HomeMy Public PortalAbout10317 OLIVE ST_Electrical__ 76A663_CE"8DB18•E13 APPLICATION( FOR ELECTRIC PERMIT - 1.
COUNTY OF LOS ANGELES-
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER. a
'CASSATT D.GRIFFIN,SUPT OF BUILDING LOCALITY
FOR APPGCANT TO FILLS IN NEAREST
CROSS ST.
PTM��
OWNER
ITEM NUMBER EACH FEE
OUTLET Q $ g MAIL
LIGHTS .RECEPT. SW. J .10 •ADDRESS\, rr
LIGHTING FIXTURES 10 CITY MU
TEL.NO. !o
ELEC.RANGES I. CLO.DRYERS ELECTRICIAkil
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY TEL.NO.
GARBAGE DISPOSERS AUTO.- STATE `
WASHERS STA.COOKING UNITS .25 LICENSE NO.
Morons: OVER INC. H.P. DISTRIC NO. GR UP ZONE P SSED BY
O— 1/2 .25
'/g- 2 50 INSPECTION BE 1,
1.00 ZAJ
5— 38 1.50 1
15— 50 2.50 —/
50_200 :5.00
SIGNS: NO.TRANS.
NO.LAMPS '
SERVICE 0-600V-- 1.00
SERVICE OVER BOOV 5.00
MISC.
WIRING PERMIT 1.00 ..
FIXTURE PERMIT 1.00 ...r
SUPPLEMENTARY PERMIT .50 S
TOTAL FEE APPROVALS
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AP (CATION DATE: INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS :REGULATING CONDUI
ELECTRICAL WIRING. WIRING AJ
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/CR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES_ .-
CALIFORNIA OR THAT I AM THE LEGA WNER OF iH AS VE
DESCRIBED RESI lAL PROPERT ,POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE
6ELUAL
D" VAIIDATI � ARTHUR C. VE1T:
CK Mo `cABH SUPERVISING ELECTRICAL ENGINEER
l.AQ9 8 7 9 JUL -1 2 A 7.50 M'
76A663-CESOB 4.65 APPLICATION. FOR ELECTR•I: AL PERMIT-
COUNTY
OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMIPIE..COUNTY ENGINEER '.
COLEMAN.W. JENKINS. SUPT. OF'BUILDING LOCALITY,
NEAREST Q
FOR APPLICANT TO FILL-IN CROSS ST. INV W% If
RECEPTACLE TOTAL NO. EACH FEE
OUTLETS FIRST 20 S.20 $ OWNER
LIGHT MAIL
N4 re
SWITCH ADD'L 10 ADDRESS `
OVER 20
TOTAL FIRST 20 .20 GIT TEL.NO.
LIGHTING 1 FIXTURES
FIXTURES J( ADD'L 1.0 CONTRAC R.
OVER 20
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS •,
GARB.DISP. STA.COOK
.CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vs H.P.MAX.) ..50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST CT O. GP NE P ESSED Y
O 1 1.00
1 a 1.50 INSPECTION RE RD
3 S 2.00
8 15 2.50
is 50 3.00 O
50 too 5.00
99V
SIGNS: NO.TRANS. O``,
NO.LAMPS V
W
SERVICE.O-SOOV-NOT OVER 200A 1.00 n.
CA
SERVICE O-SOOV-OVER 200 A. 2.00 ?
SERVICE OVER SOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE) `
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE R APPROVALS DATE INSPECTOR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION •UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH 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 LEGA OWNER AND 1 TEND TO POWER
RESIDE IN.THE BO E DES ED RE DENTIAL OPER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMIT 7 i
FINAL
VALIDATI JOSEPH C. ROOHAN Y
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
xAU0 6 0 0 6' SEP 2 9 2 D 3.40
SASBB_CEBOS_9_57 APPLICATION F®R E�LE CT R I C PERMIT
1'
COUNTY OF LOS ANGELES ' :. ••' +.
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Jy
JOHN A.LAMBIE.COUNTY ENGINEER P
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY ,'Q d
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Q.
PERMIT FEES -
ITEM NUMBER EACH FEE OWNER �.
O.U.TLET .5 $ 14Z MAIL
LIGHTS .RECEPT. SW. .'10 / ADDRESS ` e O Q
LIGHTING FIXTURES 3 .10 CITY A e TEL.NO.
