE � *•�-+^^�� OF PERMITTEE FINAL Y14 /' .r..,.A'L g-� AAy}�e, � WILLIAM J. FOi COUNTY ENGINEER V�'IDi?zI7'y 8unluo JUL 2 2 •� O ® DEPUTY 76A683 -DBS•SA 12.54 APPLICATION FO ELECTRIC PERMIT 1- DIVISION OF BUILDING AND SAFETY Department of County Engineer County of Los Angeles BUILDING 5� •• WM. J. FOX, COUNTY ENGINEER ADDRESS CASSATT D. GRIFFIN, SUPT OF Bu11131Nc FOR APPLICANT TO FILL IN ' LOCALITY PERMIT FEESNEAR EST 1. /J �_ 'CROSS ST !J FEE NUMBER EACH c e C 1"A /`q LIGHT OUTLETS �- OWNER I, RECEPTACLES l 0 MAIL a_ ADDRESS WALL SWITCHES TOTAL OUTLETS 50 S -I+- CITY TEL/ANO /•� ELEC RANGES 25 ELECTRICIAN �v� Y LY (J 1-z/c co ELEC HEATERS - 25 ADDRESSY1yJ�/ KW EA CITY 11)V •rC /J.�J J 4If✓ TF —^ CITY /t FIXTURES - -�(J 5 LICENSE NO. � � C d NUMBER OF LIGHT CIRCUITS DISTRICT NO I GROUP ZONE 1 READY FOR INSPECTION NUMBER OF RECEPTACLE CIRCUITS T MOTORS L NUMBER - HORSEPOWER FEE INSPECTION-RECORD NEW MVD HP OVER INC EACH IFl&LESS $ 25 21 50 2 5 1 00 5 15 1 50 15 50 2 50 50 200 Boo MISC NO•SIGNS NO TRANS - NO SIGNS - NO LAMPS FOR EACH PERMIT O WIRING - $1 00 U FIXTURES - $1 00 I 90 SUPPLEMENTARY 1� /�/I APPROVALS TOTAL FEE $ �I 9V DATE INSPECTOR'S SIGNATURE ` 1 C HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION CONDUIT AND'STATE THAT THE ABOVE ISO AND AGREE TO COMPLY /n� WITH ALL COUNTY ORDINANCES AND 'STATE LAWS REGULATING WIRING LSA s-c X J, ELECTRICAL WIRING IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES LICENSED AS REQUIRED BY LOS-ANGELES.COUNTY AND STATE OF A CALIFORNIA OR AT 1 AM THE LEG OWNER-OF THE ABOVE POWER i 1 DESCRIBED RESI/DE TIAL PROP TY UTILITY CO NOTIFIED I QI /Yd I - SIGNATURE { OF PERMITTE I FINAL fv WILLIAM J. FO'X COUNTY ENGINEER 8 2- AUG 23 2 490 � BY J DEPUTY 768663-CE806 10/72 .QppUCAM N -FOR EdECUMCAd ,pEQMT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS LOCALITY FOR APPLICANT TO FILL INEAREST — N CROSS ST OUTLETS 4 NO EACH FEE OWNER OR $ $ FIRM NAME �- RECEPT.,/ MAIL ' ' LIGHT TOTAL FIRST 20 25 a7 ADDRESS ' raC 'i CITY TEL NO, 7� SWITCH_ OVER 20 10 PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT ' OVER 20 ADDRESS FIXTURES \ 10 RESIDENTIAL APPLIANCES CITY EL NO PERMIT RANGE DRYERWTR HTR APPLICANT STA COOK 'DISP F A U ADDRESS - SPACE HTR AIR COND CITY 0 V. TEL NO CLOTHES WASH DISHWASH LICENSE OR VCLASS REG NUMBER FAN OTHER 100 1 1 HEHEBI 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 1 HEREBY CERTIFY THAT I-AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE r DESfRIfED .RESIDE TIAL PROPERTY p, ('.t — 10 300 O PERMITEE C..) 10'— 50 500 SIGNATURE O 01 50 — 100 1000 U DISTRICT NO C SED BY uJ too-- Soo 1500 G \ Z SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR' SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 I TEMP. POWER POLE I SERVICENOTOVER 600 VOLTS OR 200 AMP / 300 Q UNDERSLAB WORK SERVICE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUI T TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING TEMP�LIGHT OR RECEPT SYSTEM 300 FIXTURES - POWER AUTHORIZED UTILITY CO. NOTIFIED FINALLA PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE aS PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M Q CASH ' l tb l�O . 2 U 9256�-b SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - m ' 76A663 CE 806R 10/77 Q P11UCAMN FOR ELECTMIC (� L I�j yElf�f ( T w• COUNTY OF LOS ANGELES IIIA 1111 1\I J4/C3\�l Il1J IIPb fU`Rl[URV�[O1 :r DEPARTMENT OF COUNTY ENGINEER JOB p� BUILDING AND SAFETY DIVISION ADDRESS N LOMA FOR APPLICANT TO FILL IN IT LOCALITY - New Residential Bldgs &Pools EACH NO FEE CNEAREST ROSS ST L I 1 &2 Family,Sq Ft $ 025 — $ �, Multi family Sq Ft 02 — OWNER N MRE M je lOf r fi Residential Swimming Pools 2500 AMAIL DDRESS E Outlets Rec Light_Sw CITY Tel No 'First 20 50 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Additional 30 PERMIT Total No I APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D W CITY 4410Tel No Oven _Dryer_W M ^ LICENSE OR Top —FAU —W H REG NUMBER Class Hood-Fan —Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Dlsp — Room Air Cond 250 1 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus&Large Appliances Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REOUI RED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Y^ Up to 1 Incl 250 E THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY 0 Over 1 to 10 Incl 500 v Over 10 to 50 Incl 12 50 f PERMITTEE o Over 50 to 100 Inc 2500 SIGNATURE.�"A,&C� Over 100 40 00 DISTRICT NO rOCES D BY nW y Z Services 0-200 Amp Under 600 V 1250 i INS ECTOR S 2500 APPROVALS DATE SIGNATURE 201-1000 Amp Under 600 V Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole&Appurtenances 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits 2 00 WIRING Mlsc Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED ` FINAL PERMIT FEE (Sub Total) NOTES PLAN CHECKING FEE (One Fourth Permit Feel PERMIT ISSUING FEE $700 'TOTAL FEE PLAN CHECK VALIDATION CK M O CASH t PERMIT VALIDATION CK CASH ry Z SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE