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1I� APPLICATION FOR ELECTRIC PE MIT 1"
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COUNTY OF LOB ANGELEB
DEPARTMENT OF COUNTY ENGIN BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINm
' CAAMATT D.GMFFIN,HurT of EUILDIna LOCALITY
FOR APPLICANT TO FILL IN
PE1MT
ITtY HUWWM [AQi Fxx OWNER
O f f MAIL
LIGHTf RiC>PT t<vr. .10 A'DDIR
LIGHTING FIXTURES 10 /Ito CITY T O
n... FtANGX5 cLo.DRYIas . ELECTRICIAN
WATSR H[A7'tR5 .ISO ADDRESS
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YY
GAOt]2Aelt DISPOSIOW / A--- CITY NO
WAOIIK" /TA-COIUKG UNTT1 - 25 CJ STATE
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L,i C>�I rJ
MOTORS, ovot Ina. H.P.
25DISTRICTNO. JGR'f� 4U!Nt� I AIADY ro.u4mrtaTlum
I/a — 2 .DO
UgSPE=ON HECOED
2 — 5 1.00
5 — 15 1,50
ID — 50 2.50 -
50 200 5.00
HIGNH, No.Tn"s.
NO.LAM"
Hm"Ice 0-e0ov 1.60
SERVICE OV-R 600v 5.00
Mi SC.
WIRING PERMIT 1.00
FIXTUPM PERMIT 1.00
HLIYPL,EMffiIPARY PERMIT .SO
TOTAL FEE f APPROVALS
I HPM A OWL.EDGE THAT 1 W7 READ THIS APPLICATION DATE iRDPECTO(t'8 GIIATURE
AND ATE TRAT THE ABOVE 18 CORRECT AAD AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDIAANCHS AAD STATE LATH REGULATING
ELECTRICAL WIRING. wirtING
I HEBEBT CERTIFY THAT I A■ PRO T GISTERED Al(D/OR FIXTUR
LICENSED AS REQUIRED BY LAS ANG C STATE OF
CALIFORNIA OR THA THH ABOVE POW"
RESIDE
SIGNATURE UTILITY CO.NOTIFI
OF PERM FI
ANON top UR C
SUrlQIVItD 43)PUIXiMCAI.MKOU(>tSlt
Mo CA it •.
LN'o 1 1 9 5cgF ',R 6 2 1 0.4 5 �2
76A663 11 /78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO.I ADDRESS
1 &2-Family,Sq. Ft. $ .025 — $ LOCALITY
Multi-family Sq. Ft. .02 — NEAREST
Residential Swimming Pools 25.00 CROSS ST.
OWNER OR
FIRM NAME /
Outlets: Rec Lighr Sw. MAIL
First 20 50 ADDRESS
I Total No, Additional .30 CITY Tel No.
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
30 I r r
Total No. Additional CITY Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D.W. _
APPLICANT
Oven—Dryer_W.M. ADDRESS
Top _FAU — W.H. _ CITY Tel No
Hood_Fan _Other_ LICENSE OR
Disp._Room Air Cond. 2.50 REG.NUMBER 7 F Class.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA }
Power Apparatus&Large Appliances TION AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO 9L
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS 0
REGULATING ELECTRICAL WIRING. U
Up to l Incl. 2.50 W
5.00 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF Z6
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I,.AM THE LEGAL OWNER OF THE ABOVE
25.00 DESCRIBED RESIDENTIAL PROPERTY.
Over 50 to 100 Inc OC
Over 100 40.00 PERMIT
EE
SIGNATURE 0
Services y DISTRICT NO. CESSED BY d
0-200 Amp. Under 600 V 12.50
y�j
201•1000 Amp. Under 600 V PRO
• :25.00 ~
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp. Power Pole&Appurtenances` 10.00 a
4 Q
I Sign with One Branch Circuit 10.00 J
Additional Sign Branch Circuits 2'00 INSPECTION >
INFORMATION
Misc.Conduits&Conductors 1R 10.00 ON REVERSE x
I Orher(See Complete Fee Scheduf0) SIDE U
Z
d
s E � • s "
• w' Cl
PERMIT FEE (Sub-Total
PLAf�CHECKING FEE One-Fourth Permit Fee/ O
PERMIT ISSUING FEE $1.00 0
J
TOTAL FEE i >
INSPECTION FINALED
W
CL
date: By p,:
76A6W-CE8061-65 APPLICATION FOR ELECTRIC L PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGOrF GCC
BUILDING AND SAFETY DIVISION ADDRESS JJ LI
JOHN A. LAMBIE. COUNTY ENGINEER / f d
COLEMAN W. JENKINS, SUrTRINTUNDENT Or BUILDINGLOCALITY / L �L+G �T/
NEAREST
FOR APPLICANT TO PILL IN CROSS ST.
EAC
RECOWNER
EPT. MAIL
� f
LIGHT TOTAL FIRST 20 J.20 ADDRESS 3 1�C�LEr^'
SWITCH f OVER 20 .10 CITY A4� TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .201 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOKDISP. F!A.U,— CONTRACTOR
SPACE HTR AIR COND. 3
ADDRESSZf4
yy��,�� *�
CLOTHES WASH. DISHWASH, CITY AIZW TEL. NO. 73ip ILAIl
FAN-OTHER 1.00 LICENSE NO.�� CLASS. -IO
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO AMD STATE THAT THE ABOVC IS CORRECT AND AGREE TO COMPLY
11
WITH ALL COUNTY ORDINAC ES AND STATE LAW/ REGULATING
ELECTRICAL WIRING. _
0 - 1 1.00
J HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORXIA OR THAT 1 AM THE LEGAL OWNER OF, AND LNT£ND TO
10 - SO 5.00 .RESIDE IN, THE ABO V It 16ED R DEXTIAL PROhERTY. O
SIGNATURE V
50 - 100 10.00 OF PERMITTEE OC
100 - 500 15.0DISTJRICT G P Z P E r
8U E, OR SIGN AND ONE CIRCUIT 3.00 • a
MARQUEE AU017IONAL CIRCUITS 1.002
NOTES: _
SE NICE NOT OVER 400 VOLTS OR 200 AMP 2.00 _
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, IN APPURTENANCES 3.Q0 APPROVALS DATE WSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTIL1 YCO.NOTIFIED 141
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 00 FINAL 7i
TOTAL FEE d JOSEF-A C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH.