ELEC.RANGES 'CLO.DRYERS: 1.3
ELECTRICIAN 4L Y'
WATER HEATERS .50
ELEC.SPACE HTRS. DISHWASHERS ADDRESS
GARBAGE DISPOSERS AUTO.- CITY. TEL.NO.
WASHERS STA.COOKING UNITS .25 STATE
LICENSE NO.
MOTORS: OVER INC. H.P. '
O— 1/2 2S DRIE
ISTC�j O. GROUP Z0NE RADYFORINSPECTION
Gds
1/2 — 2 .50 ..
2 — s 1.00 y� INSPECTION RECORD
5 — 15 1.50 O tLl el .a
18.— 50 2.50
50— 200 5.00 F
SIGNS: NO.TRANS. '
NO.LAMPS
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
MISC.
WIRING PERMIT 1.00 ® Q
FIXTURE PERMIT 1.00 ! Q fJ
SUPPLEMENTARY PERMIT .50'
TOTAL FEE $ O APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES 'COUNTY AtI�(p AT OF
CALIFORNIA OR THAT I AM THE GA OINNE O! A YE FOWER
DESCRIBED RESIDE TI PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED y�
OF PERMITTEE FINAL 7• �i/���v1 iL!ivk%'
VALIDATION ARTHUR C.VEIT.
CK MO WISH SUPERVISING ELECTRICAL ENGINEER
���1 S-O 2 S FEB 17 .2 A 7 0
76AS63-CE806 9-67 APPLICATION FOR ELECTRICAK PERMIT
COUNTY OF LOS ANGELES
DEPARTMEN'T OF COUNTY ENGINEER BUILDING
BU.II..DING AND SAFETY DIVISION ADDRESS
R;^JOHN A. LAMBIE. COU34TY ENGINEER
COLEMAN W. JENKIAS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
5
$ OWNER
RECEPT.1 MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY NO. JKK-1
LIGHTING J.TOTAL FIRST 20 .20 -00NTRACT0
FIXTURES L====r OVER 20 .10
ADDRESS
RANGE—DRYER_WTR.HTR.— CITY' NO.
STA.COOK_DISP.—F.A.U._ LICENSE NO.
SPACE HTR. AIR COND. 1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL.WIRING.
FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. --RES-OE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 — 1 1.00 OF PERMITTEE
1 - 10 3.00 DISTRjrT GRO P ZO E P C ED BY U
110 — 50 5.00 O
50 — 100 10.00 NOTES:
_ wd
100 — SOO 15.00SIGNr � O-
N
GAS z
TUBE, OR SIGN AND ONE CIRCUIT 3.00
MARQUEE ADDITIONAL CIRCUITS 1:00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT J /' y i
WIRING
ISSUING FEE 2.00 17- 0 P
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED Of oe
PERMIT FEE UTILITY CO.NOTIFIED1
PLAN CHECK FEE J50% PERMIT FEE) FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
IAP 1 .5 6Q FEB 1,6 2 D. 2..5 0-Liluo
.a
.E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE __
�sAB S-CES06 9-67 APPLICATION Fv LEeT R RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER l
BL116DING AND SAFETY DIVISION 7NEAREST
O�
-�,JdFIN A. LAMBIE, COUNTY ENGINEER
IVXL
COLERWAN W. JENKIAS, SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN
NO. EACH FEE
RECEPT�
R $ $ OWNER
LIGHT TOTAL FIRST 20 .20 ADMAID-
RESS
SWITCH OVER 20 10 CITY TMO. \011Lfo
LIGHTING I TO-PAL FIRST•20 .20 CONTRACTOR
FIXTURESOVER 20 .10 ADDRESS
RANGE—DRYER_WTR.HTR.— :CITY TEL. NO.
STA.COOK_DISP._F.A.U._ LICENSE NO.
SPACE HTR. AIR GOND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
-AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN_OiTHER 1.00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE.OF
MOTORS,TRANSFORMERS RATING •CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP.. KW. KVA. •.,RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTEE
1 - 10 : 3.00 DISTRICT�ND G OUP E P D BY. U
10 - so 5.00 tS ,101 �, Qom,
5o - 100 •10.00 NOTES: G
100 - 500 15.00 .y
SIGN,GAS Z
TUBE, OR SIGN AND ONE CIRCUIT 3.00
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00.
