HomeMy Public PortalAbout5644 LOMA AVE_Electrical__ 76A69.'DBS SA 11-50 - APPLICATION FOR PERMIT
0„_ C,DEPARTMENT-OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES lE 1 C 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN, DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN w
RECEIVED BY READY-FOR ,DATE ISSUED
ADDRES/S) E �• ® FIRST INSPECTION
TEL. N0.
CITY Lf' � AA&, /I �•����J �r
COUNTY LICENSE NO. 190 6 EXPIRES. L�I BUILDINGD
PERMIT FEES ADREss /{//�
.I NUMBER EACH. FEE LOCA LITY• ('
LIGHT OUTLETS NEAREST
• - CROSS ST.
RECEPTACLES cr - v-
WALL SWITCHES OWNER
TOTAL OUTLETS - Sc $ lS MAIL
ELEC. RANGES 25
p' 1 ADDRESS
ELEC. HEATERS '25 CITY - TEL. NO.
FIXTURES _5 ff
1 1 HEREBY "ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT .
NUMBER OF LIGHT CIRCUITS g AND AGREE TO COMPLY WITH ALL COUNTY .ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS J AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS - 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR,1 ,AM ;THE. LEGAL OWNER
NEW MVD. HP, _OVER I INC'.
EACH OF THE RESIDENTIAL ROPERT. DESCRIBED ABOVE.
�AA� Pi 1/2 a LESS $. .25 T-SIGNATURE OF
PERMITTE
1/2 2 .50
2 .5 1.00 INSPECTION RECORD
5 , 15 1.so .
15 50 2.50
50 200 5.00
200 500 10.00 -J
_ soo Q loo0 15.00 Z
OVER 1000 20.00
M. G. SET/FREQ. CHANGER-HP Q' _
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (7S%OF ORIG.) _MOVED MOTORS (75%OF ORIG.)
MISC.
SIGNS
No. No. TRANS. I APPROVALS. .
NO. - NO: LAMPS DATE, 'S NAME
INSPECTOR
FOR EACH PERMIT: II DA •
WIRING $1.001 1 U CONDUIT
WIRING
FIXTURES $1.00 �41I/J.0
SUPPLEMENTARY •50' FIXTURES
POWER - I _,•�
TOTAL FEE $ _UTILITY CO. NOTIFIED
® ... i FINAL
76A663. eE606`"j' 72 APPLICAT`"ON FOR ELECTRICAL PERMIT
r
.1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 'OB /
BUILDING AND SAFETY DIVISION ADDRESS �GiOGl A E
LOCALITY �� LSC ��Tf/ CevL/"er,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ,1T Tv/v.*S
OUTLETS NO. EACH FEE OWNER OR qq
$ S FIRM NAME� 'e E r�i 14,v
RECEPT. 12- MAIL ADDRESS ���� (0 _,� A(/EnluG
LIGHT S/. TOTAL FIRST 20 .25 AF�
SWITCH 6 OVER 20 10 y O CITY A&M 1110"1,0 . TEL. NO.yf1-/01�
CO PLAN CHECK
LIGHTING1 FIRST 20 Jo
25 APPLICANT __rAv-.,we_
FIXTURES,
I TOzAL
.10
Uy` OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
RANGE. DRYER-"�/W'TR. HTRPERMIT 5'
_ APPLICANT e
STA. COOK DISP./� F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR Ev��C�J
REG. NUMBER K CLASS.
FAN OTHER 1.00 11 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
V 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 - 1 100 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 OESCRIPED RESIDE AL PROPERTY. O
P E R M I T E E
10 - 50 5.00 SIGNATURE -_ p
s F
50 - 100 10.00 DISTRICT NO. PROCESSED BY LZJ
100 - 500 15.00 y
V T Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP / 3.00 -3Qo UNOERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP / 10.00 ROUGH CONDUIT
7.
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING V ��
TEMP LIGHT OR.RECEPT. SYSTEM 3.00 FIXTURES
Y
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES;
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 c ��
TOTAL FEE `
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT V IDATION cK. M.O. CASH
Ar,_ 2 4 1 271 jUL 2 5 2 D 6 .6
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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