HomeMy Public PortalAbout5456 LOMA AVE_Electrical__ y
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`'• CO,UNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING `
BUILDING AND SAFETY DIVISION ADDRESS,
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST yy �
FOR APPLICANT TO FILL,IN CROSS ST `�✓ VJ . �-
OUTLETS NO EACH I FEE
OWNER
RECEPT ` MAIL
l�, Q Q ADDRESS
LIGHT .TOTAL FIRST 20 25, �•
++ CITY TEL. NO ,
SWITCH ISO OVER 20 10 ,
PLAN CHECK
FIRST 20 APPLICANT
LIGHTING 1 TOTAL 25 a ' - -
I OVER 20 ADDRESS
FIXTURES � 10 _
APPLIANCES CITY tEL NO.
DRYER_WTR. HTR - PERMIT Q, t
RANGE
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APPLICANT Ip��17 ,
STA COOK DISP F A'U ADDRESS,L7'4 IVB 14 ALA V S.C^
SPACE'HTR. AIR COND.- CITY - TEL N0. 19 ,yl_ r
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 HIP 'KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO -
'I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR „
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGEL B', COUNTY AND STATE OF
CALIFORNIA OR THAT M THE LEGAL ER OF, AND INTEND TO �..
1 - 10 300 RESIDE N, THE VE DESCR E SIDE NTIAL PROPERTY, d
O
SIGNATURE u
10 - 50 500 OF PERMI •E
50 - 100 1000 DISTRICT NO CLASS a !PROC SSED BY O
100 - 500 1500 o -- l C r a
SIGN, GASSIGN AND ONE CIRCUIT 500 NOTES: • N
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 ' '
SERVICE NOT OVER 600 VOLTS OR200AMP 300 CyQ
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200'AMP 1000
TEMP POWER-ROLE
TEMP SERVICE,POLE, &•APPURTENANCES 500
UNDERSL"AB WORK - -
TEMP LIGHT OR RECEPT. SYSTEM 300 -
, ROUGH CONDI UT •
WIRING
FIXTURES -
PERMIT FEE (SUB TOTAL) POWER AUTHORI7ED ,
UTILITY CO. NOTIFIED
PLAN CHECK FEE _ -
FINAL 74
PERMIT ISSUING FEE _ 300 v + JOSEPH C. ROOH_ AN
TOTAL FEEL�(1 SUPERVISING EL AL ENGINEER
/ 14PLAN CHECK VALIDATIONcK M Q CAS PERMIT VALIDATION CK M 0 CASH
2 2 D . 14-00
Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
�GAGGS.CEeoea APPLICATION F R ELECT 9CA'L PERMIT �
COUNTY OF LOS ANGELES .:
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5456 N-., Loma
JOHN A.LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN, SUP'TOF BUILDING LOCALITY -Temlple Citi
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
PERMIT FEES
OWNER
ITEM NUMBER EACH FEE MAIL
OUTLETS: $ $ ADDRESS 5456 Ne Lama
° LIGHTS RECEPT. SW. .1O i, _
LIGHTING FIXTURES 1O GITY T 18 Ci TEL NO
` ELEC. RANGES 1 CLO. DRYERS 1ELECTRICIAN
))����ManSfio
I; WATER HEATERS' � .50 1 00 ADDRESS 40 s. valley Bivd.
ELEC.SPACE HTRS DISHWASHERS CITY Rosemead, TEL.NO. A 4
GARBAGE DISPOSERS AUTO.- STATE P
1188
WASHERS A.COOKING UNITS .25 LICENSE NO. rs
MOTORS: OVER INC. H.P. DIST CT O. I G`JJP Z N I PR CESSED BY
b O — I/2 .2a
X1/2 — 2 .50 , INSPECTION RECORD
t' 2 — S'' 1.00
5 —
/ a
5 — 15 1.50 ' SSL.0 C"iVO
15 — 50 2.50 IY
k �►..� �'
SO — 200 5.00 T' 1 O
NO TRANS, w
�y �"''J ,,�+' a
SIGNS: NO. LAMPS 6 G 4-..��R']—A-1,0 Yom"' .ry N
SERVICE-0.600V1 pp 1 CC /I� 4,, �� 1— f?
SERVICE OVER 600V 5.00 v
misc.
0
WIRING PERMIT 1.00
rt
FIXTURE PERMIT 1.00
1 SUPPLEMENTARY PERMIT 50
TOTAL FEE $ UO
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATETHATTHE ABOVE IS CORRECT AND AGREE TO COMPLY _ -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING - CONDUIT
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 M THE LEGAL OWNE OF THE ABOVE _
DESCRIBED RESIDENTI ROPERTY. POWER
SIGNATURE F UTILITY CO. NOTIFIED
OF PERMITTEE
v
ARTHUR C.VEIT.
ll--= CASH SUPERVISING ELECTRICAL ENGINEER
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