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78A083-C11108 U-615 APPLICATION FOR ELECTRICAL PERMIT
1COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER eu1LDINa
BUILDING AND SAFETY DIVISION ADDRI" lot
JOHN A. LAMBIE, COUNTY ENGINEIIR
COLEMAN W. JUNKINS, SUPtRINTiNDIINT OF BUILDINGL
N[ARpT
FOR APKICANT TO FILL IN
CRdfa 15T.
RECEPT. 1 TOTAL
JI} NO.
OUTLETS IrIRm 20 *-20 , OWNER
LIGHT MAIL
SWITC ADD'L .10 ADDREM
OVER Y
TOTAL FIRST YO C L .10 CITY Ta N
LIGHTING 1 FIXTURC.G
FIXTURto J( ADD'L 1O CONTRACTO
vzl_ OVER YO
RANG" DRYKRS WT7L HTRB. 1.00 ADDR
GAIM DIl. STA.COOK
CITY NO
DIoiWASH. AUTO.-WASH.
SPA=HT'RS. BTA. APFL. .50 LCE IM Na T/d
MOTORS. Ovu NOTOVQ Hr. DISTRICT O. G-RO r LJONE I PROCESSED DY
0 1 1.00
I 31.60 INSPECTION RECORD
i 6 1.00 V
oc
a to 1.50 O
15 so 3.00
D.
50 100 5.qa w
51GND� HoTRANS-
a LAMP/ Z
80{VICE 0.600V-NoT ovmq YOGA 1.00
S[RVICS 0.60OV-Ova 100 A. 1.00
sjjmci OvK*GooV 5.00
OTHKR l[L[ COI#PLiT[FL SCMMUL11
P[RMIT MSU1NG FICE 1.00
SUPP"MIENTARY PLRMIT IMUINa FQ 1.00 DAT[
TOTAL FEE
1 HQSSY ACKNOWL[DG[THAT 1 HAV[RSAD THIS APPLICATION UNDERS LAS WORK
AND STAT'[THAT TH[AIOV[ 18 CORRICT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCKS AND STAT1 LAW[ R=BULATING
[LXCTRICAL WIRING. W'PU Na
1 H[R)DY C AIIFY THAT I — PROr[11LY —1113TQSD AND/OR
LCMNSKI)"A" REQUI LOS ANGrIrr COUNTY AND STAT[OFNA OR THA AN [ GAL Ov"t"OF.AND INT[ND TOQ
NTH[A RLIURK LMLA IV
MI
FINAL
LIDATION JOSEPH G ROOHAN
8UKRVIsING QLSCTRICAL ENGINMM
MO CASH
LAGO2 1 7 5Z8 MU 19 2 D 6LO- 7
rv_
"e"--C-"06_a-U, APPLICATION FOR ELECTRIC PERMIT �.
COUNTY OF LOS ANGELES
DEPARTMENT OIF COUNTY ENGINEE 13 L.DING ,
BUILDING AND SAFETY DMSION f f AIDR�
+ JOHN A.LAMBIE.CouNTY ENOIN[IR
I CASUATT P.GRIFFIN,SU T of BIUILDIP40 LOCALITY
FOR APPLICANT TO FILL IN CROSS ST.
PEW= FEES
I T I Y NUMEEw [ACH FII OWNER
O f t MAIL d1
LroHT1 w>+ rnr. .10 AmDR
LIGHTING FIXTURES .10 CITY, N
az sb p"coms CLO.DwYus ELECTRICIAN
WATIR H ATTR■ loo ADDREBH
ILIO.IPACI IrTrdL DLSlWAXHxRE
OArdAOX DlMrOGXM J/I A-0- CITY NO
WASH13RS /TA.GOO .0 UHm .QS STATE7
cBINai o
MOTOP,Si Ovnt rxc r
' aawar roa uriracnow
O — Ya w .25
rfa
.2 .IS O
UgSP'=ON =ORD
2 D 1.00
D IE 1.50
Ib — Lo 2.50
DO — 200 5.00
HIGNH� Mo.TwAru.
NO.LAHT6
SERvIc x o-eoov 1.00
grim CK ovER aOOv n.00
MIHr.
WIRING PKFtHIT 1.00
FIXTURE PE ?-Mrr 1.00
SUPFLZMEN'rARY PERPIrr .ISO'
TOTAL FEH f • AMOMS
I HmumT ACKNOWLEDGE THAT I HATE READ1Q APP DATE I R'ESIGNATURE
AHD STATE THAT THE ABOVE IS CORRECT AND AGRfiE TO COR-PLT CONDUIT
WITH ALL COUNTT ORDINANC" AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBT CERTIFT TRAT I AN PROP REGISTERED /OR
LICEASIM AS REQUIRED LAS ANGE U OF FIXTUFt"
CALIFORNIA OR THAT ■ E LE 0 ABOVE
DESCRIBELI Xgll) NT 4 R TT. _
SIGNATURE LrTILITY CO.NOTIFI®
FINAL
min
OF PSRF(1
Q6mi urn:i uia aw>.i al>!r�
ION
>�o aASH
1 1 1 9 2 f,�,R 6 1 0.45 92
76'k"' c` 00V 10'" APPLICATION FOR ELECTRIC PERM
G$$LINTY OPS LOS ANGELES
-DEPARTMENT OR COUNTY ENGINEER M77a
SSBULDING D ETY (VISION C f S
FOR^PpucAN-rTO FILL IN LCICALITY '/-2 t
New Residential Bldgs.&Pools EACHFEE NEA
— i ST. /�(y
1 &2-Family,Sq. Ft. b .025 _
OWNER R r
Multi-family Sq. Ft. 02 — FIRM NAME D/� ,0jpq ' 1
Residential Swimming Pools 26'00 DDRESSCv
4 'LGA✓ S�
Outlets Rec bght_Sw. CITY Tel. No.
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .60 CITY Tel.No.
Total No.
Additional •30 PERMIT
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D.W.— CITY Tel. No.
Oven—Dryer_W.M_ LICENSE OR
Top —FAU �_W.H. REG.NUMBER Class.
Hood—Fan —Other
Dh Z60 THATlTHEE ABOVe��o�AND T�GREE TO C�aLr wl H Ad COUNTY ORDN-E
p. — Room Air Cond. —
ANCEs AND FATE uw3 RLr,TxAnr+c ELECTRICAL WIRING.
Power Apparatus S Large Appliances
Size&Type HP, KW, KVA,or KVAR I =Y -1
tD UCB6ED AS
Z�JO ' REDO RTE E:VJ THAT I AM
Up to 1 Incl. THE
Over 1 to 101rKJ. 5.00 S
Over 10 to 50 Ind. 1 Z60 MJT
Over 50 to 100 Inc 26.00 SI
Over 100 40.00DISTRICT NO. P �13YcnSerykesZ
0-200 Amp.Under 600 V 12-50 APPROVALS DATE I ORAS
201-1000 Amp.Under 600 V 26-�
Over 1000 Amp.or Over 600 V EA.DO TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances
10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Brand,Circuits
2.00 WIRING
Mlsc Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) I POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sul}Totoli NOTES 2JI-If D
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE ' $7.00
TOTAL FEE
n AN CkE"VALIDATION CK AO. CISH PSLWT VAUDATKM K0. CASH
2 0 6 CO-0,1UN 27 2 0
SEH BACK OF APPLICATION FOR COMPLETE SCHHDULE