HomeMy Public PortalAbout6213 LOMA AVE_Electrical__ 76A663-CE806 3-69
APPLICATION FOR ELECTRICL PERM
COU TY OF LOS ANGELES
DEPARTMENT'OP COUNTY ENGINEER BUILDING 6 /I
BUILDING AND SAFETY DIVISION ADDRESS Al', to,-,,q A
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST ZON
CROSS ST. If Aj
NO. EACH FEE //_
$ $ OWNER F. Q�,S
RECEIPT._ MAIL —y ,/
LIGHT TOTAL FIRST 20 ,20 ADDRESS C 13 Z
- 01Y 4
SWITCH OVER 20 ,70 CITY C TEL.NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 ,10 ADDRESS '
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK DISP. F.A.U. CONTRACTOR '
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH. DISHWASH. CITY TEL.NO.
FAN OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 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. Lt
O - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, ANDIINTEND TO a.
RESIDE IN, THE ABOVE OES CRIBE ESIDEN TIAL PRO RTY. O
10 — 50 5.00 V
i ///j
SIGNATURE v p�
50 — 100 10A0 OF PERMITTEE OI•
H
100 - SOO 15.00 DISTRICT NO. GROUP ZONE jFj^ICE EL)�Tt ILI
CL
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 '',A N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
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
ROUGH CONDUIT
WIRING !
PERMIT FEE. _ (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) -
PERMIT ISSUING FEE 2.00. J�J7 UTILITY CO.NOTIFIED cps ^)I �A/)./^ ' 1
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 �v+ 'a'•Y FINAL
TOTAL FEE JOSEPH C. ROOHAN
14 SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.oCASH
r.^nf_ 3 7 4 nER FFV 2 7 2 D 4.0 0-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULEi¢-,�,///�/f�q��
76A663-CE806,8/63_."APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING r/ v
BUILDING AND SAFETY DIVISION ADDRESS d
JOHN A. LAMBIE, COUNTY ENGINEER 7
WILLIAM A.JENSEN,•SUP'T OF BUILDING .LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RE{EPT. , TOTAL NO. EACH FEE
LIGHT 3 OUTLETS FIRST 20 $20 $• MWNER'
ADO'L ADDRESS
SWITCH. 3. OVER 20 10
TOTALCITY TEL. NO.
LIGHTING l FIRST 20 .20
FIXTURES ADD'L 10 ELECTRICIAN
OVFR 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
" ,. CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE 9 '
SPACE HTRS. STA.APP.(:/z H.P.MAX.) .50
LICENSE NO. .2 3.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. I G P I ZONE PROCESSED BY
o ; l 1.00 Jr. O�
i 3 1.50 INSPECTION RECORD
3 5 2.00 (L
O
8 15 2.50 V
15 50 3.00
O
50 100 5.00 ~
V
w
SIGNS: NO.TRANS. - N
Z
NO.LAMPS -
SERVICE 0.60OV-NOT OVER 200A 1.00
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
a
I. PERMIT ISSUING FEE 2.00 (l
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AD.STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT.
., .WITH ALL COUNTY ORDINANCES.AND STATE LAWS REGULATING �t�r
ELECTRICAL WIRING. WIRING
I HEREBY, CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR -F". v �"'. -, d•� v
LICENSED AS REQUIRED BY LOS ANGELES COUNTY.AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM,THE LEGAL OWNER OF THE ABOVE -
DESCRIBED RESIDENT,IIAk PROPERTY. POWER
SIGNATURE % ' UTILITY CO.NOTIFIED
OF PERMITTEE 1-> ,�;��,�/l� —
FINACI L tl
0 LI DATION A RTH U R'C."V EIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
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 ZO�E- (^PERMIT NO.
ELECTRICIAN �,,. . InN�l�
o00
3 �C�,�„�,P/}-'� RECEIVED BY READY FOR DATE ISSUED. -
ADDRESS
,/� �y FIRST INSPECTION
CITY y TEL. NO. 0 ^0//�y'�U
COUNTY LICENSE NO./0 Z 1-1 EXPIRES(1.1 3O -s�Y BUILDING . l
PERMIT FEES 'ADDRESS
FEE - nir "+'✓
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES `1
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ MAIL '
ELEC. RANGES 25 ADDRESS 0/ (/ .
ELEC. HEATERS 25 CITY / TEL. NO.
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 V CERTIFY 'THAT I POSSESS THE ABOVE VALID LOS
ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL,.OWNER
NumsNEW ER MVD. HP OVERS IPO INC.R FEE
EACH .
OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/2 a LESS $ .25 SIGNATURE OF
1/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50 .
50 200 5.00."
200 500 10.00 J
I 500 . 1000 1 5.oo Z
f OVER 1000 20.00 - (�
M. G. SET/FREQ. CHANGER-HP - ..
WELDERS: AC-KVA I O
GENERATORS-KW I _
TRANSFORMERS-KVA
TEMP. MOTORS (75%of ORIG.)
MOVED MOTORS (75%OF ORIG.)
MISC. '
SIGNS
NO. - NO. TR NS. ''[� APPROVALS-
NO. aNO. LAMPS — 1 -
DATE' ..INSPECTOR'S NAME
FOR EACH PERMIT: I .
CONDUIT
WIRING $1.00
FIXTURES $1.00 _ WIRING
SUPPLEMENTARY .,50 -� FIXTURES
POWER .I
TOTAL FEE I $. I UTILITY CO. NOTIFIED
FINAL