HomeMy Public PortalAbout10618 ROSEGLEN ST_Electrical__ COUNTY OF LCs ANGELES APPLICATION FOR PEBJM
Department of ELECTRIC 1
f DM$ION OF BUILDING & SAFETY
WILLIAM I FCX, Oeastf Ea/1■Mr
FOR IILL IN DIWMICT NO. R UP ZONIL PKRMIT NO.
QLECTRICI
RED[ ■Y READY FOR DAT[ 1601lE0
ADDR[ F1R■TIMIPEOTION
CITY L NO.
OOU LICKNUK NO. EXPIRES EUILDIMO
PERMIT AD D RI■M
FEZ
NU 6[R EACH LOOALITY
LIGHT OLr LET9 N[ zT
D
R[O[PTAOL[l
WALL MWITUHO OWNER
TOTAL OUTLLT■ 60 MAIL
KLIEG. RANGES Z6 ADDHIUM
93-KO. HATERS as CITY TICL. MO.
rI XTU REl Pa ■
1 [RQY ADKNOWLiD [ THAT 1 HAV[ RtAD THIS
MIM APPLIOATIOM AND STATIC THAT TH[ AIOV[ 10 OORR[OT
NUM■[R OF LIGHT OIROUITE AND ADRKK TO COMPLY WITH ALL OCUNTY ORDIN"DIES
NUM■[R OF R[C13wTAOLE OIROUITE AMD ■TATE LAW■ RI■UL.ATIMU FJ rOT`RIDAL WIRIMG.
MOTORS I 01:PMrY THAT I 13 l TH[ A■OV[ VALID LOS
HUHRXR HORSETOW[R rE[ ANUIELt1 COUNTY LIO[N■[. OR I TH[ ER
N[w MV0. HP DV[R IHD. r.^H OF THE RiIID[MT O D RIl[D ■
ya • UL" Jp .as ■IGNATUR[ Or
Si .60 PKRMI
9 e 1.00 INSPECTION RECORD
6 1■ 1.60
16 ■O SL50
60 YOa 6.00
200 600 10.00 J
6CO 1000 16.OD Z
OVER 113M SOD 0
Md. ■[T FR CHANGER-HP (Y
W[LD[RIM AO-KVA O
GENERATORS - KW
TRANNFORM[RM - KVA
TEMP. MOTORS 76 or oRI
MDVICP MOTOR6 70Or DRI■
■
BIONS
MO. NO.TRANS.
APPROVALS
MEL MO. LAMP@ FOR [AOR P[RMIT� DAT11 INET R'■NAM[
WIRING CONDUIT
Ae
FIXTURE■ 81.00 C_.� WIRING 'f
0 F I XTU Rn
/y POWER .7
TOTAL F[¢ R (J UTILITY 04 NOTIFIED
FINAL r
76Asaa Dee#BA ■-ea
7eW, ceeoe ,I APPLICATION ;OR �CECTRICAERMIT
' COUNTY OF LOS ANGELES
DEPARTMEf4T OF COUNTY ENGINEER BUILDING
BUILDING_AND-SAFETY DIVISION ADDRESS
FE E
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPRRINTKNDIINT GF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS-ST.
RECEPTJ
OWNER
MAIL
LIGHT(11TOTAL FIRST 20 .20 ADDRE 3 /T
3WITCHf OVER20 .10 CITY TEL. NO,
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.FfTR._ CITY TEL. NO.
STA.COOK_D13P._F.A.U._ CONTRACTOR / {�
SPACE HTR. AIR COND. ADDRESS /
CLOTHES WASH. DISHWASH— CITY r IjAgr t TEL. NO.
FAN—OTHER 1.00 LICENSE NO. eqYe?y CLASS.
MOTORS,TRANSFORMERS RAT INO
IND. HEATERS, ETC, HP. KW. KVA. I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO AND STATS THAT THE ABOVE IS CORRICT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
P 0 – 1.00 ILECTR ICAL WIRING.
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 – 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
n CALIFORNIA.OR THAT, AM THE LEGAL OWNER OF, AND INTEND TO
10 – 60 p,QO RISIDE IN, THE AEOVf DEGr_RI R DE NTIAL PROPERTY.
/ J J
7
50 - 100 10.00 OIF GNATURE PERM TTEE 9x ,
100 - 500 15.0DIST I T G Z P BY [�
SIGN,GAS gION AND ONE CIRCUIT 9.00
TUBE, OR
_ as
MARQUEE ADDITIONAL CIRCUNO
ITS 1.00 G i
TES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
P -
TEMSERVICE, POLE, �APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIONA,TURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT EEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (60% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELE L ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH
,4-4 2 '7Z3 &OR25 2- D 8AON W.
NEE SACK OF APPLICATION FOR GDMPLETE FEE SCHEDUT F t' /