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING � r
ISSUING FEE 2.00
FIXTURES
SUPPLEMENTARY ISSUINtFE ag 1 1.00
POWER AUTHORIZED
PERMIT FEE UTILITYCO.NOTIF.IED
PLAN CHECK FEE (50% PERMIT FEE) ,FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICALENGI. R
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O..
L8ZO-3 �. 2 a .8�"'
?E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _
f
7GA668-CE80612-65 APPLICATION FOR ELECT ICA
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAR
f,
BUILDING.AND SAFETY DIVISION �J
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. c y"\ J 1..'
FOR APPLICANT TO FILL IN RECEPT.•' 1 TOTAL NO. EACH FEFIRST 2Q O$.20 $
LIGHT J MAIL p
SWITCHADD'L 10 ADDRESS
OVER 20
1 TOTAL FIRST 20 20 CITY L t LA O. 0.
LIGHTING l Ft T RES
FIXTURES J( ADD'L
OVER 20 10 CONTRACTOR P.
RANGES B. DRYERS WTR.HTRS. 1.00 ADwDRESS• v,
GARDISP. -y STA.COOK CITY TEL.NO.
•`
DISHWASH..* AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. ,5o LICENSE NO. .
MOTORS: OVER NOT OVER H.P. DISTJUCT N§p GROIIpl E P E BY
O 1 1.00 L
1 1 INSPECTION RECORD d
•`•s � n 1:�0 ,O
s G 2.00 '� "_ � .�-��7•�''ij
8 15 2.50
k a
1S SO 8.00. o W
D_
50 100 5.00 - U)
Z
SIGNSI NO.TRANS. �w q� J9L e
NO.LAMPS
SERVICE 0.000V-NOT ov 2OQA y 1.00 fir. ••,� r r•f f'%�a�.£�v�� .
SERVICE 0.600V-O 2.00
SERVICE OVER GOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE $
i HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSL-AB WORK.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING P
ELECTRICAL WIRING. WIRING F �^ �, •'�E '
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND R ,Q
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STAT F FIXTURES f
CALIFORNIA OR THAT 1 AM THE LEGAL OWN GF,A INTEN o POWER .
W7 7-
RESIDE IN.THE O DESCRIBED RES ENT PRO TY.
SIGNATURE UTILITY CO.NOTIFIED i
OF PERMITTEE
FINAL
VALID ! JOSEPH C. ROOHAN
CK M CASH SUPERVISING ELECTRICAL ENGINEER
06 8. 4.8% J024 2 0 8.30d 9
76A66S-CES0612-65 APPLICATION FOR E.LECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS X50
JOHN A. LAMBIE. COUNTY ENGINEER - p
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. LOCALITY Gm
NEAREST. Q F�
FOR APPLICANT TO FILL IN CROSS'ST.
RECEPT. TOTAL NO. EACH FEE. �a
LIGHT OUTLETS I FIRST 20 8.20 - WN ER.
y
AIL
SWITCH ALU, ADD'L 10 ADDRESS.
'OVER 20
TOTAL i
FIRST 20 .20 El 9� EL.NO.
FIXTgRESFIXTURES ADD'L .10 CONTRACT R
OVER 20
RANGES DRYERS WTR.HTRB. .1.00 ADDRESS
GARB.DISP. STA.COOK I.CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE-
SPACE HTRS.
TATESPACEHTRS. BTA. APPL. ,50 LICENSE NO.
MOTORS, OVER NOT OVER H.P. DISTT Nt G�P E JPII��
}
I 5 1.50 INSPECTION RECORD °-
O
5 B 2.00 V
ad
B t s 2.50 O
�..
15 SO' 5.00 t;LLI
D.
5o too 5.00 Z
SIGNSt NO.TRANS.
NO.LAMPS
SERVICE 0.600V-NOT OVER 200A 1.00
SERVICE 0-600V-OvER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ,APPROVALS DATE INSPECrOR'SBIGNATUR6
S
� FEE
I HEREBY CKNOWLEDGE T AT 1 AVE READ THIS APPLICA ION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ' ►:�
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES �- Y r
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO ST E�O
CALIFORNIA OR THAT I AM THE LEGAL O ER OF NO INT D'T POWER
RESIDE IN.THE A OV DESCRIBED SID N IAL P PERTY.
