HomeMy Public PortalAbout10702 LORA ST_Electrical__ 7A.663-CE806 10/7Z APPLICATION -FOR .ELECTRI•CAL -PERMIT. -.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER• IOB.
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY-4NEARE
FOR APP_LI:CANT TO FILL IN CROSS T.
U LETS NO:... EACH FEE OWNER.OR -
-e _ FIRM NAME 2tf*/--A/
RECEPT:. $ MAIL
LIGHT T
FIRST 20 n ADDRESS
a.� �a
CITY'. '.i' • TEL. N0.
SIN•ITCH_ OVER 20 ip '
PLAN CHECK
LIGHTING 'F,1'RST 20 P9
: APPLICANT
TOTAL
`
FIXTURES f0 Z� OVER 20 ADDRESS
RESIDENTIAL. APPLIANCES CITY / q' TEL. NO.-PER
IT
RANGE_• D.RYER_WTR. HTR. APPLII.CANT G"OZOAJlve �(:-�J; Ci(7J/1►.
STA. COOK DISP: F.A.U. ' 'ADDRESS `,
SPACE HT.R. - AIR COND. CITY,• TEL. NO. r
CLOTH ES''•WASR DISHWASH. LICENSE OR tom'! CLASS. +-/b
REG. NUMBER G
FAN OTHER .. 1.00 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ASOVE' IS CORRECT•ANO AGREE TO'COMPLY
MOTORS, TRANSFORMERS RATING .WITH ALL •C.OUNTY�, ORDINANCES -AND STATE LAWS REGULATING
IND. HEA•TERS,.ETC. HP. KW:XVA. • ELECTRICAL WINING.'•,
SIZE & TYPE OVER TO
IHEREBY ,CERTIFY"T.HAT I AM RLY REG IS TERED AND/OR'
0 - 1 1:00 LICENSED AS REQUIRED Y'LOS NGELE 4COUNTY-AND STATE OF
CA'L'ITORNIA 'OR THAT M TH LEGAL -OWNER OF THE ABOVE.
.RESCRIBED RESIDENT PREP RTY.
1 .-•10 3.00 ;I CD
PERMITEE C.7
10 -:50 5.00 r SIGNATURE
O
50 - 100 10A0 DISTRICT NO. - PROCESSED BY W
1'00 - 500 15.00 4/J
SIGN, GAS' .S)GN AND ONE CIRCUIT 5.00.• :APPROVAL$ DATE .INSPECTOR'S SIGNATURE EM
TUBE,•OR
MARQUEE ADDITIONAL CIRCUITS, 1.00 TEMPI POWER POLE'
SERVI C.E NOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLA9 WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00: ROUGH CONDUIS _
TEMPSERVICE,'POLE,&APPURTENANCES &00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00. FIXTURES
POWER q:UTHORIZED '
UTILITY CO: NOTIFIED '
FINAL
PERMIT FEE (SUB l O.TAL) 'NOTES:
PLXN .CHECK FEE
PERMIT-ISSUING FEE 3:00.
TOTAL FEE
PLAN CHECK VALIDATION CK. M..o:, CASH PERMIT V411DATION cK.. M.0. CASH
SEE BACK OF APPLICATION.FOR COMPLETE SCHEDULE
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
'Department of County Engineer
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICAN�TO FILL IN DISTRICT NQ. GROUP ZONE PERMIT NO.
ELECTRICIAN ,off a h 4. � G7 ` 3
♦ RECEIVED BY READY FOR DATE ISSUED
ADDRESS . l j 1, �� L + FIRST INSPECTION
CITY � �,,:�' TEL.N �..J
COUNTY LICENSE NO. EXPIRES d "4_1y BUILDING
— ADDRESS
PERMIT FEES .
FEE ��
NUMBER EACH LOCALITY •
LIGHT OUTLETS NEAREST
RECEPTACLES CROBB ST.
WALL SWITCHES OWNER
TOTAL OUTLETS Sc $ f+' MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS Z5 TY
p CITY TEL. NO.
FIXTURES 5 fP.D
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC.
/ APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS J AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
V2 A LESS $ .25
SIGNATURE OF , .��r�r - ,•
I/2 2 .50 PERMITTEE LU• -" `
2 s 1.00 INSPECTION RECORD
5 15 1.50
is 50 2.50
50 200 5.00
200 BOG 10.00 J
5130 1000 15.00 Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA 0
GENERATORS - KW
TRANBFORMERB - KVA
TEMP. MOTORS (75% OF CRIB-)
MOVED MOTORS (75% OF CRIB.)
MISC.
SIGNS
NO. NO.TRANS
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT, DATE INSPECTOR'B NAME
WIRING $'1.00 ® O 9 CONDUIT
FIXTURES $1.00 , o9p WIRING ♦1 .6'r4= —t e'�'to
SUPPLEMENTARY .513 FIXTURES -
POWER
TOTAL FEE iv UTILITY DO.NOTIFIED
FINAL i/ �"- �✓�
TOA663 DBS#5A 4-52 d,