HomeMy Public PortalAbout6164 LOMA AVE_Electrical__ 76A663-CEA6 f/70
APPLICATION FOR ELECTRICAL IERMIT - u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION. ADDRESS C /4=,, LO
JOHN A. LAMBIE, COUNTY'ENGINEER LOCALITY �C -.T
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN
OUTLETS NO. EACH I `FEE OWNER //D
a�D(S'LCJOf�1�./
$ $
RECEPT. MAIL
FIRST 20 .,20 ADDRESS.. �j /1/•�a �..
LI GHT� TOTAL
SWITCH OVER 20 CITY -i TEL._ N0.
.10 S '
��
- PLAN CHECK.
FIRST 20 'APPLICANT
LIGHTING 1. TOTAL .20 r -
Jj OVER 20 ADDRESS
FIXTURES 10
APPLIANCES CITY.PERMITCC TEL. No,
RANGE DRYER_WTR. HTR._ APPLICAN/ raGa� L7� '!J(.�/j1G
STA. COOK—/DISP. F.A.U. ADDRESS 9/(/V, Z 114Ap
SPACE HTR: AIR COND. Cl TY ( TEL. NOL Y(O
CLOTHES WASH. DISHWASH. ))) LICENSE NO.. CLASS. -
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 ANDS STATE LAWS REGULATING'
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING. _
S 1ZE &'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 I AM THE LEGAL OWNER OF, AND INTEND TO
/ RESIDE IN, THE ABOVE DESCPWRITIALPROPERTY
1 - 10 3.00 . d
. SIGNATURE EL
10 — 50 5.00 OF PERMIT LJ
50 — 100 10.00 f
DISTRICT.NO.42 CLASS B
GROUP ZONE � PROCESS D Y
100 — 500 15.00 el
� V
\ W
SIGN, GAS
SIGN AND ONE CIRCUIT 3.00 - NOTES; _ a
TUBE, ORh
�
MARQUEE ADDFT.IONAL CIRCUITS 1.00 Z� ,31.�
SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER,600 VOLTS OR 200 AM P- 5.00'.
TEM_ P.POWER POLE
TEMP SERVICE,POLE;&APPURTENANCES 3.00 '
UNDERSLAB WORK/
TEMP LIGHT OR RECEPT.SYSTEM - 3.00 --
ROUGH COND T
WIRING O
FIXT ES
PERMIT FEE (SUB TOTAL).
P ER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) -
- UTILITY CO. NOTIFIED -
PERMIT ISSUING FEE 2.00 _
• " FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 G/ JOSE H-C..ROOHAN.
•TOTAL FEE F SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH.
;6; '7"7 3R SEPI 5 2 D 7.80M
SEE BACK OF APPLICATION•FOR COMPLETE SCHEDULE
76AS63 DHS SA 11-50, - - - APPLICATION"FOR PERMIT -
DEPARTMENT, OF BUILDING SAND SAFETY
COUNTY OF.:LOS ANGELES
WILLIAM..J.` FOX; CHIEF ENGINEER
I?IST YIC NO.. CRI ZONE PERMIT'NO:.FOR APPLICANTOFILLIN .
ELECTRICIAN - AIV -
RECEIVED BY READY FOR DATE ISSUED
ADDRESS + l A�. / ' �•- FIRST-INSPECTION •
V -• „Air�6 O .
CITY - •-(�.� ' TEL. NO.. -
,COUNTY LICENSE NO. '.EXPIRES t ' ° 'BUILDING
ADDRESS x
PERMIT,FEES WT �� 'C�•✓II /'Y
' ..
NUMBFEE ER. EACH, LOCALITY,., '
LIGHT OUTLETS r. _ , NEAREST
- - - CROSS ST., �••I• V� /' fl
RECEPTACLES
-
•:
WALL WITCHES . - -� , OWNER A.
TOTAL.OUTLETS ;5c $ MAIL
ELEC-. RANGES 25 ADDRESS '
ELECT. ,HEATERS 25. - CITY �, q2• - (yl TEL. NO.
1 K
FIXTURES. - I` 5.. ! �' •, ....
