HomeMy Public PortalAbout10670 LORA ST_Electrical__ 76AG63C-cc.8068 12/75 APPLICATION FOR ELECTRICAL •..PER
BUILDING AND'SAFETY DIVISION '
FOR APPLICANT TO'FILL IN JOB
EACH NO. FEE ADDRESS jO(p'7 U. I—: . 2
New Residential Bldgs.&Pools '
1 &2 Finaily Sq. Ft. — $. .LOCALITY M c-_ C, L
Multi-family Sq.Ft. — NEAREST
CROSS.ST.,
Residential Swimming Pools OWN'ER OR /
'FIRM NAME ICU � D' y(O (�CJ
Outlets: Light;Switch&Receptacle sMAI L,
First 20. ✓ . 1,2o
Ad'ditibnalCITY Cir"1.. Tel. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20. ADDRESS
Additional CITY -° Tel.No.
Fixed Appliances Not Over 1 'HP
PERMIT
PPA ANT 1. L(~i 1\0�_7 )5
Range_ Heater_ D.W.
Oven Dryer W.M. ADD•FiESS �.�x1•(�{��Zf1l ��J,. �1
Top FAU W.H. CITY Ll/R-J; t Tel:NQS. f MS S"�
Hood Fan LICENSE NUMB R. ��✓� Class. '�-�.! v
Disp. ._ z
O 1•HEREBY ACKNOW.LEDGE THAT 1 HAVE•READ THIS APPLICATION .Q
ANO STATE THAT THE'ABO.V:E IS CORRECT AND AGREB TO COMPLY
.Power Apparatus&Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTR-ICAL WIRING!. W
, D.
Size&Type HP,KW,KVA,or KVAR• � �
Up•tO 1 'Incl. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. ' LICENSED AS REQUIRED BY LOS ANGBLBS COUNTY AND STATE OF
` CALIFORNIA OR T AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED REST TIAL PR OP64TY'.
Over 50 to 100 Incl. PERMITEE K
Over 100 SIGNATURE.
,DI'STRICT•N.O.. P C SED BK
Services /
0-200.Amp. Under 600,V �� -
201 -1.000 Amp.Under 600 V APPROVALS DATE IN CTOWS
Over 1000 Amp.or Over 600 V Y SIGNATURE
TEMP.POWER.POLE `
Temp. Power Pole&Appurtenances UNDERSLAB WORK-
Sign with One Branch Circuit ROUGH CONDUIT
Additional Sign Branch Circuits
.(Other) WIRING
FIXTURES' '
POWER AUTFi0.RI2ED
PERMIT FEE (Sub-Total) UTI LFTY CO..NOTI F I ED
PLAN CHECKING FEE (One-Fourth Permit,Fee)
�j r1 FINAL-
PERMIT ISSUING FEE t'!CJ
TOTAL FEE NOTES_ f IiJb)Alk' 6X7-9
' PLAN CHECK VALIDATION K. M.O. CASH' PERMIT VALIDATION C CK.J M.O:• CASH
2-4 ?-*M 7. 90 . 1 0.6.0 098-
•
• ., t - Y
76.0563-CE806 10/72 64PPLIC. :T@.- ®,R Elt ._ ICAL PERMIT
.,COUNTY OF..LOS ANGELES '
DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISIONER JOB. /O 7D
ADDRESS
4 LOCALI TK
rN EAR'EST
,FOR APPLICANT TO FILL IN CROSS ST.
•
OUTLETS NO. EACH FEE OWNER OR r� �
FI RM�NAMES �_ • /�•1yp L�
RECEPT._ $ $ 'MAIL
FIRST 20 25 ADDRESS QP/�..• GO'�c,:a
LIGHT .. TOTAL CITY—JA e,;,00TEL. NO. �
SWITCH_ OVER 20, Are
f0 '
PLAN CHECK
LIGHTING TOTAL
FIRST 20 ,25 APPLICANT
OVER 20 ADDRESS
FIXTURES. .10 ,
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT'
STA. COOK DI SP.-F.A.U. ADDRESS
SPACE HTR. AIR COND.. CITY. TEL. NO..
CLOTHES WASH. DISHWASH. LICENSE OR
• REG. NUMBER CLASS.
FAN = OTHER 1.00. IHEREBY 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 A.NO. 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 r IAO - LICENSED AS'REQU E 'L OSAN sE*E1�OUNTY AND STATE OF
CALIFORNIA OR T ' I•AM THE L G:. O�A•' R
ii ' OF,ANE ABOVE
' 1 — tO 3.00 DESCRIBED •R:ESI E TIAL P O'PER
O
PERMITEE C7
10 - 50 5.00 S 1'GN'A' L7:
50 - 100 10.00 O
DISTRICT NO. SSED BY' LLI
100 500 :15.00' 1 y
Z
=SIGN SIGN, GAS ND ONE CIRCUIT 5.00 .. - APPROVAL§ . DATE :INSP R'S:SIGNATURE' e
TUBE, OR
MARQUEE A 131TION'AL CIRCUITS 1.00' TEMP..: POWER'POL'E
SERVICE'NOTOVER 600VOLTSOR200AMP 3.00 UNDERS LAB WORK
SERVICEOVER'600VOLTS OR200AMP 10.00. ROUGH•CONDUIT
TEMP SERVICE,POLE,&'APPURTENANCES 5.00 WIRING
TEMP LIGHT OR.,RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED '•
-UTILITY CO. NOTIFIED
FINAL 7 J.
PERMIT FEE' f, (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 Q
TOTAL"FEE
'PL=AN.CHECK VALIDATION CK•. M.0. CASH. PERMIT VALIDATION Ck M.O. CASH
5 6-2 c- U
•
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE