HomeMy Public PortalAbout10627 ROSEGLEN ST_Electrical__ ••1 •i' •. r•7, r. • • ' :1'1..1
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i HERJSY ACKNOIt
!AND AGRXK TO COMPLY WITH ALL COUNTY •..
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IF' THK I�f TY
810HATURE OF
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APPLICATION' FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGLES BUILDING AND SAFETY
FOR APPLICANT O D.A..IN A -p,., St..
New Patlde _ntiol Brdgs.&Pools EA, NO. FEE UUR 110672 Ro
1 &2-Family,Sq. Ft., E .025 — i LOCALITY
Multi-famlly Sq. Ff. 0 — N EA R EST
Residential Swimming Pools 25'.00
OR
Outlets.Rec_TLlght Sw. I
First 20 .50 ADDRESS 10672 RDS. lM
Total No. Additional �30 CITY le[[��ANT � Tel. No.
PLAN
PNICCC} H{HECK
Lighting Fixtured First 20 •50
ADDRESS
Additional .30 i
Total No. OTY Tel. No.
FixedAppliarKm Not Oysr 1 HPI a�
TRTC
Range—Heptdr_D-W.
APPLICANT
Oven—Drygr_;W Ak ADDRESS 20314 N. peck - -
Top _FAU ��W H. CITY S. ', ADE)te Tql. No. 87979$2
Hpod_Fgn __2r.-Other2, 0 LICENSE OR
-10
Dep._Room AIrCord. 2.50 REG.NUMBERClass.C
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCA-
Power Apparahn Large Appliances" TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
S`zd&Type HP, KW, KVA,or K IA12 GOMPLY WITH COUNTY ORDINANCES AND STATE LAWS
2.50 REGULATING B-E,-7RICAL WIRING.
Up to 1 Incl, 1 HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over-1 to 10,nd-, 5.00 ou LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to-50 Ind:, 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE al
Over 50 to 100 ktic.'
25.00 DESCRIBES)RESIDENTIAL PROPERTY,
.Over 100 40.00 PERMIT EE '
SI c,NAT 11.RE
ServlcuI$TRICT NO. P BY
0-206 Amp.Undec 600 V , . 12.50 p
201-1000 Amp. Under 600 V '. 5.00 4 u
Over 1000 Amp.or Over 600 V 50.00 -
Temp. Power Pole&App urtenan i 10.00
Sign with One-Branch Circuit 0.00 D/ !9000 Eio7 G Z�=
Additional Sign Branch Circuits 2,00- INSPECT] >
ON INFORMATION
Mm-Conduft&.Conductors 10.00
ON RI:1/�tSf.
Other(See Complete Fee Sch»dufe�' Y
, ' SIDE
7 PI
4,
O,O /O, �O7 O 2
00
PERMITFEE (Sub-Total) !f� o o47,0 0 Tu
PLAN CHECKING FEE` lone-Fourth Permit Fee)
<
PERMIT ISSUING FEE $7,00 = O a 1'2
,.7'9
/
TOTAL FEE >
INSPECTION FINALE
date: ¢ /�y/7 7 By IQi4nlervo as
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILA IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN ✓
RECEIVED BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
C I TY - T ./ O - .
COUNTY LICENSE NO. -Ze �I-CXQOEEI BUILDING /
PERMIT FEES ADDRESS �,
FEE --� _ f/� -
NUMBER EACH LOCALITY �j�.�
LIGHT OUTLETS NEAREST /C/
CROSS ST.
nor
RECEPTACLES
WALL SWITCHES OWNER <
TOTAL OUTLETS SC $ MAIL ♦ f.
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW M ,n. HP ov R INC. EACH OF THE RESIDENTIAL PROPERTY DESSCCABE VE.
,,a
_ %2 S LESS $ .25 SIGNATURE OF _bC/ tJ�RC�JJr /
'/2 2 .50 PERMITTE
2 s 1.00 INSPECTION RECORD
s is 1.50
is 50 2.50
_ s0 200 5.00
200 500 10.00 - J
5013 1000 15.00 Q
z
OVER 1000 20.00 C7
_ M.G. SET/FREQ. CHANGER-HP Ex
WELDERS:AC-KVA _ O
GENERATORS - KW
TRANSFORMERS - KVA `I
TEMP. MOTORS (75% OF ORIG.)
_ MOVED MOTORS (75% OF CRIG.)
MISC.
SIGNS �+
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS -
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE $ / UTILITY CO.NOTIFIED —
i
FINAL
76A663 DBS#5A 4-52