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76A653-CE8061/�0 APPLICATIOWFOR ETR A PER
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS zo
C/
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS - NO. EACH FEE
OWNER
$ $
RECEPT._ MAIL'
FIRST 20 PO ADDRES
LIGHT TOTAL
CITY, TEL, N
SWITCH OVER 20 10
PLAN CHECK
LIGHTING FIRST 20 20 _ APPLICANT
TOTAL
FIXTURES
OVER 20 10 ADDRESS
�
APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER_WTR. HTR. APPLICAN /
STA'. COOK DISP. 0 F.A.U. ADDRES
SPACE HTR. AIR.COND. C / T NO.
CLOTHES WASH. - DISHWASH. LICENSE N0. CLASS,
FAN - OTHER 1.00 I HEREBY ACKNOWLEDGE THAT-1 HAVE READ THIS APPLICATION
AND STATE THAT THEABOVE 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. 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL_OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE RIB / RESIDENTIAL PROPERTY. }
O.
SIGNATURE Q
10 - 50 5.00 OF'PERMITTEE V
50 - 100 10.00 J.0w
D19IBT N0. CLA9S GROUP ZONE PR 9E
100- 500 15.00 J
LLI
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: I.�f7tL N
TUBE OR. z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERV ICENOT OVE 00 TSO Z?OOAMP 1_3001
i
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 V LTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNOERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
_ ROUGH CONDIUT_
WIRING
`l
FIXTURES
PERMIT FEE (SUB TOTAL)
- POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED .
PERMIT ISSUING,.FEE 2.00
FINAL
S,UPPLEMENTARY'PERMIT ISSUING FEE 1.00 - -
JOS
EP C. ROOHAN
TOTAL FEE SUPERV SING LE AL ENGINEER,
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALID CK. M.0. I CASH
6573, :. 24 _2 .D : dN 4
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663 DBS 5A 11-60 APPLICATION'FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR-APPLICANT TO FILL IN
DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN
y-�1 4 t�L!b �(/. hh 4rl., t,/` RECEIVED BY READY FOR' DATE ISSUED
ADDRESS y 7,S L q� /� / �� ,m pg+ it FIRST INSPECTION
CITY [l >�/�r/ TEL. NO.1"�3'IF�k 91, �
/
COUNTY LICENSE NO. 0 EXPIRES' —, d _ BUILDING
ADDREO �// I�
PERMIT FELTS i --
NUMBER EACH FEE _LO -e--n L --n ✓/ /�
2/e (y
LIGHT OUTLETS NEAREST /
RECEPTACLES CROSS ST. �Q,./'�/✓
WALL SWITCHES _ OWNER
TOTAL OUTLETS _ Sc $ D MAIL n
ELEC. RANGES 25
ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES `-' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
misc. /
APPLICATION AND STATE THAT THE ABOVE 18 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 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
!12 6 LESS $ .25 SIGNATURE OF
%2 2 .50 PERMITTEE
2 s 1.00 INSPECTION RECORD
5 1s 1.50
is 50 2.50
SO 200 5.00 jT /?,� ' .��,,.p'o,:r �^�., iS'�;.t. .. �:• ff :f'-' �'�t"y VJ
_ 200 500 10.00
_ SOO 1000 15.00 �r'1•F n /' rye,. Q 1�
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP ,-/���f"/
WELDERS: AC-KVA �r01/JI�� Q/Iht�Sod 7-H !�hLZ UpI�,,/�'�•j �d/�2 N'
GENERATORS - KW ,rL��Z (N r7-�.CE�L./�G• �1( 1,
TRANSFORMERS - KVA /ty(
TEMP. MOTORS (75% OF ORIG.) ("yry�U I N'f ��J•F-f I�Od p !»'6:e-eq Wil-40,
MOTORS (75% OF ORIG.) "Ir 4� `'�e'l
MISC. er�r0f/l�'/f'��e �hl �i�•'�•�`6✓'ri7 i,[� i
SIGNS !�/— C.-F$r"3
NO. NO.TRANS.
