HomeMy Public PortalAbout9423 LAS TUNAS DR_Electrical__ A 6DBS ?3.55' -r APPLICATION
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DIVISION OF BUILDING AND SAFETY
Department of County Engineer 1 _
County of Los Angeles 7LDG
WM.J. FOX, COUNTY ENGINEER S �. yJ /"'k /•^�J
CASSATT D. GRIFFIN, SUPT OF BUILDING Y .
FOR APPLICANT TO FILL IN NEAREST s
PERIM FEES CROSS ST. ( �'
NUMBER EACH FEE I" J
OWNER ��� Y ll..�e'.r_�Cr��
LIGHTOUTLETS /
RECEPTACLES - - MAIL ^•a-, {f��/� '
' ADDRESS aS�S " �� LJf�-!"%��.�W..:sr •��-2�wJ
WALL SWITCHES r
TOTAL OUTLETS 5¢ $ CITY L- Al /TrE'L. NO. � f r
ELEC. RANGES 25 ELECTRICIAN ,: �;,,1�"t�- ss(/`���'"`� R•r�° �f2!-'�-�
ELEC. HEATERS 25 ADDRESS
KW EACITY TEL. NO.(.. -dh •U �
FIXTURES "5 ( � LICENSE NO.
NUMBER OF LIGHT CIRCUITS - DISTRI T O. GROUP �E.OkIE A FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS I SC �?"�/ J''f act) -
MOTORS ! U
NUMBER HORSEPOWERFEE INSPECTION RECORD
NEW MVD. JHP OVER I INC. EACH
1�2•&LESS S .25 _
1/2 2 .50
2 5 1.00
5 15 1.50
1.550 2.50
50 LID 5.00
MISC:'
NO.SIGNS NO.TRANS., -
NO.SIGNS NO.LAMPS �I
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $1.00 ±�reS _ .50 APPROVALS
TOTAL FEE I S',, coy' z- DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE-THAT I HAVE READ THIS APPLICATION - CONDUIT -
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ,
WITH ALL COUNTY 'ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING. - -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY_LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR Tif"A .I AM THE LEGAL OWNER OF THE ABOVE POWER
'DESCRIBED RESIDE PROPERTY:
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE - _l �--- �"� FINAL /
WILLIAM J. FOX. COUNTY ENGINEER VALIDATION A.C.VEIT.CHIEF ELECT. INSPECTOR
:fro 0 9 7 1 4 AUG 9 2' 3.,2 0 0
D
S&E-663 11.55 APPLICATION FOR PERMIT _1
S&E-6 -
DIVISION OF BUILDING AND SAFETY SEWER-SEWAGE DISPOSAL
Department of County Engineer
County of Los Angeles TADDF
DING •�->
JOHN A. LAMBIE, COUNTY ENGINEERESSCASSATT D. GRIFFIN, SUPT OF BUILDINGALITY IL%$.a.
FOR APPLICANT TO FILL IN CROSSS T.
LEGAL OWNER 'L -L� /• r�titi'�
DESCRIPTION LOT N0. �/�+ ,. '✓��_ //�}'�/1,
BLOCK TRACT - � �p/ ADDRESS :7X �f (_40 i•
NO. OF BLDGS. d
SIZE OF LOT NOW ON LOT CITY 4Gawl
NO.
USE OF DISTRICT GROUP MAP
BUILDINGS C4�,.' •lam L.Qrs-�- « BK PG
7
CONTRACTOR � * �Z- ,y// ,adv •�N� C ;, ,—.
CONNECTION DATA
ADDRESS ry X
CITY _ TEL. NO. 4 / /' STATION �9, L' ' DEPTH d R
I`�- MANHOLE REFERENCE
STATE a LOWER ,
REGISTRATION N0. t1:1 COUNTY -
NO. DESCRIPTION OF WORK FEE
YP0
HOUSE SEWER CONNECTING TO �•�'1 Y, TE ION LENGTH FROM
CURB ` P . M.L. TO P.L.
PUBLIC SEWER Ca $3.50 J l/
SEPTIC TANK,SEEPAGE PIT OR '
PITS AND/OR DRAINFIELD ICJ $3.00
OVERFLOW SEEPAGE PIT,DRAINFIELDP'. C. NO.
EXTN.,CESSPOOL,DRYWELL,M AN HOLE Q $2.00 CO. IMP. NO.1 106 NO.
HOUSE SEWER'CONNECTING TOQl A q b 2-
PRIVATE DISPOSAL SYSTEM Q $1.00 TRUNK PERMIT NO. ROAD PERMIT NO. o
CONNECT ADDITIONAL BLDG.OR - STATE ENCROACHMENT
WORK TO HOUSE SEWER rCJ $1.00 PERMIT NO.
-ALTER,REPAIR OR ABANDON HOUSE INDUSTRIAL
SEWER OR DISPOSAL SYSTEM c@ $.1.00 WASTE APPROVAL
- CHARGES
CONNECTION CHARGE FEE
OWNER'S PERMIT $ 1 00
- � REIMBURSEMENT FEE
AUTHORIZATION TOTAL FEE
I HAVE AT THIS DATE A CONTRACT WITH THE HEREIN NA ED CON. APPROVALS DATE INS ECTOR'SS,IGNATURE
TRACTOR TO CONNECT THE ABOVE DESCRIBED EXISTING DWELLING
'TO THE.P.UBLIC SE NEW HOUSE SEWER _
SIGNED THIS DAY OF 19-�
CONNECT ADDITIONAL
OWNER OR i• Arh - �~ .BUILDING OR WORK
OWNERS AGENT SEPTIC TANK,SEEP,PIT(S)
ADDRESS I AND/OR DRAINFIELD
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP CATION CESSPOOL❑ DRYWELL[IAND STATE THAT THE ABOVE ISCORRECTAND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ALTER,REPAIR,SEWER OR
PLUMBING AND SEWERS. SEWAGE DISPOSAL SYSTEM
I HEREBY CERTIFY THAT I. AM PROPERLY RERED AND/OR DISCONNECT PLUG AND
LICENSED AS REQUIRED BY LOS ANGELES CO Y; AND-STATE OF ABANDON HOUSE SEWER
CALIFORNIA OR THAT I M THE LES ER OF THE A VE
DESCRIBED RESIDENTI ROPERTY. " BACKFILL SEPTIC TANKS❑
SIGNATURE SEEP.,PIT(S) El ..CESSPOOLS (p "o(J'_ y/
E�
OF PERMITT - - '
JOHN A. LAMBIE, Co TY ENGINEER '�&-Y.DATION- ROBERT A.WOOD,CHIEF PLBG, INSPECTOR
M.0. CASH T4 1 f .. '
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