HomeMy Public PortalAbout9070 RANCHO REAL RD_Electrical_1970-01-22 76AG63-C.EB06 8-69 IL ..
APPLICATION FOR ELECTR CAL PE IT
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER =ADDRESS !7070
BUILDING AND SAFETY DIVISION A CH ,L d
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING ,& C/ T
FOR APPLICANT TO FILL IN NEAREST
CROSS ST. r„y L A
NO. EACH FEE
$ $ OWNER L— A O (J
RECEIPT. MAIL
PCI
LIGHT� TOTAL
FIRST 20 ,20 D ADDRESS �y'o ,u GSL
SWITCH OVER 20 ,10 CITY E L E TEL.NO. 313
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 10ADDRESS
RANGE DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH. CITY TEL.NO.
FAN_OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT 1 HAVE READ TRIS 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.
0 — 1 1.00 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I — 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. f
10 — 50 5.00 \�
SIGNATURE J✓ /. / O
50 — 100 10A0 OF PERMIT L-dR/� �V /��
100 — 500 I5.00 DISTRICT NO. I ',ROU ZONE PR C Y
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 u
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 500 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 `
TEMP SERVICE, POLE, 81 APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (5096 PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 10V UTILITY CO.NOTIFIED 'y
SUPPLEMENTARY PERMIT ISSUING FEE 1.001 1
FINAL y
TOTAL FEE JOSEPH C. ROOHAN
• SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O.Af BH, gEFI1�TALIA�ION iSK �;;D•a OAH�
� El 2 6.� ,IdGG GG.
SEE BACK OF APPLICATION FOR COMPLETE FEE SCH F.nIILE
76AGGS-CEBOG 11-91APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTUM OF COUNTY ENGINEER BUILDING /J /
BUILD= AND SAFETY DMEON ADDRESS �! 21I
]OI�i A..LA>M Copntp
C �1'D.G8II'FJri.SBP"; LOCALITY
NEAREST
FOR APPLICANT TO,FILL IN CROSS ST.
PERNBT FEES
ITEM NUMBER I EACH FEE OWNER
OUTLETS: $ - $ MAIL.
LIGHTS RECEPT. SW. .10 ADDRESS all .111 .1
�}
LIGHTING FIXTURES .10 CITY /{ TEL.NO.
ELEC.RANGES 'CLO.DRYERS ELECTRICIA • _ _
WATER HEATERS " .50
ELEC.SPACE HTRDISHWASHERS ADDRESS
S.
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA:COOKING UNITS .25 STATE.
LICENSE NO. f- o
e4
MOTORS: OVER INC. H.P.
0— IA .25 DISTRICT / READY FOR INSPRCTLON
1/2— 2 .50
2 — 5 1.00
Il�iSPECTION RECORD
5 — 1s 1.50
I S — 50 2.50
50— 200 5.00 -
SIGNS: NO.TRANS.
NO.I-AMPS '
SERVICED-600V 1.00
SERVICE OVER 600V 5.00
MISC.,
WIRING'PERMIT' 1.00ex
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT SO
TOTAL FEE $ APPROVALS
I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION DATE INSPECTOR'S SIGNATURE
AND.STATE THAT THE ABOVE. 18 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
LICENSED AS REQUIRED BY LOS ANGELES 'COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE UTILITY CO.NOTIFIED
OF PERM ITTE
_ FINAL
VALIDSUPER NCjj LIE,TRICA 6.INSER
.CK M', CASH
[ CO 4 3 15 Lf9 AUG 2 8 2 J. 2.0 0 Ns