APPROVALS
• NO. NO. LAMPS II j
DATE IN$PECTOR'8 NAME \
FOR EACH PERMIT:
WIRING $1.Oa 0 a CONDUIT
.FIXTURES $1.013 o Q WIRING 1A d (,�t�Y7Jtt l+l;19
SUPPLEMENTARY - .50 FIXTURES
POWER
TOTAL FEE $ t?o UTILITY CO.NOTIFIED /°d..a P -L-,
FINAL / .. .. .. ... ivy.:
i - /.�Ipgprp
76A663 DBS SA 7-51 - - APPLICATION FOL PERMIT
DEPARTMENT OF BUILDING AND.SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN 1,.G9 /tet�a q v°L f� -_ —
RECEIVED BY READY FOR DATE ISSUED
ADDRESS?-7 *-//j 4� S.I yr,e�YM.®" Y` FIRST INSPECTION
CITY f`T -1n/I-�IR-4 TEL. NO.X.4 9••�'1���. ��
COUNTY LICENSE NO. d�� EXPIRE9���® J..d- ADDRESS �d`7. o{/
PERMIT FEES .9�
NUMBER.EACH FEE _LOCALITY T? -,,i•
LIGHT OUTLETS 7 NEAREST .F✓ g ,v _/ f�/
_ CROSS ST. ( (i
RECEPTACLES
WALL SWITCHES _ OWNER / t I P- / ' A`YI ce'I---
O
/
TTAL OUTLETS � ..Sr'•5c MAIL -
r"9 _17 y
ELEC. ADDRESSRANDEB 25 �,.
ELEC:. HEATERS 25 .CITY TEL. NO.
FIXTURES B �` 1 HEREBY ACKNOWLEDGE THAT I HAVE READ. THIS
MISC. APPLICATION' AND STATE THAT THE ABOVE IS"CORRECT
NUMBER OF LIGHT CIRCUITB AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS Al AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER - FEE ANGELES COUNTY LICENSE.- OR-I AM THE LEGAL-OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 s tEss $ .25 SIGNATURE EOF
E
�I/2 2 .50 _ PERMITTL
2 5 1.00 INSPECTION RECORD
5 is 1.50
1.5 50 2.50
513 200 5.00
200 500 10.00 - Q
500 1000 15.00 Z
OVER 11300 20.00
M.G. BET/FREQ. CHANGER-.HP
WELDERS: AC-KVAma�y( // � n�����, /
GENERATORS - KW /S �C3�'t)y"l /'i1a"�,(." "I/Vf}L�4h--P
TRANSFORMERS - KVA- I —7-05VI- MIC"
TEMP. MOTORS (75% OF ORIG-)
MOVED MOTORS (75% OF ORIG.) _
MISC. "
SIGNS
NO. NO.TRANS. -
No. No. LAMPS APPROVALS u
FOR EACH PERMIT: _ - DATE INSPECTOR'S NAME
WIRING - $1.00 I. 6 CONDUIT I / '7 1 . /a 4'v , _
II - w1 "YrV
FIXTURES $1.00 �f 6 WIRING.
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ .3 / UTILITY CO.NOTIFIED
FINAL
76A663 DBS SA 11-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES.
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN
(7 T RECEIVED BY READY FOR DATE ISSUED
ADDRESS Y 3 7/8/O / FIRST INSPECTION
CITY , It a- 141 /g TEL. NO. O Z l ,/
COUNTY LICENSE NO. 7 EXPIRES/ "�a� BUILDING 4 rl ® I
PERMIT FEES
ADDRESS _ /�
NUMBER EACH FEE LOCALITY re I..V C, r/
LIGHT OUTLETS ST
NEARE /y
RECEPTACLES CROSS ST. (n, h ft /t �I
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ yD MAIL
ELEC. RANGES 25 ' _ADDRESS
,[
ELEC. HEATERS 25 �S+ CITY TEL. NO.
FIXTURES /S' 5 7S 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS j AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
_
NEW MVD. .HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRI. ED ABOVE.
I/2 a LESS $ .25 SIGNATURE OF
I/2 2 .50 PERMITTEEY_� -
2 5 1.00 INSPECTION RECORD
5 1s 1.50
_ 15 50 2.50
5020 5.130
200 51300 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 (•3
M.G. SET/FREQ. CHANGER-HP IY
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG•)
MOVED MOTORS (75% OF ORID.)
MISC.
