HomeMy Public PortalAbout10612 ROSEGLEN ST_Electrical__ 76A668-CE805 10172 APPLICAT CIIR ELEGrtRICA ' PERIt
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COUNTY OF LO$ ANGELES
bEPARTMENT OF COUNTY ENGINEER MIES-S _ b/
-8U1LDING ANP $AFETY DIVISION
LOCALITY
NEAREST
FOR APP-LIIrANT TO FILL IN CROSS ST,
UUJTLETS FE OWNER OR
F[k*A E
RECbP-t. MAI L I'
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LIGHT TOTAL FIRST 20, 25
ADDRESSQ
CITY TEL. NO.
SWITCH OVER 20 .10
PLAN CHECK
LIGHTING TOTAL
FIR$T 20 25 - APPLICANT
-
FIXTURES
OVER 20 .10 ADORE" '
RESIDENTIAL APPLIANCES Om TEL: NO.
PERMIT
-RANGE„' - DRYER WTR_. HTR_ APPLICANT //
STA. COOK DI SP. F.A.U. ADQRE&S O6OQ Q
$FIA CE HTR, AIR COND. CI-ry Q,, TEL, N0,
G11L0TH3 WASH, DISHWASH' T qET NUMBER 6 7 CLASS,
AN - OTHER - , 1A0 f HKRFbY ACKNOWLEi)Q! THAT 4 HAYE READ THIS APPLICATION l�
AND STATE THAT THE ABOVE 12 CORRECT AND AGREE TO COMPLY
MOTORS, TRANS it
NHERS RATIN-S ., WJTH 'ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
LND,PFATER-S, ETC. HR.�-N',kVA. ` ELECTRICAL WIRING.
SIZE k TYPE OVER TO
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED ANb/OA
0 — 1 1A0 LICCTISfD Al REQUIRED BY L.OS AMGELkY COUNTY AND JTATt OF
GALWORN IA OR THAT I AM THL• LE6AL OWNER OF THE ABOVE
1 — 10 g+p0 DESCi11p�D REIID TIAL PROBE �Q
PERMJTEE
10 —50 0.00 SIGNATURE GC
SO — 100 10DO DfST CT N0. PROC SED
1Q0, — 600 1dDo +
Z
S13 ' GASIGN AND ONE CIRCUIT 0.00 APPROVALS DAT[ k! SSkINAtUJ!
TGBF, OR
MARQUEE ADQI-T10NAL CIRCUITS 100 ' E-MR. POWER POLE
SEAVECEN'OTOVFR600VOLTSQR20OAMP D.OD IINDERSL”WORK -
S-ERVICElOVER6010VOLTSOR200AMP 10 ROUGH CONDUIT ,
TEtAPSERVICE, POLE, &APPURTENANCES 0.00 WIRING' 1 �'
TEMP LIGHT OR RECEIPT.SYSTEM - b'AO FIXTURES
POWER AUTHORIZED
UTFLITY CO. NOTIFIEb
FINAL
a
PERMIT FEE -(SUB `T'OTpL) NOTES; -
PLAN CHECK FEE
PFRMITISSULNG FEE DAO
TOTAL FEE Q
-PLAN CHECK VAILIVATION CK. M.O. CASH PE IT VALIDATION CK. M.O. CASH
SEE SACK OF APPLICATION O-OR LOMPJ_kTE SC"DUL[ '
7EA559-CE808 tD/-n APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
�� I �L��
B14ILDING AND SAFETY DIVISION
LOCALITY G �"
NFJIREST
FOR APPLICANT TO FILL IN CROSS ST.
TLETsOWNER OR
3 FIRM NAME
RECEPT. MAIL
FIRST 20 0 25 ADDRESS
LIGHT TOTgL
oCITY TEL, NO.
SWITCH OVER 20_-� .10 PLAN CHECK
LIGHTINGTOTAL F .10]PST 20 25 APPLICANT
O
FIXTURES VER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. 110,
PERMIT
RANGE-DRYERWTR. HTR. APPLFCANT D r
STA. COOK DISp. F.A.U. ADDR Q (,J J t
PA
SpACL' HTR. AIR GOND_ CITY TEL, N0.