Am 13
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
7eAe83Ee0-e 907 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OR LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DMSION ADDRESS Z
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SURIUNTEN139mTOF EUILDING LOCALITY �C T
FOR APPLICANT TO FILL IN NEAREST � nr� -r4 _
CROSS ST. C.
OWNER
RECEPT._ _
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY TEL. NO.
LIGHTINQ TOTAL FIRST 20 .20 CONTRACTOR -GyLbZT
FIXTURES OVER 20 .10 ADDRESS CG ; �JQ
RANGEDRYER—WTR.HTR.— CITY ��,,��rr1�
tiL� TEL.
N O.
STA.COOK_DISP. F.A.U.— LICENSE' NO. GC Y/
SPACE HTR AIR COND. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 1/ CORRECT AND AGREE TO COMPLY
CLOTHES WA8 H._DISH WASH_ WITH ALL COUNTY 0RDIMANCE[ AND /TAT[ LAW[ RE[ULATIN6
[L[CTRICAL WIRING.
FAN-OTHER 1.00 1 HERESY CERTIFY THAT I AM PROPERLY RE[IST[R[D AND/OR
LIC[MS[D AS REQUIRED BY LO/ ANGELES COUNTY AND STATE OF
MOTORS,TRANSIFORMERS RATING- CALIFORNIA OR THAT I A E L[6
AL OWNER Of, AND INTEND TO
IND. HEAT ERB, ETC. HP, KW. KVA. RE[IDE IN, TH[ AB D[1CRIDE RESIDENTIAL PROPERTY.
SIZE h TYPE OVER TO SIGNATURE
0 — 1 1.0.0 OF PERMITTEE
1 — 10 3.00 DISTRICT NO. G P ZONE OCESSED BY L)
10 — SO 6.00 S• Acw
60 — 100 10.00 NOTES: r
100 — 600 16.0 /.
SIGN,OAS SIGN AND ONE CIRCUIT 3.00 4
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.001A.
SERVICE NOT OVER 600 VOLTS OR 200 ANP 2.00 f
e ER'VICE OVER 600 VOLTS OR 200 AMP 6.00
TVAP SERVICE, POLE, ✓4 APPURTENANCES 3.00
APPROVALS DATE UOPECTOR'B SIRLATUI[
TEMP. POWER POLE
UNDERSLAR WORK
ROUGH CONDUIT
WIRING
[PERMIT
NG FEE 2.00 Z Of
FIXTURES
PLEMENTARY ISSUING FEE 1.0 POWER AUTHORIZED
FEE UTI LI TY CO.NOT]FI ED
N CF�IECK FEE (60% PERMIT FEE) FINAL AL FEE Q JO EP}1 C. ROOHAN
SUPERVISING ELECTRICALENG
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M. Ewe
, 9 6-6� '&L22- 2 D 3-Q0N 4
BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
Y
"^"-C&n81"O • APPLICATION FOR ELECTRICAL ERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNFAAREST
UILDING
SS
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LJAMBIE. COUNTY ENGIN[[R ITY
COLKMAN W. JKNKINB
POR APPLICANT TO FILL IN ST. YJ�
OUTLETS NO. EACHI$-
F OWNER
RECEPT,v MAIL
LIGHT
FIRST 20 ADDRESS
TJX
OVER 20 CITY TEL. N0.
9WITCIF' 1 PLAN CHECK
L1G14TING
FIRST 20 APPLICANT
FIXTURES TO AL
.10
OVER 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYIER_WTR. HTR. APPLICANT
STA, COOK DISP. F.A.U. ADDRFS
SPACE HTR. AIR COND. CITYx1f)" TEL. NO. -�
CLOTHES WASH. DISHWASH, f LICENSE NO. �O Ll CLASS.
FAN THER / 1100 1 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY 0RDINA NC ES AND STAT[ LAWS REGULATING
IND. HEATERS [TC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE G TIVPE OVER TO
I HEREBY CERTIFY THAT I AM PR OP¢RLY REGISTERED AND/OR
0 — 1 1A0 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AMO STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RF41DK TIAL PROPERTY.
SIGNATURE
10 — 50 5.00 OF PERMITTEE
50 — 100 10100 DISTRICT NO. CLASS 16!r ZONE P 0 0
100 - 800 150
� v
SIGH, GAS SIGN AND ONE CIRCUIT 3100 NOTES:
TUBE, OR 2
MARQUEE A-DDITIONAL CIRCUITS LAO
SERVICENOTOVER600VOLTSOR200AMP Z-DO
APPROVALS DATE Dtr[cTow$am"TURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5-00
TEMP.POWER POLE
TEMP SERVICE,POLE, ✓4 APPURTENANCES 3100
UNDERSLAB WORK
TEMP LIGHTOR RECEPT. SYSTEM 3A0 1
ROUGH'CONDI UT
InA
WIRING `L
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1100
jogF-PH C. ROOHAN
TOTAL FEE SUPERVISING ELE GAL ENGINEER
t
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
9 1r 19 AW 12 2 0 8.00-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDU