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HomeMy Public PortalAbout8604 ROCCUS LN_Electrical__ iA 869-C E.90d'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 WILLIAM A.JENSEN,SUPT OF BUILDING LOCALIT NEAREST FOR APPLICANT TO FILL IN CROSS ST. RECEPT TOTAL INO. I EACH FEE OUTLETS FIRST 20ffi•2O ffi /y OWNE LIGHT 0 MAIL ADD'L ADDRESS SWITCH. OVER 20 .10 TOTAL /' CITY/(. mo . LIGHTING 1 F1Rsr 20 20 a,( b FIXTURES 1 ADD'L •1O ELECTRICIA OV R 20 F� MGM LO.DpRYYEpp� WTI.HTRS. 1.00 ADDRESS f.�� CITYEL.NO. ' AUTO.-WASH. STATE ACe HT .APP,:(Vs H.P.MA) ,50 LICENSE NO. Ra: OVER NOT OVER H.P. DISTR NO. I GROUP NE OCESSEDIS O 1 1.00 1 s 1.50 INSPECTION RECORD s 6 2.00 s 1s 2.50 Arlle 15 50 9.00 / () s0 100 5.00 (a SIGNS: NO.TRANS. (O(JJ NO.LAMPS lL d U) SERVICE 0.600V-NOT OVER 200A 1.00 z 'SERVICE 0.600V•OVSR 200 A. 2.00 SERVICE OVER 600V 5.00 MISC. w PERMIT ISSUING FEE 2.00 SUPPLEMENTA$Y PERMIT ISSUING FEE 1.00 TOTAL FEE 1:7 _ ffi 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS 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 NGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT �JOJH�19 LEGAL OWNER OF T P ABOVEDESCRIBED RBSIDE T Yy POWER SIGNATURE UTILITY CO.NOTIFIED IL-0- G OF PERMITTEE FINAL �+� �� '•�%J� (DATION ARTHUR C. VEIT CK O CASH SUPERVISING ELECTRICAL ENGINEER LACo 4 0 1 7% SEP 21 2 A 17.2 0~ q r ,6A668C- C6a06B IV75 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION i �J FOR APPLICANT TO FILL IN NO. FEE ,JOB f © EACH ADDRESS (% CC h /✓� New Residential Bldgs.&Pools 1 &2 Finaily Sq. Ft. $ Is LOCALITY- Multi-family OCALITY Multi-family Sq.Ft. CROSS ST . S Residential Swimming Pools OWNER OR 1 FIRM NAME Outlets: Light,Switch&Receptacle J MAI L First 20 Q !Q —� ADDRESS c C-ov Additibnal 1 CITY Tel. No, p /'- OOP-3 PLAN CHECK Lighting Fixtures APPLICANT First 20 ~ ADDRESS Additional CITY Tel.No. PERMIT Fixed'Appliances Not Over 1 HP APPLICANT ?f C.kt"/.! ��7 I Range_ Heater D.W. ADDRESS ® r C,- E > Oven — Dryer W.M. �ryq Top FAU � W.H. CITY CU No Tel.No. Hood Fan I.CENSE OR - �} �P� y EG. NUMBER SV Class. �♦� Disp. A.C. mss,- D v. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION g PP AND STATE THAT THE ABOVE IS CORRECT ANO AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O Size&Type HP,.KW,KVA,or KVAR ELECTRICAL WIRING. Up to 1 Incl. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR y Over 1 to 10 Incl. cod LICENSED AS REQUIRED BY. LOS ANGE,LES COUNTY AND STATE OF CA L'IFORNIA OR T T I AM THE LEGAL OWNER OF THE ABOVE 0 rncl. Over 50 to-Qver 10 to 500 Incl. PERMITEE eslD IAL PROPERTY. Over 100 SIGNATURE TDT N : OCES ED BY Services 0-200 Amp. Under 600 V 201 -1000 Amp. Under 600 V PROVALS DATE INSP OR'S Over 1000 Amp.or Over 600 V SI NATURE . WER POLE Temp. Power Pole&Appurtenances _LAB WORK. Sign.with One Branch Circuit Additional Sign Branch Circuits CONDUIT (Other) WIRING S UTHORIZED PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL or PERMIT ISSUING FEE NOTESPt;?�7T d.,- V TOTAL FEE J)/� PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH 7 1 6-t-7B 1-7 2 A 50 ,0 �` �