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6A663-CES06 5-62 APPLICATION FOR ELECTRICAL PERMIT ..
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER AA
WILLIAM A.JENSEN,SUPT OF BUILDING le LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROss ST.
RECEPT. TOTAL NO. EACX FEE
LIGHT OUTLETS FIRST 20 E.20 $ OMWNER
�f/
SWITCH-2r _� OVER 20 .10 ADDRES
LIGHTING
TOTA CITY EL.NO.
I � FIRST 20 f .20
FIXTURES ADD L0 ,10 ELECTRICI
OV R 2
RANGES CLO.DRYERS WTR.HTRB. 1.00 ADDRESS
GARB.DISP. STA.COOK CITY
j TELNO.
.
DISHWASN. / AUTO.-WASH. ! TATE .
SPACE HTRS.. STA.APP.(Va H.P.MAX.)., .50
LICENSE NO.
MOTORB� OVER NOT OVER H. . DISTRICT NO. GROUP ZONE PROCESSED BY
O 1 1.00 O S
t s 1.50 INSPECTION RECORD
3 S 2.00
8 15 2.50 a
O
1s s0 3.00 _ V
so 100 5.00 0
O
SIGNSs NO.TRANS. W
NO.LAMPS
a
1n
SERVICE 0.600V-NOT OVER 200A 1.00 Z
SERVICE 0-60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE i 1
17.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI TI N APPROVALS DATE .INSPECTOR'S GNATURC
TU
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL•COUNTY ORDINANCES AND STATE LAWS REGULATING �� 3
ELECTRICAL WIRING. WIRING '"?i-a•!IIr'. /!AA.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANDIOR f"f \�''i� !' •�
LICENSED AS REGUIRED Y LOS ANGELE COUNTY AND STAIE OF FIXTURES ''N�Y11 s--=.,:+ • Y::`.
CALIFORNIA OR THAT AM THE LEGA OWNER F BOVE _ YY F •'
DESCRIBED:...DENTIA RO Y. POWER [I'
SIGNATURE UTILITY CO.NOTIFIED gglad PrP ri� A; At
OR PERMITTEE FINAL
OLIDATION ARTHUR C. VEIT
KNO CASH SUPERVISING ELECTRICAL ENGINEER
L;Ilo9 7 0 01 JPJI16 2 ® 1 7:40N
• A
75A663!CE8a6 9r67 APPLICATION FOR ELECTRIr �PERMIIT
A
"2� COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
B'UILDINP AND SAFETY DIVISION OZze wi a - I�Q.
JOHN A..LAMBIE, COUNTY ENGINEER /�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDI7F67OL/� Q/
FOR APPLICANT TO FILL IN GL/C1�/71��NO. ACH FEE
RECEPT. $ $LIGHT TOTAL FIRST 20 .20 �� ali
SWITCH OVER 20 .10 CITY P = TEL. No.44
LIGHTING 1 TOTAL FIRST 20 .20 CONTRACTOR d L,
FIXTURES Jj OVER 20 .10' ADDRESS if
U/I /"
RANGE—DRYER—WTR.HTR._ CITY At( TEL. NO.V 4- (/(V 4
STA.COOK_DISP.—F.A.U._ LICENSE NO.
SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT 1 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-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 1 AM THE LEGAL.OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. .RESIDE IN, THE E DESC D RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTEE
I - to 3.00 - 00 DIS�RICJ Ro G U Z0 % RC ESSEO BY U
�` ��
10 - 50 S.00 0
So - 100 10.00 NOTES: .y 8 G
W
100 - 500 15.00 U'
TUBE, OR SIGN AND ONE CIRCUIT 3.00 ✓ "J ��i G JrD /il �r.
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
IF
OUGH CONDUIT
IRING
ISSUING FEE 2.00
IXTURES
SUPPLEMENTARY ISSUING FEE 1.00
OWER AUTHORIZED,
PERMIT FEE TILITYCO.NOTIFIEPLAN CHECK FEE (50% PERMIT FEE) INAL
TOTAL FEEJOSEPH C. ROOHAN
SUPERVISING ELE CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
9 5 9 01.0AFR 2 2 D 6.4 Q a
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
ale- e,e 70'7
APPLICATION FOR ELECTFICAL'_ PERMIT
COUNTY OF LOS ANGELES
DERARTMENT OF COUNTY ENGINEER L
§BU D G
BUILDING AND,SAFETY DIVISION AD
R SS 167,2"? 9ft2ywlae_
JOHN A. LAMME, COUNTY ENGINEER
COLEMAN W. JENKINS, SUIPEIIIIINTIkHOUNT OF BUILDING 1_1 nrt fTY
IIIIIN NEAREST
FOR APPLICANT TO FILL IN CROSS S.T. e A-n)
NO. AC
OWNER 14
RECEPT_ MMIMS -0
MAIL
LIGHT— TOTAL FIRST 20 .20 ADDRESS M.
. OVER-20 .10 CITY-rL-7%qel re7 _ 79 3
SWITCH— TEL. NO.
PLAN CHECK
LIGHTING ITOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
R A N GE—0 R Y E R—W T R.H T R.— ICITY 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 140. CLASS.
MOTORS,TRANSFORMERS . RATING
IND. HEATERS, ETC. HP. KW. KVA. I MEREST ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 I-.00 -1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
I - 10 3.00 LICENSED As RED BY
LT ANGELES COUNTY AND STATE OF
CALIFORNIA OR T' AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5,00
RESIDE IN, THE E DESC It RESIDENTIAL PROPERTY, 01 1 C..')
SO - too 10.001 1 SIGNATURE.
OF PERMITTEE CD
100 - 500 15.001 1
DIST_EjICT?O.jGRWP ZONE P ESSED 4:ff
W
SIGN.GAS
TUBE, SIGN AND ONE CIRCUIT 3.001 1 ,
MARQUEEADDITIONAL CIRCUITS 1.00 NOTES:
"'T
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 PATS INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING Q 4-cr
PERMIT FEE (SUBTOTAL), FIXTURES
PLAN CHECK FEE (150% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIEM
!SUPPLEMENTARY PERMIT ISSUING FEE 1.00 IFINAL
m JOSEPH C; ROOHAN
TOTAL FEE mom&9:m SUPERVISING ELECT AL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH -.PERMIT VALIDATIONCK. . M.O. CASH
0 4 6 5% All 2 2 D 4,0 Q'
rK BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE