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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 ®1 ,ppy_ggA ® pq�.���qy�y ,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 Y1