HomeMy Public PortalAbout6274 LOMA AVE_Electrical__ 76A663-CE806 10/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS
BUILDING AND SAFETY DIVISION
LOCALITY
FOR APPLICANT TO FILL IN NEARESTCROSS ST.
OU Ty ETS N0. EACH FEE OWNER OR
$ $
L/J FIRM NAME
RECEPT. MAIL -
FIRST 20 / ADDRESS -1 `-q-
LIGHT TOTE (J .25 /
6 CITY �� TEL. NO.a
SWITCH OVER 20 .10
PLAN CHECK
FIRST 20 25 APPLICANT
LIGHTING TOTAL r
FIXTURES
OVER 20 .10 ADDRESS RESIDENTIAL APPLIANCES CITY A EL. No.
PERMIT
RANGE DRYEP. WTR. HTR._ APPLICANT n
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR CLASS.
REG. NUMBER
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 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.pp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE }
1 - 10 3.00 DESCRIF:ED RESIDENTIAL PROPERTY.
//�� O
10 - 50 5.00 SIGNAPERMITEE `' ) ,, �� �� �
SIGNATURE Cf U
O
50 - 100 10.00 DISTRICT NO. - PROCESSED BY W
1 00 - Soo 15.00 �f-
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS I.00 TEMP. POWER POLE
SERVICENOTOVER600 VOLTS OR 200AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 f FIXTURES ,'—
POWER AUTHORIZED
' UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) �� NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE - 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4 5 6.cX7 A1i6 8 2 A 4.7 5 `o
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '
76A663-CE8061/70 APPLICATION FOR ELE RICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST //
FOR APPLICANT TO FILL IN CROSS ST. �/v ®�/'� 54-
OUTLETS NO. EACH I FEE
OWNER �,�. �- ✓� �„
RECEPT. $ $_ MAIL /
LIGHT TOTAL
FI RST 20 20 ADDRESS 7�
OVER 20 CITY �i TEL, N0. 4�
SWITCH_ 10 PLAN CHECK
LIGHTINGFIRST 20 20 APPLICANT
TOTAL ADDRESS
FIXTURES I OVER 20 10
APPLIANCES CITY TEL. N0.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT (/C.
STA. COOK DISP. F.A.U. ADDRESS 7GI]
SPACE HTR. AIR COND. CITY -( TEL. N0. Z
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 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 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
I - IO 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. >_
SIGNATURE /��-J
10 - 50 5.00OF PERMITTEE
50 - 100 10.00
DISTRICT NO. ICLASS GROUP IZONE P E BY
100 - 500 15.00 -z-�
SIGN, GASLU
SIGN AND ONE CIRCUIT 3.00 NOTES: h
TUBE, OR z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200AMP 2.00 ;2- 64-c')
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDI UT
WIRING
PERMIT FEE (SUB TO - FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 2
FINAL /j
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOSEP C. ROOHAN
TOTAL FEE �'tJ SUPERVISING ELECTRICAL ENGIN P.�„`
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS
flr, 1 2 51-- JUN 2 9 2 0 4.0 0 N V lv"°
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
78A&'89-CEBOB'1770 APPLICATION FOR ELECTRICAL PER41T
COUNTY OF LO'S ANGELES
DEPARTMENT OF COUNTY ENGINEER TARDE
G
BUILDING AND SAFETY DIVISION S '' zLi
JOHN A. LAMBIE, COUNTY ENGINEER TY '
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING
T
FOR APPLICANT TO FILL IN ST.
OUTLETS NO. EACHI FEE
ppii S OWNER
$ R . Y"
RECEPT. MAIL
LIGHT TOTAL FIRST 20 ' ZS ADDRESS
CITY TEL. NO.
SWITCH OVER 20 10 PLAN CHECK
LIGHTINGFIRST 20 S APPLICANT
TOTAL
VIER 20 ADDRESS
FIXTURES V
t 10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT I.
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
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 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 - 1 100 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 N, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE �i �
10 - 50 5.00 OF PERMITTEE A,O,10, L�CL3Lk+_ ,,�B fl 0
V
50 - 100 10.00 y
DISTRICT NO. CLASS GROUP ZONE CE ED BY
100 - 500 15.00 : _p � Z 0
V
SIGN, GASW
SIGN AND ONE CIRCUIT 3.00 NOTES: h
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
JOSEPH C. ROOHAN
TOTAL FEE �D SUPERVISING EL 'ICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION C M.G. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '