HomeMy Public PortalAbout5638 LOMA AVE_Electrical__ 76A663FCE80616/72 APPLICATI®IV F ELEC AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITYNEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE p� C `t� _ ��ff �
M.
OUTLETS PRM NAMEMM` ^L p �V 11 �
RECEPT.� WNER OR
$ S ADDRESS \ e �"?•VYIP1 ���
LIGHT TOTAL FIRST 20 .25 t ,^� q
SWITCH . OVER 20 10 CITY T� � tlT"i TEL. NO.a .-'
PLAN CHECK
LIGHTING1 TOTAL
FIXTURES .10
FIRST 20 .25
APPLICANT
TOVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F..A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER
FAN OTHER 1.00 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 & TYPE -OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI- I AM THE LEGAL OWNER OF THE ABOVE
1 — 10 3.00 DESCRIBED RESIDENTIAL PROPERTYPERMI . 0
T
10 - 50 5.00 SIGNATUR U&MAA
p
H-
50 - 100 10.00V
DISTRICT NO. PROC SED BYj W
100 - S00 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSP DR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED C
FINAL f/� "o� 7)p
.�' e_`
PERMIT FEE (SUB TOTAL). NOTES:
PLAN CHECK FEE �7
PERMIT ISSUING FEE 3.00 QV
TOTAL FEE
PLAN CHECK VALIDATION CK. 0. CASH PERMIT VALIDATION CK. M.O. '(�CASH4.75 A98 '
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
.663 D¢S5A-11-5a0 _ APPLICATION FOR.PERMIT
DEPARTMENT OF BUILDING AND SAFETY
`COUNTY OF LOS ANGELES "
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT F FILL IN DISTRICT NO. GROUP ( ZONE PERMIT NO.
ELECTRICIAN
RECEIVED BY READY FOR DATE ISSUED
ADDRESS L (J n(�j FIRST INSPECTION
CITY ' ,TEL. NO.
COUNTY LICENSE NO. / EXPIRES' V BUILDING `''/
PERMIT FEES ADDRESS V13
FEE
NUMBER 'EACH LOCALITY
LIGHT OUTLETS i NEAREST '
- '
RECEPTACLES CROSS ST.
WALL SWITCHES ' �� OWNER
TOTAL OUTLETS .4 Sc. $ 1� MAIL
ELEC. RANGES --� .2S - ADDRESS -
ELEC. HEATERS 25 ..r CITY .TEL. NO.
FIXTURES 5 . D 1 HEREBY- ACKNOWLEDGE THAT ' I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO .COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS G U AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS V CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, .OR I- AM 'THE LEGAL OWNER
FEE I OF THE RESIDEN IAL P OPER TY 'D SCRIBED ABOVE.
NEW MVD. HP OVER INC. EACH
$ .25 SIGNATURE OF
T7�
.50 PERMIT1.061 INSPECTION.RECORD,'
5 15 1.s0 -
is s0 2.50 _
s0 I 200 5'00
I 200 500 10.00 J
500 1000 15.00 Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA O
GENERATORS-KW
TRANSFORMERS-kVA
TEMP. MOTORS (75%OFORIG.) �
MOVED MOTORS (75%OF ORIG.)
MISC. -
SIGNS
NO. NO. TRANS. APPROVALS.
NO. NO. LAMPS
'DATE :INSPECTOR'S NAME
FOR EACH PERMIT:_ _ `` A R
WIRING - $100 L I CONDU
/ /J
FIXTURES - $1.00 -IC./' l� - WIRING /�.�y�rX�.e....,, .�/176�l'
SUPPLEMENTARY .50' �— FIXTURES.