SIGNATURE 1 .y UTILITY CO.NOTIFIED ✓ I ®�
OF PERMITTEE FINAL //J -//J �'—'��
VALI.DAT JOSEPH,C. 00HAN
I CK MO CASH SUPERVISING ELECTRICAL ENGINEER
O
ti. 6:9*._FA lw:' FS 6 .2 D ,r x:4.0^'
76A863•CE808 4.65 APPLICATION. FOR E.UCTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF,COUNTY ENGINEERBUILDING
BUILDING AND SAFETY DIVISION ADDRESS it
JOHN A. LAMBIE,.COUNTY ENGINEER �� n
COLEMAN.W. JENKINS. SUPF T. OBUILDING LOCALITY W
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ,u- , k 6
RECEPTACLE TOTAL NO, EACH FEE F
LIGHT „pUTLET$ FIRST 20 S.20 S .�,� OWNER MAILc{ _N f N.&"_ 4 R".
I t ADD'L ADDRESS `
SWITCH OVER 20 .10 �. l rte}
1LIGHTING TOTAL FIRST 20 .20 CITY, �•L I . %�$.Q `STEL.NO 'lk i t,L
FIXTURES r FIXTURES ADD-L f0
J OVER 20 CONTRACTOR 7 (
RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS.
GARB.DISP. STA.COOK CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(//s H.P.MAX.) .50 LICENSE NO.
MOTORS. OVER NOT OVER H.P. DISTRICT NO. I GROUP Z NE PR ESSED
O 1 1.0.0 ~c F7
1 3 1.50 INSPECTION RECORD
3 S 2.00
s is 2.50
Is 50 3.00 O
50 100 5.00 V
SIGNSI' NO.TRANS.
NO.LAMPS
SERVICE O.6O0V-NOT OVER 200A 1.00
to
SERVICE O-SOOV-OVER 200 A. - 2.00 Z
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ �'�' APPROVALS: DATE I O SIMIGNATURE
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLI ATION UNDERSLAB WORK
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY '_ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
A�11 Cr
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES.
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STAT OF
CALIFORNIA OR TN T 1 AM THE LEGAL�OWNERtO+F,AND IF�TEN O POWER
RESIDE IN,THE E DESCRIB D RESIDENTIAL' ROPEV
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
IJ
FINAL
(DATION JOSEPH C. ROOHAN•
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LGO 8 3 '2�- MR 2 8 2 D 4.2 Q N B
76A663-CES06 9-66 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING7
BUILDING AND SAFETY DIVISION '"ADDRES
JOHN A. LAMBI'E, COUNTY ENGINEER `'w
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Yom\
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. Qr
RECEPT. TOTAL NO. EACH I FEE.
OUTLETS FIRST 20 $.20 $ -- OWNER
LIGHT a19 10 MAIL ` �)
SWITCH ADD'L v ADD SS �I
OVER 20 vZ
TOTAL FIRST 20 20 V CITY L.NO.
LIGHTING FIX ES
FIXTURES .10 CONTRACTOR
OVVERER 20
2
AN DRYERS 141TR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA. APPL. .BO LICENSE'NO.
MOTORS, OVER NOT OVER H.P. `DI�s�TR�T�IO. GROUP ZON E P C ED BY
O 1 1.00
3 1.50 / j INSPECTION RECORD
3 S 2.00
8 15 2.50
is 50 3.00 per,
s0 100 5.00 V
SIGNS: NO.TRANS. - ex
NO.LAMPS FUO-
SERVICE O-SOOV-NOT OVER 200A LOG W
D.
SERVICE 0.60OV-OVER 200 A. 2.00 h
Z
SERVICE OVER BOOV 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE .2.00 O
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE INSPECTOR'S BIGNATURC
TOTAL FEE $
I HEREBY.ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSL.AB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH 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 AN TATE OF
CALIFORNIA OR THAT I AM• E LEGA OWNER O AND 1 TEND TO POWER
RESIDE IN,TN �13 E DES ED RE DENTIOPESIGNATURE UTILITY CO.NOTIFIEDOF PERMITTE ' l
FINAL
�LIDATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
s 7 .9 7•% Y 31 .2 a 13.10-