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7bAllE9 ►eah s 88 gppLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT BUILDIN
BUILDING AND SA ETY DIV SIONENGINEER ADDRESS
JOHN A LAMBIE COUNTY ENGINEER /
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST A
RECEPT 1 TOTAL NO EACH FEE `�v
I OUTLETS FIRST 20 S 20 S �C7 OWNER
LIGHT J MAIL 'r
ADD L t0 ADDRESS
SWITCH J 7�
OVER 20 ^u,, �o
TOTAL CITY /F P F C / TEL NO
LIGHTING 1 FIXTURES FIRST 20 20
FIXTURES J( ADD L
OVER 20 1O CONTRACTO =` /=n4/ /QST �Jy�
RANGES DRYERS WTR HTRS too ADDRESS � S 7
GARB WIND STA COOK CITY")F (rD
sr U/w.w TEL NO �Q 15�✓f'8
DISHWASH AUTO WASH STATE
SPACE HTRS STA APDL so LICENSE NO � G/ 71ep SI
MOTORS OVER NOT OVER H P DISTRICT NO I G U ZCAF P
O 1 1 o0c:r,06 1
Cv
1 s ISO INSPECTION RECORD
s s 200
81 s 2 so
is so 13 00 1 _ 7
so 100 Soo V
NO TRANS
SIGNS NO LAMPS
SERVICE O sOOV NOT OVER 200A 100
SERVICE O 800V OVER 200 A 200 Nn
Z
SERVICE OVER SOOV Boo
OTHER (SEE COMPLETE PER SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 APPROVALS DATE INSPECTOR B SIGNATURE
TOTAL FEE 100 b
LELECTRICAL
HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
H ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
WIRING WIRING r
NEREBY ClRTIFY THAT 1 AM PROPERLY REGISTERED AND/ORFIXTURES
NSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OFFORNIA OR T T 1 AM THE LEGAL OWNER OF AND INTEND TO POWER
DE IN THE V ESCRI D R6 IDENTIA RO E Tpr
NATURE UTILITY CO NOTIFIED OfAopPERM ITT
FINAL
UCK
MO CASH ON JOSEPH C ROOHAN
SUPERVISING ELECLECTRICAL ENGINEER
MO
7680% MAR 20 2 D 420- 1;
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T
76A663 a 806 111 APPLIC ON FOR ELE ICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN ADDRESS
New Residential Bldgs &Pools EACH NO FEE
1 &2 Family Sq Ft $ 025 — $ LOCALITI�
Multi family Sq Ft 02 — NEAREST
Residential Sw ming Pools 2500 ROSS ST
OWNMR OR
AIL NAME ..
Outlets Rec Light—LSw
First 20 50 ADDRESS
Total No Additional 30 CITY Tel No
PLAN CHECK
APPLICANT
Lighting Fixtures Fust 20 50 ADDRESS
Additional 30
Total No_� CITY Tel No
Fixed Appliances Not Over 1 HP PERMIT
Range—Heater_D W APPLICANT
AbDRESS
Oven—Dryer_W M—
Top _FAU —W H CITY ' Tel N6
Hood_Fan —Other LICENSE OR
Disp —Room Air Cond 250 REG NUMBER 11 Gass
I HERBY ACKNOWLEDGE T}IAT 1 HAVE READ,T APPLICA
Power Apparatus&Large Appliances TION AND$TALE THAT T.F�T APOVE 19 CORRECT ANTS'AGREE TO
Size&Type HP KW KVA or KVAR COMPLY WITH ALU<0 0 NANGa AND SfATE LAW
2 50 FIGULATING ELECTRICAL WIRING i It S
Up to i Incl t HEREBYtERTIf THAT I AM PROPEWY REGISTERED AND/OR W
Over 1 to 10 Incl 5 00 LICETOSfDAS UIREp\BppS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl 1250 — CALIFORNIA OR A'rt A E LEGAL OWNER OF THE ABOVE 0
Over 50 to 100 Inc 2500 DESCRIBED RESIDENTIAL�ROPERI;Y
Over 100 4000 - PERMIT EE �w
SIGNATURE /•l
Services 12 50 DISTRICT NOVdR70CEDA"f BY
0 200 Amp Under 600 V
201 1000 Amp Under 600 V 2500 Q
Over 1000 Amp or Over 600 V 5000 Z
O
Temp Power Pole&Appurtenances 1000
Sign with One Branch Circuit 1000 04
Additional Sign Branch Circuits 200 INSPECTION >
Misc Conduits&Conductors 1000 INFORMATION ION REVERSE z
Other(See Complete Fee Schedule) SIDE v
d6049A
• • • • • 2
PERMIT FEE (Sub Total) 2 - . 1150
PLAN CHECKING FEE (One Fourth Permit Fee) O
600115025
PERMIT ISSUING FEE $7 00
TOTAL FEE 60 > O 8 O 9-7 9
INSPECTION FINALED
date �� �v By f4t..