POWER - - -
TOTAL FEE $ UTILITY CO. NOTIFIED I /I A. --4,
O FIN AL I ��PC L�`"'"� Al/'d
'd
78A663.C£. 8°61 ,CP/" -APPLICATION FOR ELECTRICAL PERMIT. -'
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7RES
BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN -New Residential Bldgs.&Pools EACH NO. FEE.. .1 &2-Family,Sq. Ft. $ .025 — $ WNO
Multi-family Sq. Ft. .02 — FIRMNAME
Residential Swimming Pools 25.00 AMAIL
DDRESS1;'6'1S N LZAn
Outlets:Re w Light 2;L Sw. " . CITY Tw ` Tel.No.
First 20 .500PLAN CHECK -
Total No. Additional .30 APPLICANT
ADDRESS
No
CITY Tel. .
�"}'
Lighting fixtures � First;20 50 '
Additional .30 30 PERMIT
Total No: APPLICANT /'
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D.W. CITY Tel. No.
Oven _Dryer—W.M. LICENSE OR
Top FAUW.H. REG.NUMB Class.
Hood Fan F Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. Room Air Cond. 2'50 a THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
.. ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appl ionces
Size&Type HP, KW, KVA,or KVAR THEREBY CERTIFY THAT I AM PROPERLY:REGISTERED AND/OR LICENSED AS
2.50 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM d
Up to l'Incl. ' THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. G
5.00
Over 1 to 10 Incl. 4 vl ��tJC l�� ,
Over 10 to 50 Incl. 12:50 PER'MI7TEE CD
Over 50 to 100 Inc. 25.00 SIGNATURE
Ljj
Over 100 40.00 EDISSTRICTNO.g� j PROCESSED BY
Services 0-200 Arnp. Under 600 V 12.50 NSPECTOR'S
201-1000 Amp.Under 600 V25.00 ROVALS DATE SIGNATURE
Over1000 Amp.or Over 600 V50.00 ER POLE
UNDERSLAB WORK
Temp. Power-Pole&Appurtenances 1 000
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2'00 WIRING
Misc.Conduits&Conductors 10.00 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 $7.00 `
TOTAL FEE ~ r
-.PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION• CK M.0. CASH ,
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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,76A663-CEBOB--11-Hy ��C �e�•�`a9!/��I��: .���L: ��,����� ■� �'! l��lIT
DEPARTMENT OF COUNY OF LOS TY ENGINEER BUILDING.
BUILDING AND SAFETY.DIVISION:... •'" :: ADDRESS•.
CIrrOHN A. LAMBIE, County Ea eer
SSA Tr D. GRIFFIN,SuP t of-Building • LOCALITY.
. . NEAREST.,. -FOR APPLICANT T.O FILL-IN CROSS ST. :
PERMIT FEES "
ITEM _ NUMBER ;EACH - .'FEE •+,. OWNER .";
OUTLETS: .-. > $' $ MAIL' -
LIGHTS - ,RECEPT. SW. AO_ ADDRESS
LIGHTING FIXTURES• 10 CITY ✓ TEL.NO,
ELEC.RANGES CLO:-
DRYERS
ELECTRICIAN
WATER HEATERS - .50 1 .
ADDRESSv
y ELEC:SPACE HTRS. DISHWASHERS' -
. EL..NO
GARBAGE DISPOSERS AUTO.-, CITY
y.�-� •, � � -
.:' STATE- ,a_ f.
WASHERS STA.COOKING UNITS :25 LICENSE NO. !.. {S _ -
MOTORS: OVER• INC. H.P. -
• DIP ZONE RE46Y FOR'INSPECTION,
o 25 `.
1/2 2 .50 -
2 — 5 " ,
i INSPECTION...RECORD
1.00 . .
5 — 15 1.50 €�.
15 50 2.50ee a Y" A
.. !�
50 200 5.00 r a
SIGNS: NO.TRANS. _ - • 1
,NO.LAMPS - - - -
SERVICE0--600V 1.00 �/} _• - -• _- -
�c
SERVICE OVER-600V " 15.00.
MISC.
WIRING PERMIT - - L00` - - •. - ..- ...
