HomeMy Public PortalAbout6246 LOMA AVE_Electrical__ 76A663 CE 806A 10/77' /A PPHICA u oOu V FOR ELSL�/�TI1�1�//� /_� L PEP,
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C O COUNTY
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DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY T�, � 1 f-
New Residential Bldgs &Pools EACH NO FEE NEAREST
1 &2-Family,Sq Ft $ 025 — $ CROSS ST L n deOWNERr
Multi-family Sq Ft 02 — FIRM N MRE F
."S* CI I� �
Residential Swimming Pools 2500 MAIL
ADDRESS (,� ,�14 L C''�'YI
Outlets Reclight�Sw �b CITY Tel No
First 20 50 PLAN CHECK '
Total No Additional 30 f APPLICANT
ADDRESS
Lighting Fixtures First 20 50 1 CITY Tel No
Additional 30 PERMIT
F Total No APPLICANT m if r--
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D Wf LICENSE OR CITY Tel No
Oven —Dryer W M---b—
Top —FAU W H REG NUMBER• Class
Hood— Fan L Other- HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp — Room Air Cond 250 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
2 50 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM a
Up to 1 Ind THE LEGAL OWN OF THE ABOVE IBED RESIDENTIAL PROPERTY C:,Over 1 to 10 Incl 500 v
Over 10 to 50 Incl 12 50 PERMITTEE
Over 50 to 100 Inc 2500 SIGNATOR4�2 U
Over 100 4000 DISTRICT NO� �� ROC ED BY y
Services Z
0-200 Amp Under 600 V 1250 1 ECTOR S
201 1000 Amp Under 600 V 2500 APPROVALS DATE GNATURE
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
Temp Power Pole&Appurtenances 1000 UNDERSLAB WORK
Sign with One Branch Circuit 1000 ROUGH CONDUIT
Additional Sign Branch Circuits 200 WIRING ID
Mlsc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedulei POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (Sub Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7 00
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 /C f /� PERMIT VALIDATION CK M O CASH
5 co
3 2 6 AUG :16 2 D 1. 8.5� U
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76ASSS. DBS SA 8-49'®• ' ' APPLICATION FOR PERMIT
DEPARTMENT ;OF BUILDING AND SAFETY °
COUNTY OF LOS ANGELES ELECT-RIC i
WILLIAM'J. 'FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. G UPNE PE ITN
ELECTRICIA
N
St. I f ZA RE 1 D BY READY FOR DATE ISSUED
ADDRESS w O ! n /,`
9 cam% ,�/ FIRST INSPECTION
CITY - % TEL. NO. / T/l,/P.;If
COUNTY LICENSE NO. 1O,1 EXPIRES LO a� 6 B DRESS / .3 � -
PERMIT FEES,
I ADDRESS (pT7/
,NUMBER OUTLETS EACH • FEE LOCALITY / � ,, 'z''leiF-
LIGHTS 5c $ ytS NEAREST /� �D N
CROSS ST. f�
I RECEPTACLES • 5 (�.r
L
• FIXTURES 5 6' OWNER Ma .F ll Yf
$S
WALL SWITCHES 5 OBD MAIL
ELEC. RANGES 25 ADDRESS oL �� /� /1.d V g rte• �i �//l�`!Of ���.
ELEC. HEATERS 25 CITY )S71 IWO 4 7t; TEL. NO.
MISC.' / I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED: � APPLICATION AND STATE THAT THE ABOVE IS CORRECT
LIGHTS RECEPTACLES I AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
''MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWERI CERTIFY THAT 1 POSSESS THE ABOVE VALID, LOS
FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.'
b h %a LESS $ .25
Zvi 2 .50 SIGNATURE OF
PERMITTEE'
5 is 1.50 INSPECTION RECORD
15 50 2 50
SO 200
200 ` 500 , 10 00 \
500 1000 is 00 ..I
Q
OVER 1000 20:00 Z
M G. SET/FRE 'CHANGER-HP
WELDERS- AC-KVA a
O
•GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIG.)
MOVED MOTORS (76% OF ORIG.)
MISC.
SIGNS
TYPE: - _ NO TRANS.
TYPE: NO. LAMPS APPROVALS
_ DATE INSPECTOR'S NAME
FOR EACH PERMIT:
WIRING $1.00 CONDUIT
FIXTURES .. $1.00 Od WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE $ �0 UTILITY CO. NOTIFIED o% a9
FINAL w w