HomeMy Public PortalAbout6032 LOMA AVE_Electrical__ 78.663-CE$O6 1,70
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
6032
BUILDING AND SAFETY DIVISION 3 N. Loma Avenue
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY Temple City
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING
NEAREST u' /
FOR APPLICANT TO FILL IN CROSS ST. ��1c7. _ ,ra�i/(/„i(•J
OUTLETS NO. EACH FEE
/,��jj
$ $ OWNER Harold Jones
RECEPTAO " MAIL 6032 N.
FIRST 20 20 _ ADDRESS Loma Avenue
LIGHT TOTALFIRST
'CITY Temple City TEL. N0.
SWITCH 3 OVER-20 .10
PLAN CHECK
LIGHTING
TOTAL FIRST 20 20 APPLICANT
FIXTURES ; ��O VER 20 ,10
ADDRESS
APPLIANCES CITY TEL. NO.
RANGEIT
DRYER_WTR. HTR. APPLICANT J M. Ke 1 1 y E 1 ect r i c Com an
STA. COOK DISP.' F.A.U. ADDRESS 3944 W. Slauson Avenue
SPACE HTR. AIR COND. CITY LOS Ange 1 es TEL. No. 295-6396
CLOTHES WASH. DISHWASH. LICENSE NO. 152 CLASS. C10
FAN OTHER / 1.00 ®Q 1 HEREBY ACKNOWLEDGE THAT 1 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 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF,AN"NTE O TO
1 — 10 3.00 RESIDE IN, H ABOVE OESCRIBED ESIDENTIAL ERTYE RT .
SIGNATURE
10 — 50 5.00 OF PEMI"i✓TEEw �0--
50 — 100 10.00
DI TRIC-TN0• - LASS GROUP IZON RROrsE SSED Y O
100 - 500 15.00
SIGN, GASUJ
SIGN AND ONE CIRCUIT- 3.00 NOTES: h
TUBE, OR -
MARQUEE ADDITIONAL CIRCUITS 1.00 '
SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT: SYSTEM 3.00
ROUGH CONDIUen
WIRING
PERMIT FEE (SUB TOTAL). - FIXTURES '® JA --7!
POWER AUTHORIZED
PLAN CHECK FEE (50%•PERMIT FEE),
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
,i FINAL �.f-�sll
SUPPLEMENTARY PERMIT ISSUING FEE- 1.00 "�
-
JOSEPH C. RbOHAN
TOTAL FEE ^�� SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH-... PERMIT VALIDATION M.O. CASH
14 ,
7127, 0R OCT 21 2 p 7.0 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663. DBS SAS 11-56' " • - APPLICATION FOR 'PERMIT
DEPARTMENT OF BUILDING AND',SAFETY
COUNTY"OF'LOS ,ANGELES
WILLIAM.J. FOX, 'CHIEF .ENGINEER
DISTRICT NO. GROUP .ZONE'. " PERMIT NO. "
FOR APPLICANT.TO IFIL"L'IN Pr ?�
ELECTRICIANLaF'�,'A', ,o,. T'7.�s �,�� JF-i- �-L
�
y,�!" �✓ - RECEIVED BY READY FOR _ DATE ISSUED;
ADDRESS;L,.;�S D
` - AFIRST INSPECTION
TEL. NO 1^j'"7,t 4r �/c/o/l/✓o/v /s-
' 6
COUNTY.LICENSE'NO.Av � - EXPIRES .d'�!9/O�"� BUILDING '
ADDRESStO� /J}• C/J�r LI Y''�l/1,...". ..
PERMIT FEES FEE
"NUMBER EACH LOCALITY'
LIGHT OUTLETS - � "I/ NEAREST.
CROSS ST../.
RECEPTACLES
WALL rSWITCIi ES !1- II r, - OWNER
'TOTAL OUTLIETS ��Y 5c $ ��, . .MAIL
ELECr'RANGES ` •' 25" ' ADDRESS
44 r
ELEC. HEATERS - '2.5 btu _ CITY• TEL.'NO. "
FIXTURES - - 5 - I: HEREBY ACKNOWLEDGE THAT 1 HAVE READ TFIIS
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' AND STATE LAWS REGULATING ELECTRICAL WIRING:
MOTORS P CERTIFY THAT 1 POSSESS THE ABOVE 'VALID LOS
ANGELES" COUNTY LICENSE, OR 1 AM 'THE LEGAL,OWNER
NUMBER HORSEPOWER FEE '
EACH OF THE RESIDENTIAL "PROPERTY DESCRIBED'ABOVE.
NEW MVD. HP O_V_ER I INC. I� � /ff}
' I/z ------------------
&LESS $ .25 Z SIGNATURE'OF
e - I/i 2 .50PERMITTEE
2' 5 1.old' {,IINSPECTION RECORD',:_'
"5 .15 1•.5 ..
i.5 50 2.50 .
' 50 200 -5..00. �{".. (-�
f 200 Soo 10.o0 - =,S-Z /Jvlf'1,. .'!.l�/-�T/!�I �1 ` rC '. .Q.-,
500 :9000 '95.00' �� L.!//fr � CY��[/ 'PV IrnGF'• Z
OVER 1000 'I 20.00 f7l y- Y (�
M. G: SET/FREQ.CHANGER-HP a A��/1 /7 �r� ��j I' aA O
" WELDERS: AC-KVA T�')- '/l'f'
"GENERATORS-KW _ _ / 1G�'>�/ Y �./}n .�'�I. CTOr;'.. "[S/•�T
TRANSFORMERS-KVA I l
.TEMP. MOTORS (75%OF ORIG.) - - - ' {: Al
'MOVED MOTORS (75%OF ORIG.)
I
r- SIGNS .
NO NO.TRANS.. - APPROVALS .
NO'.•.: NO. LAMPS- - -
DATE. 'INSPECTOR'S NAME
FOR EACH PERMIT: ,/ '�w..�� - - r jJy�p�
WIRING . $1 OO:. - i .w' V. CONDUIT I }.IS -•'?/ ....
FIXTURES - $i.00 I `WIRING -
.. .... .t - .i FIXTURES'
SUPPLEMENTARY ?50 - - -
..
ROWER • .. ,,rr. • ..
TOTAL-FEE �'�.$ - �UTILITY CO."NOTIFIED ;
' - ✓ FINAL '