46 ®s
DB8 SA8 APPLICATION FOR ELECTRIC PERMIT Z
SS
S
DMION OF BUHMING AND SAFETY
Z79
tment of County Enghwes
OnIItY Of LOB Angeles BUILDING
FO COUNTY ENGINEER ADDRESS
CASSATT O GRIFFIN SUP T OP BUILDING
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST
NUMBER EACH FEE OWNER 9�
LIGHT OUTLETS
RECEPTACLES MAIL
ADDRESS
WALL SWITCHES 26 s
TOTAL OUTLETS S¢ $ CITY �NO-
ELEC RANGES OV A02S ELECTRICIAN �. 10 iWe-7
ELEC HEATERS 25 ADDRESS &t ,%
KW EA CITY TEL N
FIXTURES s LICENSE NO
NUMBER OF LIGHT CIRCUITS DISTRICT4UP I GROUP I ZONE I READY FOR INSPBOTION
NUMBER OF RECEPTACLE CIRCUITS J
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD HP OVER I INC EACH
16 8 LESS $ 25
2 SO
2 Is too -
3
o0S 15 too
IS 50 230
SO 200 Soo
MISC
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING $100
FIXTURES $100 {�
SUPPLEMENTARY SO APPROVALS
TOTAL FEE 21 $ DATE INSPECTORS IGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAV EAD THIS AP ICA ON CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AY PROPER REGIST ND/ FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES N D TE
CALIFORNIA OR THAT I THE LEG O N F A POWER
DESCRIBED RESIDENTIAL PERTY�
UTILITY CO NOTIFIED
SIGNATURE S
OF PERMITT INAL
WILLIAM J FOK COUNTY ENGINEER VMMATION A C VEIT CHIEF ELECT INSPECTOR
- 1462A MY18 2 715 o
gely
78A88#11 BB
8
138a 8 ' APPLICATION FOR ELECTRIC PERMIT 1
DrMON OF BXWDIG AND SAFM
DepCahn6ntOf DIY' Englffm BUILDING J r
county Of Los ADDRESS 1�
JOHN A LA BIE COUNTY ENGINEER /O
CASSATT D GRIFFIN SUP T OF BUILDING LOCALITY �+ +
FpOT LIF CAQNT TO FILL IN NEAREST
CROSS ST
NUMBER OWNER !IG-86T
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS V*0 b �ir�+�+ sy
WALL SWITCHES FEE CITY / + TEL NO
TOTAL OUTLETS ® at 9ELECTRICIAN !�8
ELEC RANGES 28 ADDRESS �
ELEC HEATERS 28 ✓
KW EA CITY Zi TEL NO 2
4
4-
STATE
FIXTURES S LICENSE NO
MOTORS FEE DISTRIC� K I �Q'; I BRADT FOB IRSP8CTICR
NUMBER HORSEPOWER IMUP
NEW MVD HP OVER INC EACH
16 9 LESS S 28 INSPECiTION BECiOBD
Y2 2 so
2 S too- --
a
00S to ISO----
to
SOto SO 2 SO
SO 200 Soo
MIS
NO SIGNS NO TRANS
NO SIGNS NO LAMPS
FOR EACH PERMIT
WIRING tit 00
FIXTURES St 00
SUPPLEMENTARY SO AMOVALB
TOTAL FEE : /0 DATE INSPECTOR S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE.ABO POWER
DESCRIBED RESIDENTIA O
SIGNATURE e, UTILITY CO NOTIFIED
OF PERMITTEE cam
�9F FINALS
JOHN A LAM COUNTY KPOINEXR. MATION ARTHUR C VEIT CNIiciEL®CT INBPECTOR
C NO
CASH
L&0 0 5 2ZR UP11 2 110