HomeMy Public PortalAbout5426 LOMA AVE_Electrical__ 76A663-CE8061. 9-67 APPLICATION
PP ICATION FOR ELECTRICAL
E TRIqL P!�.E�RM<�i�
COUNTY OF LOS ANGELES o
II JI
DEPARTMENT OF COUNTY ENGINEER rAD
LDING
BUILDING AND SAFETY DIVISION DRESSJOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGALITY �� L C i
NEAREST
FOR APPLICANT TO FILL IN CROSS ST t2 a
NO EACH FEE
RECEPT S s OWNER
MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH OVER 20 10 CITY TEL. NO.
LIGHTING TOTAL FIRST 20 20 CONTRACTOR 4- 6
FIXTURES r OVER 20 10 ADDRESS
RANGEDRYER—WTR HTR.— CITY �" ]P� TEL NO
STA.COOK_DISP _F.A U _ LICENSE NO 6 4`-/ S
SPACE HTR AIR COND IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH _DISH WAS H,_ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTR ICAL W IR ING
FAN-OTHER 1 00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I M THE LEGAL OWNER OF, AND INTEND TO
IND HEATERS, ETC HP KW KVA RESIDE IN, THE AD61JE D SCRIBED RES ENTIAL PROPERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 1 I 1 001 OF PERMITTEE C}.,
1 - 10 3 00 DISTRICT N . G UP ZO E PR EDB
10 - 50 5 00Ix
50 - 100 10 00 `NOTES•_/-. ( / � ' (J(/.�,i+ O
tjW
100 - 500 15 00 O.
h
SIGN,GAS SIGN AND ONE CIRCUIT 3 00
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3 00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2 00 WIRING
FIXTURES /
SUPPLEMENTARY ISSUING FEE 1 00 f W -
POWER AUTHORIZED f
PERMIT FEE UTILITY CO.NOTIFIED
A i
PLAN CHECK FEE (50% PERMIT FEE) - FINAL v_
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELEC AL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
Lko 2, 9--5 0 FES 5 2 D 6.0 O N �
SEE BACK OF-APPLICATION FOR COMPLETE FEE SCHEDULE � �/����✓Iif/Y'i�
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JG..• >-CEBQ6 5-52
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES LLLJJJ
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A. JENSEN, SUPT OF BUILDING LOCALITY +
NEAREST '3,L_c: w AV
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
Our T FIRST 20 $20 $ �� OWNER
LIGHTOWL MAIL
SWITCH. fe OVER 20 .10 ADDRESS
TOT CITY TEL.
LIGHTING 1 FIRST 201! .20 7/
FIXTURES 1 ADD'L
OVFR 20 10 ELECTRICIAN
_
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRES ,�
GARB.DISP. STA.COOK
CITY TEL. �L-
DISH WASH. AfO.•wASH. STATE
SPACE HTRS. - STA.APP.(1/.H.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER N.P.
DISTRICT NO. GROUP ZQUE PROCESSED BY
O + 1.00 J 0 0 I -If 0 Lo v ICE,
+ 5 1.50 INSPECTION RECORD
5 S 2.00
s 15 2.50 CL
I o_
15 50 5.00 O
So 100 5.00 u:
O
SIGNS: NO.TRANS U
NO.LAMPSuU
O_
N
it SERVICE 0.600V-NOT OVER 200A 1.00 ,
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.oO
TOTAL FEE f
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO MPLY CONDUIT _
WITH ALL COUNTY ORDINANCES AND STATE LAWS REG LATING ---
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIA PROP Y. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE_ FINAL
VALIDATION ARTHUR C. VEIT
i CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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