HomeMy Public PortalAbout6417 LOMA AVE_Electrical__ f
78A863-CE808 806 10-82-
APPLICATION -FOR ELECTRICAL-- PERMIT -
. COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN At LAMBIE, COUNTY ENGINEER
WILLIAM A JENSEN, SUPT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN cRoss ST.
RECEPT. TOTAL NO. EACH FEE /
OUTLETS FIRST 20 20 $ OWNER
LIGHT MAIL
ADD'L ADDRESS
SWITCH' OVER 20 ,10
TOTAL Ur CITY TEL. NO.
_LIGHTING FIRST 20 .20
FIXTURES ADD'L ELECTRICIAN �� �C�i ���-G(/ ✓ZLv
OVER 20 .10
RANGES CLO DRYERS WTR HTRS. 1.00 ADDRESS �/ �/ aeL/'���d ✓'"`^—'
GARB DISP. STA COOK
CITY TEL.
DISHWASH AUTO-WASH STATE /q
SPACE HTRS STA.APP.(l/¢H P.MAX.) ,50
LICENSE NO. L V
MOTORS. OVER NOT OVER H DISTOUP
V; E P ESSED B
JPN
O U 1.00
1 3 150 INSPECTION RECORD
3 8 2.00 0
8 15 2.50 V
15 50 300 Q
50 100 500
' d
SIGNS NO.TRANS
NO LAMPS
SERVICE 0-60OV-NOT OVER 200A 1.00 `
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 _
TOTAL FEE $
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS -7 2DATE ry� INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT /l , G !
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING it
ELECTRICAL WIRING. WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIREDBY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENT OPE / POWER
SIGNATURE ' UTILITY CO NOTIFIED I
OF PERMITTEE 5.-ti� 1 N y l,ti
FINAL U
IDATION ARGHUR C.'VEIT/"
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
Lr4G0 8 10 7`1 JUL �� � D 3.6 0-
D8S.5A 9-SS 0 A LIGATION FOR, ELECTRIC PERMIT 1
DBS•SA ,
- --DMSION-OF BUILDING AND SAFETY—' -
Department
AFETY 'Department of County Engineer
County of Los Angeles ULDNG
D SS O
,i WM.J. FOX. COUNTY ENGINEER
CASSATT D.GRIFFIN. SUPT OF BUILDING -
LOCALITY
FOR APPLICANT TO FILL IN 3 NEAREST
PERMIT FEES cRoSS ST 1 e k
NUMBER EACH FEE I
OWNER
LIGHT OUTLETS
MAIL
RECEPTACLES _ ADDRESS
WALL SWITCHES
TOTAL OUTLETS J 5¢ $ CITY TEL NO
ELEC RANGES ! 25 Jr ELECTRICIAN
_ELEC HEATERS 25 ADDRESS
KW EA CITY / TEL N
FIXTURES 5 •--LICENSE NO
NUMBER OF LIGHT CIRCUITS - DISTR NO. JGROLJP� ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
. MOTORS
NUMBER HORSEPOWER t INSPECTION RECORD
.FEE, _
NEW MVD HP OVER INC EACH
1/2&LESS $ 25
1/2 2 .5O
.4 2 5 1 00
5 15 1 50
15 50 250
50 200 500
MISC
NO.SIGNS - NO TRANS
NO SIGNS NO LAMPS _
FOR EACH PERMIT-
WIRING _$1 00 O
FIXTURES $1.00
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE'READ THIS 'APPLICATION CONDUIT //
I /'�� �J�/.� y
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY veru
WITH ALL,COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING .
1 HEREBY CERTIFY THAT I PROPERLY REGISTERED AND/OR FIXTURES
LICENSED.AS REQUIRED BY S NGELES COGNTY AND STATE OF
CALIFORNIA OR THAT. 1 M TH £SAL NER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL,4ROPE
UTILITY CO NOTIFIED
SIGNATURE _ -,ty
OF PERMITTEE FINAL
WILLIAM J.FOX.COUNTY ENGINEER U VALIDATION A. C.VEIT.CHIEF ELECT.INSPECTOR
` 5638 ' MAY 2 2 1 .25 I'
s