HomeMy Public PortalAbout9083 RANCHO REAL RD_Electrical_1973-04-26 76.0663-CE80611-71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 9PC7 /O
BUILDING AND SAFETY DIVISION ADDRESS 77
a
LOCALITY'
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
OUTLETS N0. EACH FEE
OWNER
RECEPT._ S $ MAIL
LIGHT TOTAL
FIRST 20 25 AA ADDRESS OX � d
OVER 20 CITY ,v/ C TEL. N0.,9
SWITCH_ .10 PLAN CHECK
LIGHTINGFI .10
RST 20 25
FIXTURES -APPLICANT
TOTAL
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT 'J
RANGE DRYER_WTR. HTR. APPLICANT 416J
STA. COOK OISP. F.A.U. ADDRESS,/.,,';t3 pj
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. 7 CLASS. �% a
FAN OTHER 1.00 1 HEREBY ACKSiO�ETHAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF a
CALIFORNIA OR THAT i AM THE LE66W OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABO E DES ED `QtESIDEN L PROPERTY. V
SIGNATURE u
10 - 50 5.00IN
OF PERMITTE i O
SO- 100 10.00b
DISTRICTNO. CLASS ROC SED B UU
100 - SOO 15.00 90 • '' a
N
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: " Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 .i d�
APPROVALS DAT& INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB"WORK.
TEMP LIGHT OR RECEPT, SYSTEM 3.00
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE /
FINAL
PERMIT ISSUING FEE 3.00-
TOTAL FEE r ea
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION FCK0
M.O. CASH
t P4 7 9 $%3 R 26 2 D v
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A683-CE806 1_66 APPLICATION F& CTRICAL 'PERkW
COUNTY OV LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING a p� ^, I iQn
BUILDING AND SAFETY DIVISION ADDRESS O / /cAo MAP
JOHN A. LAMBIE, COUNTY ENGINEER S.M ^
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /'y'I (v',�
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. (i
NO. EACH FEE
$ $ OWNER
RECEPT._ MAIL 04
LIGHT TOTAL FIRST 20 .20 ADDRESS QQ //��
SWITCH_ OVER 20 .10 CITY TEL. NO.(yL 7
PLANCHEM
LIGHTING �TOTAL FIRST 20 .20 APPLICANTFIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER_WTR.HTR.— CITY NWEL. NO./�'
STA.COOK_DISP.-F.A.U._ CONTRACTORMe- w y.�y�C.AJ
SPACE HTR. AIR COND.-I ADDRESS `93&.3 Cov / !J / p eke
CLOTHES WASH._DISHWASH._ CITY ' DW h/J��'Pi qq TEL. NO. ( lff-37
FAN—OTHER 1.00 LICENSE NO. p( A CLASS. 10
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE 8: TYPE OVER TO AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO 0.
10 - 50 5.00 RESIDE IN, THE ABOV DESCRIBED RESIDENTIAL PROPERTY. O
50 - 100 10.00 SIGNATURE U
OF PERMITTEE d•
100 - 500 15.00 O
DIST CT O. G P I P G
TUBEIGN,A SIGN AND ONE CIRCUIT 3.00 D ul
MARQUEE ADDITIONAL CIRCO TS 1.00 NOTES, Z
SERVICE NOT OVER 600 VOLTS OR AMP 2.00
SERVICE OVER§00 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PL4N CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE1.0o FINAL
TOTAL FEE JOSEP C. ROOHAN
SUPERVISING ELE CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMITIVALIDATION CK. M.O. CASH
1 4 0.1% AUG 12 2 D 6.0 0 k a
EE BACK OF APPL11CATION FOR COMPLETE FEE SCHEDULE �r
ll►/d9l 1� /