SIGNS
NO. NO.TRANS. I '
APPROVALS
NO, NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT: y
WIRING _ $1.00 CONDUIT
FIXTURES $1,00 ` B O WIRING
�®v
SUPPLEMENTARY ,513 FIXTURES
POWER
TOTAL FEE $S 1 ® UTILITY CO.NOTIFIED
/ FINAL
V
764663-CEi06 3-69
APPLICATION FOR ELECTRICAL PERMIT !�h
1. r COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER r
UILDING 2J N. Loma
BUILDING AND SAFETY DIVISION DDRESSJOHN A. LAMBIE, COUNTY ENGINEERTem le C1t.COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGOCALITY p y
NEAREST Longden
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
$ $ OWNER Darrell
RECEIPT. MAIL 6208- N. Loma
ADDRESS
LIGHT TOTAL FIRST 20 .20 y
CITY Temple City TEE.NO. 28.1�7
-6059
SWITCH OVER 20 •10 PLAN CHECK
LIGHTING TOTAL FIRST 20 _20 APPLICANT _
FIXTURES } OVER20 ,10 ADDRESS
RANGE._DRYER_WTR. HTR. CITY TEL.NO.
'CONTRACTOR C. W. GARTSIDE ELECTRIC
STA. COOK_DISP. _F.A.U. '
SPACE HTR:,. AIR COND. ADDRESS 633.N. Angeleno Ave. -
CLOTHES WASH._DISHWASH. CITY Azusa, Ca. TEL.NO. 969-2-2t 25'
FAN OTHER 1.00 LICENSE NO. 204628 CLASS.C-1O
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE, & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF d
1 - 1O 3.00 . 4CALIFORNIA OR THAT I AM THE LEGAL NER OF, AND INTEND TO O
RESIDE IN, THE ABOVE DESCRIBED RESP NTEAL P OPERTY. V
10 - 50 5.00
SIGNATURE OC
50 100 10A0 OF PERMITTEE 0
100 - 500 15.00 DISTRICT NO. GROUP ZONE PROCESSED BY - 4
C N
SIGN,GAS SIGN AND ONE CIRCUIT 3.001 Z
TUBE, OR - -'
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP ZOO 3 Oki ,
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
ROUGH CONDUIT
WIRING -4//c//-7 1 mac
FIXTURES
PERMIT FEE. (SUB,TOTAL)
_
PLAN CHECK FEE. (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE .00 3 c UTILITY CO.NOTIFIED �qq��
FINAL `� i/ 3 /7� t.
SUPPLEMENTARY PERMIT ISSUING FEE_ 1.00
TOTAL FEE -
JOSEPH C. ROOHAN
'
SUPERVISING ELECTR A ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cKJF M.o. CASH
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '
f
76A663 DBS SA 7-51 APPLICATION FOR,PERMIT
DEPARTMENT OF.BUILDING AND SAFETY
COUNTY_OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GR�. P ZONE PERMIT NO.
ELECTRICIANC 4�l /- t W, W Ct_do nom+ - I
RECEIVEP BY READY FOR DATE ISSUED
ADDRESS ? -,.' d �tr� w ��{ \f FIRST 1 SPECTI N „
CITY W_ 9/ i TEL.
COUNTY LICENSE NO. 2,60 * EXPIRES BUILDING
PERMIT FEES' ADDRESS
NUMBER EACH FEE LOCALITY / /}� 7M.
LIGHT OUTLETS NEAREST
CROSS ST. D�✓�" .� �7,/
RECEPTACLES - v
WALL SWITCHES OWNER /"o AA
TOTAL OUTLETS SC $ MAIL
ELEC. RANGES 25 dJI� ADDRESS A.
ELEC. HEATERS 2S CITY * .TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I 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 LAWSREGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE .LEGAL OWNER
FEE
New MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
a Leas $ .25 _ `_SIGNATURE CFr 1 ✓ ?s, y--
•I/� S .SO
PERM ITTE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 I 50 2.50
50 200 5.00
200 SOD 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 - 13
M.G. SET/FREQ. CHANGER-HP Q'
WELDERS: AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA -
TEMP. MOTORS (75% or DRIoJ
MOVED MOTORB (75% of DRIG.) _
M ISC.
SIGNS
NO. NO.TRANS.
NO. Ni APPROVALS
O. LAMPS
DATE 1NSP_ECTOR'B NAME
FOR EACH PERMIT:
L j CONDUIT
yf
WIRING � $1.00 ! ®® ! �V /�( --'
FIXTURES $1.00 A WIRING V ...e- �V_ zf VOW
SUPPLEMENTARY .50 + FI%TURES
O POWER
TOTAL FEE $ / 3 UTILITY CO,NOTIFIED.
YI 1.
FINAL CJ c/G�`I n' `. V° ' '°