CLOTHE$ WASH. TDISHWASH. �' Z CLASS. L
FAN OTHER 1.00 I HEREBY ACKNOWLEDGE THAT J HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE I{ CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RAT'No
WITH ALL COUNTY ORDINANCES AND RATE LAWS REIULATINI
IND. HEATERS, ETC. Hl. KW. KVA. _ ELECTRICAL WIlrINI.
S IZt 1 TYPE OVER TO
I NERFBY CERTIFY THAT I AM P-ROPERLY FIE41STERED AND/b11
Q — T IAO LICENSED AS 141!0 U IR 11
BY LOS A.NGELfiB COUNTY AND @TATE OF
CALIFORNIA OR THAT I AM THE LEIAL 6w NER OF THE ABOVE
' _ 10 3010 DESCRIBED RESI IAL PROP
PERMITS
11D - 500 SIGNATUR p
60 - 100 1040 DISTRICT NO. PI10 SE BY
1 00 - I5W 1500 ♦O Z
SIGH GAS SIGN AND ONI;CIRCUIT 5.00 APPROVALS DATE @WICTOWS SNM4TURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS I.Do TEMP. POWER POLE
$ERVICENQTaVER600VOLTS OR200AMP 9.00 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE, &APPURTbUNCES 5.00 WIRING r
f
TEMP L{GHT OR RECEPT. SYSTEM 9.00 FIXTURESi
POWER AUTHORIZED '
UTILITY CO. NOTIFIED oww2A
FINAL r7
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE DAO (>^
TOTAL FEE
PLAN CHECK VALIDATION CR. M,O. CASH PER VALIDATION cK. M.O. CASH
422 21 2 0 8.75 -0
SEE BAC( OF APPLICATION FOR COMPLETE BCHEDULE r
OOURTY OF LOS ANGELES APPUCATION FOR PERAT
'FBCounty Engineer
ELECTRIC i
yVMSION OF HIIIILDING 8z SAFETY
WILLIAM L FOX. Oeaaty Eaginew
FOR L IN ll�
ICT NO. GROUP ZONM PERMIT NO.
¢LECTRICI
REIDKIVED READY FOR DAT11 tMNUKD
ADDRESS F1 RST Imwz=10N
CITY L N0. �
COUNTYL O S[ 0. IR[ -� ■UI
PLDING
� ADDRa>•
NUM [R EACH FE[ LOCALITY
LIGHT OUTLETS NEAI!<:T
ROBS ST
R[O[!•TAOLd
WALL VWITOHXX f OWNER
TOTAL O UTLITS f D MAIL
[LEO. RANGES za ADDRESS
[LEO. HEATERS 25
CITY L N0.
FIXTURES S
I [RiSY AO KNOWLEDGE T 1 HAV[ READ THIN
APPUCAT1ON AND (TATE THAT THE ASOV[ IN CORRECT
NUMBER OF LIGHT OIROUITE AND AGRQ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE OIROUIT'S AND STATE LAWS REDULATING [LEOTRIGAL WIRING.
MOTORS I CERTIFY THAT 1 POlNMNN THE ABOVE VALID LOS
NuMomm HORSEPOWER FEK ANGaiE COUNTY LSOSE. OR 1 THE LEGAL OWNER
NEW MwLA
DH HP crv" IMG. aH OF THE RESIDENT] '7KM Y D RI■ AS
a Lx" .9t
■IONATURI OF
7 .60 PERM[
a s 1.00 INSPECTION RECORD
B 16 1.50
16 W iso
SO ZOO S.00
200 5D 10.00 J
BOO 1000 16.00 Z
OVER 1OOfl YO.DO 0
M8. ■ET FR OHANG[R-HP
W[LD[RSiAD-EVA
O
O[N[RAT'DRS - KW
TRANSFORMERS - KVA
TEMP. MOTOR■ 76 of DRIB.)
MOVlO3 NOT13RR (75or ort1mJ
MIND.
SIGNS
NO. NO.TRANS.
APPROVAIB
N
FOR KAON PERMIT] DATE IH NAM[
WIRING ipi.00 CONDUIT
FIXTURES 61,00 WIRING Z _
SUPPLIEMCKTAIRYB F1XTU RES
QWER n
TOTAL ME S UTILITY CO.NOTtFIXD
FINAL
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