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'°"B68.CS80°' APPLICATION FOR ELECTRICAL PERMIT 1
COUNTY OF LOS ANGELES
DEPARMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS II7
JOHN A. LAMBIE, COUNTY ENGINEER gg
WILLIAM A.JENSEN,SUPT OF BUILDING LOCAL[ Q G�
NEAREST
FOR APPLICANT TO FILL IN . CROSS ST.
PERMIT FEES OWNER
1 T E M NUMBER EACH. FEE- CA-
M
AIL
OUTLETS[ 3 ADDRESS
LIGHTS RECEPT. SW. .10 .CITY TEL. NO-40AZ sl
.
LIGHTING FIXTURES 1
CLEC. RANGES CLO.DRYERS ELECTRICIAN
WATER HEATER .BO ADDRESS '
ELEC.SPACE HTRS. DIGHWASHER13
CITY. TEL NO.
GARBAGEDISPOSERS AUTO.- .A E
�
WASHERS STA.COOKING UNITS ,2$ 1 LICENSE NO.
MOTORS. OVER INC. H.P. DIST ICTO. G O P E P ESSED BY
0- 1�2 .28
1/2— 2 .Boy7iECTION ORD
2— 8 1.00 zo or0
O
B— 1s 1.80 / —�3—Gi� cv
1s— so 2.50mo O
BO— 200 s.00
SIGNS: NO TRANS. n'
NO.LAMPS Y
i
SERVICE 0-600V 1,00
SERVICE OVER 600V B.O
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .80
TOTAL FEE S
I HEREBY ACKNOWLEDGE THAT 1•HAVE READ THIS APPLICATION APPROVALS DATE- INSPECTOR'S SIONATUR
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
WIRING
t HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY L08 GELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT TH LEGAL OWNER OF THE ROVE
DESCRIBED REBIDEN O E POWER '
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
lam
VALIDATI ARTH R C. VEIT
K Mo SUPERVISING ELECTRICAL ENGINEER
10 5 8 5.8 APR 2)4 2 D .7 0 T
APPLICATION FOR ELECTRICAL P RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS dG aG
JOHN A.LAMBIE,COUNTY ENOIN66R
WILLIAM A.JENSEN. SUP'TOF BUILDING LOCALITY O� Q Oo2
FOR APPLICANT TO FILL IN cROss� a n
PERMIT FEES
OWNE
ITEM NUMBER EACH FEE MAIL e
OUT 8 $ ADDRESS
LIGHTS RECEPT.t5 SW. .10
LIGHTING FIXTURES 10 AW CI
ELEC.RANGES CLO. DRYERS ELECTRICIAN �.
WATER HEATERS .150 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS CITY L.NO.
GARBAGE DISPOSERS AUTO... STATE \
WASHERS BTA.COOKING UNITS .23
LICENSE NO.
MOTORS: OVER INC. H.P. DISTRICT fO I GZ N CESSE BY
O — Y2 .23
Va — 2 ,50 INSPECTION RECO
2 — 3 1.00 t:,..,.
8 1s 1.30 O
U
is — s0 2.80O
s0— 200
8.00 plrm�If,r 1:1d r IC W
SIGNS: NO TRANS. f�_ d
NO.LAMPS h
Z
SERVICE 0.600V 1.00
SERVICE OVER 600V 3.00
MISC.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .30
4
TOTAL FEE Is
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS.APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING Y
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I M B OWNER OF THB ABOYE
DESCRIBED RESIDENTI jLAE
SIGNATURE CO. NOTIFIED
OF PERMITT
VALIDA!CMA�SH::)
AR RVIS C.VETT.
� SUPERVISING ELECTRICAL ENGINEER
OK NO
LACO 1 0 5 9 .eta 13 2 0 3.7 0
76A663 DOG SA 3-50 - APPLICATION FOR PERMIT
DEPARTMENT OFdG AND SAFETY EL�CELECTRIC"
COUNTY OFF LOS LOS ANGELES '
WILLIAM J. FOX, CHIEF ENGINEER
f
FOR PLI>rANT TO FILL IN DISTRICT N OR OUP ZONE PERMIT NO.