- 1. HEREB, ACKNOYJL-EDG . THAT -I- HAVE READ THIS
_ 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
NuMBE HORSEPOWER - ANGELES COUNTY LICENSE, OR I AM THE LEGAL ,OWNER -
FEE ` OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
" NEW MVD. .HP OVER 'INC. EACH,
-1/z &LESS $ .25 SIGNATUREOF
JFp�y ���
J - 1/2- 2 - .50 - PERM ITT,EE ! .I
2' I INSPECTION RECORD-
... •5 15 1.50 -
1.5- S0 P_60 _ _ -
50, I 200. ..,5..00
206L' . . Soo 1 o.oD. 2'7�S'a. hlaselly?�!/Lia - J1,
S0'0 1000 15,00, -
5.,00 - - _
Q
INC d p *)?P 7', A 6/'/ z
OVER 1000 20.•00
M. G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVAO'
I �/7.DY 41dl•7' ZD UQ
GENERATORS-KW
TRANSFORMERS KVA. - ' ' -
TEMP. MOTORS (75%OF:ORI'G.)
:MOVED MOTORS-(75%'OF ORIG.) ..I .
MISC. _ _SIGNS.-
NO.
IGNS.NO. - NO. TRANS - - APPROVALS
NO. * NO..LAMPS ': - - .
- DATE INSPECTOR'S,NAME
FOREACH PERMIT. �„�,�„�..••�•.
. .WIRING $1.00 II 17 , �1
CONDUIT
. - - .!1 , WIRING _J 's
FIXTURES � � �. $1.-OO�I � V -- -
--zg '.
_SU PPLEMENTPTRY 5p' - UTILIT FIXTURES - -
a
-TOTAL "FEE $ ? � v CO. NOTIFIED
�^ POWER
r
® - ,„.FINAL.
. 764 63—CE8(v61/70 APPLICATI®NFOR ELECTRICAL PERMIT .IJ. ..
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Nf�.
JOHN A.' LAMBIE, COUNTY ENGINEER 7
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY'
NEAREST
FOR APPLICANT TO FILL IN CROSS ST'
f )QL.,�
OUTLETS NO. EACH '-FEE
. . OWNER
[FIXTURES
EPT.. $ S MAIL 41/
FIRST 20 16 .20 ADDRESS [!? I�Gjr �V L•
HT TOTAL
OVER 20 ,F� CITY T, TEL TEL. No-ago s
ITCH .10 (J PLAN CHECK•-
FIRST 20 .20 /1 APPLICANT
HTING 1 -]L��l
0
)j VER 20 ADDRESS
.10
APPLIANCES CITY TEL. NO.
PERT
RANGE—DRYER HTR. APPLIICAN / 7-4.
SPACE
`—
STA. COOK DISP. F.A.U. ADDRESS fj
plw /� .
SPACE HTR, AIR COND. CITY /7 TEL. No
CLOTHES WASH;. DISHWASH. IV/ i( ,per LICENSE NO.' - CLASS.
FAN.jlESOTHER _ 1.00 ,,,,( //v/� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
V AND.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH AL COUNTY ORDINANCES AND STATE LAWS 'REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELE C�R I CAL 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, AND INTEND TO
i — 1O 3.00 RESIDE '1 N, THE ABOVE DE GRIPE RESIDENTIAL PROPERTY
!,
SIGNATURE j/L`� L •�i O
10 50 5.00 OF PERMITT
U;
50 - 100 10.00
DISTRICTNO. CLASS GROU Z P O SS Y dx
100 - 500 15.00 d ) 0
W
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES:y Q
CL
TUBE, OR - N
MARQUEE ADDITIONAL'CIRCUITS 1.00 ° ?
LRE NOT OVER 606 VOLTS OR 200 AMP 2.00APPROVALS DATE INSPECTOR'S SIGNATURE
OVER600VOLTSOR200AMP 5.00
TEMP.POWER POLERVICE,POLE, &APPURTENANCES• 3.00
UNDERSLAB•WORK
GHT.OR'RECEPT.. SYSTEM 3.00
ROUGH CONDIUT
WIRINGFEE (SUB TOTAL) FIXTURESA 11
POWER AUEECK FEE (50% PERMIT FEE) UTILITY CO. NOTIFIEDISSUING FEE 2.00
FINALENTARY PERMIT ISSUING FEE 1.00 JOS P C. ROOHAN
FEE -SUPERVISING ELECTRICAL"ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK•. M.0. CASH
SEE BACK OF APPLICATIONl_FOR COMPLETE SCHEDULE
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