.FIXTURE PERMIT 1.00.:,
SUPPLEMENTARY PERMIT ..'.50' n - -
T,OTAL FEE $ . AP_PROVALS
1 HEREBY ACKNOWLEDGE THAT 4 HAVE; READ;THIS:A'PPLICATION;- -�'•-' -- .DATE. INSPECTOR'S SIGNATURE
-AND 'STATE THAT THE ABOVE IS.-CORRECT AND AGREE, TO-COMPLY;
-:.
WITH ALL' COUNTY ORDINANCES AND:STATE 'CONDUIT,,, LAWS' REGULATING
"ELECTRICAL'.WIRING: . WIRING. _
I.HEREBY-CERTIFY THAT-I: AM PROPERLY, REGISTERED AND/OR -
LICENSED. AS REQUIRED BY LOS ANGELES.COUNTY ANDSTATE OF - ..FIXTURES
CALIFORNIA `OR•THAT. I AM: THE. LEGAL OWNER.OF THE ABOVE -
,DESCRIBED RESIDENTIAL ROPERTY. POWER
SIGNATURE - I UTILITY CO.NOTIFIED
OF.PERMITTE = .FINAL
". -
ATION
CK Ir10 CASH - .
ARTHUR C .YEIT `
'= SUPERVISING ELECTRICAL ENGINEER`
7GA663-CE806-11->
'APPLICATION ,f ' . ., .Y O:� ® .tlmCCTR�'C a E®, \•Y TYY��•'' :
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY'ENGINEER,
au1�bIHG t / 2- 4
BUILDING A'ND SAFETY DIVISIONA'DDRESsJOHN A. LAMBIE, Coua Ea$�eC SSATT DGRIFFIN.Supt of$ail ,LOCALITNEAREST.FOR APPLICANT TO FILL IN 'CROSS ST. 'zl 1 . PERMIT FEES1T E•M NUMBER EACH" '- FEE:'�. OWNEROUTLETS: .$ MAIL'LIGHTS RECEP.T. SW. .1O ADDRESSLIGHTING.FIXTURES' .IO CITY NO.-
El-k.RANGES CLO.,DRYFRS IELECTRICIANWAT ER HEAT E'RSECEC.SPACE HTRS. DISHWASHERS ADDRESS,GARBAGE DISPOSERS AU70.- _ CITY .NOgA
`STATE'
WASHERS STA.COOKING-UNITS I .25 LICENSE'NO.MOTORS: OVER INC. H.P. n' _D ICO. GROUZONEREA Y FORINBPEGTIQ '•
O — !/z 25'
.50
:2 s r.00
INSPECTION'RECORD
5 15 '1.50
15 50 2.50
'50-''200
..:SIGNS:' NO.TRANS. - - - - -
NO.LAMPS -
SERVICE 0-600V 1.00•. • - f "' .' : : -
SERVICE OVER 600V
.WIRING PERMIT...'. i L.00
FIXTURE PERMIT - - 1.00 - -
SUPPLEMENTARY PERMIT .50' .. / _
TOTAL FEE $ / U
APPROVALS
,-,1 HEREBY ACKNOWLEDGE THAT I -HAVE READ THIS APPIICATION - DATE_ INSPECTOR'S SIGNATURE
AND,STATE THAT. THE ABOVE IS CORRECT`AND AGREE TO COMPLY CONDUIT ' j A -
WITH 'ALL COUNTY ORDINANCES AND. STATE ,LAWS.,REGULA-TING _
ELECTRICAL. WIRING: .• �i, -- . WIRING `]7',4-
•'I. HEREBY ,CERTIFY THAT I AM PROPERLY REGISTERED.AND/DR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
.CALIFORNIA OR THAT I AM-THE.LEGAL OWNER OF .THE. ABOVE ,POWER -*`
DESCRIBED RESIDENT I -"PROPERTY. "• -
SIGNATURE - ; - _- O /\1s UTILITYCO.NOTIFIED '1� ;. '_4
OF PERMIT' '..� /'✓�-'SIN "
`-FINAL':
s DA ION SUPERVISING ELECTRICAL'ENGINEER
,-
CW/ MO CASH
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