HomeMy Public PortalAbout5188 PERSIMMON AVE_Electrical__ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT.
epartment of Eng!Dneer ELECT
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DIVISION OF BUILDING & SAFETY •
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN . --
4937 BUFFINGTO RECEIVED BY READY FOR DATE ISSUED
ADDRESS _ /{� .` FIRST INSPECTION
CITY Er ONTE, C41EGMI - W7JIc vLv T- / -S'✓
COUNTY LICENSE NO. EXPIRE? &40
J�Z
ADDRESB0/0,
PERMIT FEES �— -
FEE
NUM ER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS BT,
WALL SWITCHES OWNER
TOTAL OUTLETS (/ SC a MAIL
ELEC. RANGES 25 ' ADDRESS
ELEC. HEATERS -CITY TEL. NO.
FIXTURES _ 5 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 ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT I 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 DEB WED ABOVE.
%2 A LESS S .25 SIGNATURE OF ~
2 a .50 PERMITTE
r2ivs 1.130INSPECTION RECORD
1.50
S 50 2.50 0
50 2130 5.00
200 BOO 10.00 J
500 1000 15.00 Z
OVER 11306 20.00 I7
-M.G. SET/FREQ. CHANGER-HP
WELDERS-AC-KVA - 17
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIO.) i
MOVED MOTORS (75% OF DRIB.)
MISC. ii
SIGNS
NO. NO.TRANS.
APPROVALS
NO. N0.LAMPS
E INSPECTOR'S NAME
FOR EACH PERMIT: D
WIRING CONDUIT /r +y�
FIXTURES !87.00
WIRING f� 7
SUPPLEMENTARY ,50 FIXTURES
POWER _
TOTAL FEE to iio UTILITY CO.NOTIFIED
FINAL
16A663 DBS*5A 4-52 ;
76A663-CEWO 3-69 f
• < APPLICATION FOR ELECTR CAL PE IT
COUNTY OF LOS ANGELES
DEPARTKENT OF COUNTY ENGINEER
ILDING
:' BUILDING AN12 SAFETY DIVISION FADDRESS :5 le X!.PAZE,� CAI
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGFOR APPLICANT TO FILL IN
NO. $ $ OWNER EACH FEE 'T1 �A
RECEIPT. %
MAIL
LIGHT TOTAL FIRST 20 ,20 44
ADDRESS p•
SWITCH OVER 20 10 CITY 45.4 -� TEL.NO--W4 3, 3
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES }� OVER 20 ,10 'ADDRESS i
RANGE DRYER WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.N0.
FAN_OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
O - 1 1.00 I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
I - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND INTEND TO CL
RESIDE IN. THE ABOVE DESCRIBED RESIDENT L PROPERTY. C
10 — 50 5.00 U
SIGNATURE Cm
50 - 100 10A0 OF PERMITTEE C
H
100 - 500 15.00 DISTRICT N GROZON PR C^^ S Y W
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 • ix
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.001 NOTES: -
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
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 aov UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL (j
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH'
jAr-. :5632LR FBI 9 2 D 9.20-
. ,
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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