HomeMy Public PortalAbout6108 LOMA AVE_Electrical__ 76A663 DBS SA I1-SO - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES Too
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT.,TO FILL-IN DISTRICT NO. GROUP I ZONE 'PERMIT NO.
ELECTRICIAN4`'SAA�. a �
S
ADDRESS (�� /V A .� RECEIVED BY READY FOR' BATE ISSUED
wJ p� c�^ } p�g� �/ r� FIRST INSPECTION
CITY ® I.MIDI' (1 d' �l TEL. NO.A/ AI d��I / C% -/-I •V �•..�
COUNTY LICENSE NO. EXPIRES' BUILDING ,�ro� JILL .LV
PERMIT FEES
ADDRESS , 4jyg�j �j
_ FEE
NUMBER EACH - LOCALITY //P`•." P
LIGHT OUTLETS NEAREST
ST
RECEPTACLES ROSS
WALL SWITCHES. O _ OWNER 4r�r ° XSA C-- -
TOTAL OUTLETS "77Sc $ 175 - MAIL
ELEC. RANGES - 25' ADDRyES JS�^ 1 PITY
IgA 'may
ELEC. HEATERS CITY /J/t"AY' l S-f K// 9 TEL. NO.,47—
FIXTURES 5 '
I HEREBY ACKNOWLEDGE -THAT 1 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 AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS. THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NUMBER HORSEPOWER FEE
EACH OF THE RESIDENTIAL PROPERTY ;DESCRIBED ABOVE.
NEW MVD. HP OVER I INC. - we
I/z a LESS $ .25 SIGNATURE OF
I/a Ole
2 .50 PERM ITT,EE
2 5 1.00 INSPECTION RECORD'
5 15 1.50
15 50 2.50
50 200 s.00
200 Soo 10.00 - J
Soo 1000 15.00 Q
Z
OVER 1000 2000.
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA �— O'
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75%OF ORIG.)
MOVED MOTORS (75%OF ORIG.)_ I. .
MISC.
SIGNS
NO. NO. TRANS. APPROVALS'
NO. NO. LAMPS •.
_ DATE INSPECTOR'S NAME
FOR EACH PERMIT: / (/�/t,{
WIRING - $7.00 (�-'O" CONDUIT I. � [t'�. '/�•/{'(',F
WIRING �u-14—
FIXTURES $7.00
SUPPLEMENTARY - .50 I FIXTUR ES CiT�O YLo/
POWER
TOTAL FEE I $ UTILITY CO. NOTIFIED �
" /
10 I FINAL
76A663 C%„:666R,:6 7 APPLICATION FOR ELECTRICAL PERMIT '
COUNTY OF LOS ANGELES ,
DEP'ARTMENTOFCOUNTY ENGINEER JOB /11Q /� h A /•�
r BUILDING AND SAFETY DIVISION ADDRESS16/10S i
FOR APPLICANT TO FILL IN - LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
1 &2-Family,Sq. Ft. $ .025 $ CROSS ST. �CE mac..
OWNER �t� A/ ( '
Multi-family Sq.-Ft. .02 — FIRM NAME �J � lT.
Residential Swimming Pools 25.00 AMA IL
DDRESS
Outlets:Rec 4O Light I Sw. CITY (/�� �C Tel.No.
�I First 20 -50 G7i PLAN CHECK
Total No. U Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No._� APPLICANT
Fixed Appliances Not Over 1 HE ADDRESS25 -& / /A y W/j f•/�-
Range_Heater—D.W.— CITY Tel. No.
� fvl J
Oven _Dryer_W.M.— LICENSE OR �y
Top —FAU —W.H.— REG.NUMBER / Class. `fid
Hood—Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY.ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS.ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM >"'
Up to 1 Incl 2.50 1 THE LEGAL nwNE2.QF THE ABOVE DE RIBED RESIDENTIAL PROPERTY.. 0
Over 1 to 10 Incl. 5.00 v
Over 10 to 50 Incl. 12.50 PERMITTEE
SIGNATURE
Over 50 to 100 Inc. 25.00
40.00
Over 100 DISTRICT NO. PRO ES BY
0
Services
-`0 00 Amo• Under 600 V 12.50 INSPECTOR'S
201-100 mp.Under 600 V
25.00 APPROVALS DA SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenor.ces 10.00
Sign with One.Branch Circuit 10.00 ROUGH CONDUIT �^
Additional Sign Branch Circuits 2'00 WIRING Z41-781
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 $7.00
TOTAL FEET'C,
PLAN CHECK VALIDATION CK, M.O. CASH PERMIT V IDAT CK: M.O. CASH
3 , ( -7 y�- 15,4 . .A JUL .2 4.0- 0 � s
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663.CE806 4-68. APPLICATION FOR ELECTRI: `4L PER -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING•AND SAFETY DIVISION ADDRESS (/ a I� '
JOHN A: LAMBIE.COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST J
FOR APPLICANT TO FILL .IN CROSS ST. v/'•- /' • '
R$CEPT� NO. ACH$ FEE OWNER �
MAIL ' / t
LIGHT TOTAL '> FIRST.20 .20 ADDRESS �C. G�7
SWITCH
OVER 20 C .10 ! ® CITY p ,G� TEL. NO.
PLAN CH CK
LIGHTING �TOTAL, FIRST 20 .20 APPLICANT
FIXTURES. OVER 20 10 ADDRESS
RANG RYER-LWTR.HTR. j CITY TEL. NO.
STA.COOKDISP. F.A.U.-,(J COiJTRACrOFR
SPACE HTR. AIR COND. J ADD RESS�ar- ? -
CLOTHES WASH._DISHWASH.L CITY TEL. Nq l
FAN OTHER 1'00 - LICENSE NO. -G�", �� CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP.'KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNT+Y ORDINANCES AND STATE LAWS REGULATING
0 1.00
ELECTRICAL WIRING.,
- 1 .
1. HEREBY CERTIFY THAT I AM PROPERLY'REGISTERED AND/OR
1- - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF.
CALIFORNIA.OR THAT i AM THE LEGAL OWNER OF, AND INTEND TO
10 'SO 5.00 RESIDE IN, THE ABOVE DESCRIP,ED RESIDENTIAL PROPERTY.
0-
50 - 100 10:00 SIGNATURE e. -,�� .�
OF PERMITTEE
U
100 - 500 15.00 DISTRICTP GR P ZONE PO E D B
0
SIGN,,GAS SIGN AND ONE CIRCUIT
TUBE, OR 3.00 / U
W
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: - CL
C7
Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2:00 '
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
> TEMP. POWER POLE
UNDERSLAB WORK P
ROUGH CONDUIT
WIRING ! i
PERMIT FEE (SUB TOTAL) -
FIXTURES „ q
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIED'
jqyejf
SUPPLEMENTARY PERMIT ISSUING FEE 1•.00 FINAL •
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.Q. CASH PERMIT VALIDATION CK. M.O. CASH
E 2.1 Gu V Li?
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE •._ 'J