HomeMy Public PortalAbout6002 LOMA AVE_Electrical__ 76A663 CE80'A 0�T4- A PLICATIC ELECTRICAL PERMIT
a- '. COUNTY, OF. LOS ANGELES
DEPARTMENT OF'COUNTY ENGINEER j,:` JOB' -^
EiUILDING 'AN,D„SAFETY,DIYISION, ADDRESs
-..
7NEA
LOCALI TY
NEAREST FOR' APPLICAN,T=TO CROSS ST. 6 - .•. cz -a ,Ca EI;,OUTLETS: : .. H FEE OWNER OR
aa
$ _ $ -FIRM NAME G1'
RECEPP�;0. . MAIL t. G
` + •' r� ADDRESS
L'IGHT� TOTAL FIRST 20 29;' _
SWITC
OVER 20 CITY `fC• C� TEL,,NO (l ti~ �
' s .10 �), PLAN CHECK .
TOTAL] FIRST 20:, ,25 ✓ AP N
LIGHTING
C/ PLICA T
OVER 20 ADDRESS
FIXTURES' L 10 / ,..
RESI,DENTIAL`APPLFANCES 's CITY'' TEL. NO ,
RANGE DRYER_WT.R. 'HTR:- ,y ' APPLIPERM,CANT • _
STA, COOK. D,ISP.` F.A.U.- : . ."A.D _
- _ DRESS
SPACE HTR. AI,R COND,: e' CITY TEL'. No.
-
P
DISHWASH. - "LICENSE OR _ CLASS:.
REG. NUMBER -
FAN' OTHER 1.00 HEREBY ACKNOWLEDGE`THAT I HAVE R;E'AD THIS AP P.LICATI'ON
"• - .AND STATE THAT THE'ABO%E,IS CORRECT AND AGREE TO COMPLY.
MOTORS,,TRANSFORMERS. ” RATING,.' }.'W LITH ALL COUNTY ORDINANCES.AND STATE LAWS REGULATING
'IND..HEATERS, ETC. HP. KW..'KVA.'. ,ELE CTR'ICA`LWiR`ING.
SIZE & TYPE _•,OVER .TO...'r
_ I.-HEREBY CERTIFY THAT b,.AM PROPERLY REG]STEREO AND/OR
. 0 _.1 1...,00.
1 LICENSED AS REQUIRED,BY
ANGELES `COUNTY AND STATE•OF..
CALIFORNIA OR'THAT I AM THE LEGAL OWNER- OF T E ABOVE p},. •
— 1 O 3.00IDESCRfPED RESIDE NTi'A L'.PROPERTY. - U'
' PERMITEE"
.. - TO - 50 _ 5.00 .SIGNATU
50 - 100 , x . . , 10.00ILLI
DISTRICT NO. 'P CE E^D'BY
1 00 r- 500' 15.00 Z,
'SIGN, GAS. *D - `APPROVALS ..DKE INSPECTORS SIGNATURE
_-TUBE, OR• SfGN;AND ONE,CIRCUIT5.00MARQUEE ADDITIONAL CIRCUITS TEMP.•POWER POLE
SERVICENOTOVER600'VOLTSOR200AMP 3.00UND.ERSLABWORK
SERVICE OVER 600 VOLTS OR 20D AMP 10.00 ROUGH CONDUIT.
.,y7 .
TEMP'SERVICE, POLE; &APPURTENANCES 6.00 WIRING
TEMP LIGHT OR RECEPT.'SYSTEM 3.00 'FIXTURES .'
POWER AUTHORIZED
UTILITY CO.,N_OTIFIED
.FINAL
PERMIT'FEE (SUB TOTAL) NOTES:`
PLAN CHECK•FEE
PERMIT ISSUING FEE 3.00,
TOTAL.FEE 41,01
PLAN CHECK VALIDATION CK.. M.O: :CASH P.E RMIT'VA L'IDA TLON >. �CK. M. "CASH
SEE BACK SOF APPLICATION FOR.-COMPLETE,SCHEDULE
76A663C`CEA6B Iz'75�:.` - APPLICATION� � _AOWLEC:TRI. AL PERMIT �.
B,U,ILD'fN`G AND- SAFETY DIVISION" .
FOR APPLICANT,TO'F ILL IN• JOB
New'Residential'Bldgs. &'Pools
EACH NO: FEE
ADpREss
_
7 -. r L0CALITY%�p -
&2,Finaily S Ft: $' $
Multi family Sg, Ft. — NEAREST'
Residential.Swimming Pools.' CROSS ST. g,,
OWNEROR
Mj�.
FIRM NAE• -
Outlets Lighf, Switch & Receptacle 1' 'ADDl L RESS (�G OTt!^ [may
First 20 -• }
Additional �� GITY� Com` Tel. No. (�� ✓�eyf:�
PLAN CH,E`K
.APPLICANT. '
Lighting Fixtures =•. w.
� �
First 20, C ADDRESS >
.. . . - _ -
Additional`.
CITY...
Tel. Nb..
PERMIT_
Fined Appliarces Not Over 1 H .APPLICANT
Range .'Heater— D.W.
ADDRESS- COCA V14 t
Oven Dryer W.M. — y
Top. FAU`. W.H. CITY I~—• Tel. No
I/ G's
Hood Fan _ - LICENSE O
.. *.,.-J _ )REG-NUMBER `— `• -Class.
Disp.
A.C. -.. •
I. HEREBY ACKNOWLEDG'.E THAT 1 HAVE READ THIS APPLICATION o'
AND STATE THAT.THE A90VE-1S CORRECT -.'AGREE TO•COMPLY V
Power Apparatus&'Large AppliancesWITH ALL•COUNTY ORDINANCES ANO STATE .,LAWS REGULATING LU
_!Size&Type HP,.KW,.KVA„or KV.AR ELE CTrR ICAL V IRING
Upt6.1 Incl. •� I HEREBY CERTIFY THAT I AM.PROPER:LY REGISTERED AND/OR
r r�'
Over 1 to 10 1_ clLICENSED AS REQUIRED BY LOS-ANGELES COUNTY AND STATE OF
ri :
CALIFORNIA OR THAT 1AM.,THE LEGAL OWNER OF THE .ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PROPERTY
Over:50.to 100 Incl: �—
PERMITEE
0 d 100 SIGNATU'R
Services f�� ,l��<f►fsDIST SED�BY
R'ICT-NO PROCES
0'-200 Amp. Under 600 V
201 1000 Amp.:Under 600 V' APPROVALS DATE INSPECTOR'S .
SIGNATURE
Over 1000 Amp..or Over 600V
TEMP. POWER POLE
Temp. Power`Pole&'.Appurtenances- -
UNDERSLAB:WORK,
Sign;with One Branch Circuit
ROUGH CONDUIT ' .�_77
Additional Sign,Branch Circuits
(Other). .WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub-Total) L� UTILITY CO.NOTIFIED r
PLAN CHECKING F'EE' (OneFourth Permit'Fee) FINAL
PERMIT ISSUING
TOTAL FEE, NOTES`
PLAN CHECK VALIDATION; CK:'.' N1,0. CASH,'. PERMIT VALIDATION-. CK. M.O. CASH