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76AE83-CEBOO 10-62 APPLICATION F R ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. L.AMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCAL�1Y
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. I EACH FEE
OUTLETS FIRST 20, 20 $ OWNER
LIGHT 44 MAIL '
SWITCH. O V ER'ZO .10 ADDRESS
LIGHTING TOTAL FIRST 20 .20 CI TEL.NO.
FIXTURES ADWLI-L ELECTRICIAN
OVER 20 •10
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS It
-
GARB.-DISP. STA.COOK -
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. BTA.APP.(+y H.P.MAX.) ,$O
LICENSE NO.
MOTORSI OVER HOT OVER H.P. DISTRICT NO. GROUPZONE P SSED BY
O 1 1.00
i s 1.30 INSPECTION RECORD
s s 2.00 >.
CL
a Is 2.50 O
V
15 so 3.00
s0 106 5.00
SIGNS, NO.TRANS.
NO.LAMPS
SERVICE O-SOOV-NoT OVER 200A 1.00
SERVICE 0.600V-Overt 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00 z
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1
' H
ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
L
COUNTY ORDINANCES AND STATE LAWS REGULATINGL WIRING. IRINGY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR VAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
IA OR THAT.1 AM THE LEGAL O ER OF THE ABOVE
RESIDENTIA PROP POWERRE Aoe I UTILITY CO.NOTIFIEDITT
FINAL
VALIDATIO A H R . -IT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
jj�Co 4 6 5 5 JAN 2 0 2 D 4.5 Q- 1
I .
76ASa3 DBB SA 3-50 APPLICATION FOR PERMIT
DEPARTMENT OF BUUMING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC i
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT Na.
ELECTRICIAN
RECEIVEDREADY FOR
ADDRESS 0 JBY FIRST INSPECTION DAT[ IBBU[D
CITY AL.NO.
COUNTY LICENSE NO. O- EXPIRESBUILDING
PERb= FEES' ADDRESS O
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES .OWNER IoF oo Cs
TOTAL OUTLETS 407 sc B MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES s
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJNANOES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New Mvo. HP ovER IND. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVG
m LEBB 18 .25 SIGNATURE O��/Y/
2 .50 PERM ITTE
2 S. l.Go INSPECTION RECORD
5 is t.s13
15 so 2.50
Iso 2130 8.00
200 500 10.130 Q
Soo 1000 15.00 Z
OVER 1000 213.00 p
M.G. BET/FREQ. CHANGER-HP QI
WELDERSt AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or DRIB.)
MOVED MOTORS (76 or DRIG.)
MISC.
SIGNS
NO. NO.TRANS.
N13. NO.LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTORIS NAME
WIRING $1.00 (� b CONDUIT
FIXTURES 101.00 GCS WIRING
SUPPLEMENTARY .513 FIXTURES
POWER
TOTAL FEE C7 V UTILITY CO.NOTIFIED ,✓
FINAL CO
f
76AS69 DBS SA 11-30 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC, 1
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRI NO. GRr I ZO E PERMIT NO.
ELECTRICIAN EIVE BY READY FOR -DATE ISSUED
ADDRESS FIRST INSPECTION
CITY L.
NO. '
COUNTY LICENSE NO. EXPIRES BUILDING
0
PERMIT FEES ADDRESS
FEE call
1
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST -�
CROSS ST. 444
RECEPTACLES
WALL SWITCHES OWNER (/(i• �IL1��
TOTAL OUTLETS 5c $ MAIL �
ELEC. RANGES 25
ADDRESS O
ELEC. HEATERS 25 CI TEL. NO.
FIXTURES 5 1 HEREB4rACKNOWLEDGTHAT 1 HAVE READ THIS
MISC.- lot
APPLICATION AND STATE THAT THE ABOVE 1S CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL'WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NuweER HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1/ &LESS $ 25 SIGNATURE OF
1/2 2 - .50 PERMITTE
E e"
2 5 1.00 INSPECTI RECORD
5 15 1 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 - a
2
OVER 1000 20.00 _ 0
M. G. SET/FREQ. CHANGER-HP 0
WELDERS: AC-KVA
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS-(75%OF ORIG.)
MOVED MOTORS (75%OFORIG.
MISC.
SIGNS
NO. NO. TRANS: APPROVALS
NO. NO. LAMPS
DATE INSPECTOR'S NAME
FOR EACH PERMIT:
� WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,50 FIXTURES
f OWER
TOTAL FEE $ UTILITY CO. NOTIFIED S��
® FINAL