ELECTRICIAN `3
RECEIVED BY READY FOR DATE ISSUED
ADDRESSO FIRST INSPECTION /
CITY TEL NO. �L
COUNTY LICENSE NO. EXPIRES BUILDING
,$_r/
FEES ADDREBB IO Q
�l
NUMBER EACH FEE LOITV
LIGHT OUTLETS CEAREST
RECEPTACLES CROSS ST.
Q .
WALL SWITCHES OWNER /
TOTAL OUTLETS 5c 1pQ MAIL
ELED. RANGES 86 ADDRESS
ELEC. HEATERS 25 CITY TEL No.
FIXTURES S I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDJNANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE. LEGAL OWNER
NEW MvD. HP I ovER INC. EACH or THE RESIDENTIAL PROPERTY DESEPISED ABOVF-
yjt
a Lzee .25 SIGNATURE Op��
I 2 .50 PERMITTE
2 S. 1.00 INSPECTION RECORD
S 16 1.50
15 60 2.S0
ISO 200 5.00
200 Soo 1 CLOD J
Soo 1000 15.130 Z
OVER 1OCO 20.00 p
M.G. BET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (76 Or GRID.)
MOVED MOTORS (75 Cr oRID.)
MIBC.
BIONS
NO. NO.TRANS
APPROVALS
NO. NO.LAMPS
DATE INBPffDTOR'B NAME
FOR EACH PERMIT:
WIRING B1.o0 CONDUIT
FIXTURES ®1.00 a d
WIRING
SUPPLEMENTARY .80 FIXTURES
�j POWER
TOTAL FEE B 3 UTILITY CO.NoTIF1ED
((( FINAL
78A863 CE-BOER°"e APPLICATION F R ELECTRICAL PERMIT '
COUNTY OF LOS ANGELES fEST DEPARTMENT OF COUNTY ENGINEER ESS
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN - LITY
7.Residential
Bldgs.&Pools EACH NO. ' FEE Sq.Ft. $ .025 — $ ER OR
q. Ft. •0'2 — NAME �/ �A
imming Pools 20:00 MAIL
ADDRESS
Outlets:RecLight_Sw. 40 CITY �� � Tel.No. . W/_
First 20 1PLAN CHECK'
Total No. Additional .30 I APPLICANT
' 0 ADDRESS
Lighting Fixtures First 20 .50 CITYb Tel.No.
Total No. Additional 13 .30 -PERMIT
PPLI ANT
Fixed Appliances Not Over 1 HP ADDRESS.
Range_Heater_D.W._ CIT , / Tel.No.
Oven_Dryer_W.M LICENSE OR
Top —FAU —W.H. REG.NUMBER Class 40
Hood_Fan —Other_ I HEREBY AgKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN•
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
' REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT IAM
Up to 1 Ind. -2-A9' THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIA Y.
Over 1 to 10 Incl. 5.00
Over 10 to 50 Incl. 10.00 PERMITTE 0
Over 50 to 100 Inc. 20.00
SIG V
Oli
° Over 100 -30.00 DISTRICT NO. P ESVY BY 0
Services y 3J SP
SIGNATURE'S
200 Amp.Under 600 V �+ APPROVALS D INSPECTOURE
201- 1000 Amp.Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
10.00 UNDERSLAB WORK
Temp.Power Pole&Appurtenances ROUGH CONDUIT
Sign with One Branch Circuit 10.00
2.00 . WIRING
Additional Sign Branch Circuits
Misc.Conduits&Conductors 15.00' FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL'
PERMIT FEE )Sub-Totals NOTES
PLAN CHECKING FEE )One-Fourth Permit Fee)
PERMIT ISSUING FEE $6.00
TOTAL FEE -
N CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
2'1 7"'-AUG 15 ' �: ® 9.0. 0 A�8
SEE BACK APPLICATION FOR COMPLETE SCHEDULE 01'