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Home My Public Portal About6164 ROSEMEAD BLVD_Electrical__ :s,.:• -� /�� Le CLQ 76.0683 GE8(Vi:. APPLICATION FOR ELECTRICAL PERMIT COUNT-,Y OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING �( @ "BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY . ` COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING �G • NEAREST / FOR APPLICANT TO FILL IN CROSS ST. G J� OUTLETS NO. EACH FEE . cc OWNER RECEPT.•0 $ $ MAIL '! LIGHT •S TOTA FIRST 20 Zp ADDRESS y CITY � TEL. N0. SWITCH OVER 20 -10 PLAN CHECK LIGHTING FIRST 20 TOTAL 20 APPLICANT FIXTOVER 20 .10 ADDRESS URES APPLIANCES CITY TEL. NO. PERMIT / RANGE DRYER_WTR. HTR. APPLICANT STA. COOK DISP. F.A.U. ADDRESS SPACE HTR./AIR COND. CITY TEL. NO. CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. FAN OTHER / 1.001 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING. SIZE & TYPE OVER TO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO - 1O 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. SIGNATURE t 10 - 50 8.00 OF PERMITTE 0 V 50 - 100 10.00 DISTRICT NO.JCLASS GROU ZONE., 100 - 500 15.00 SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: IL O. TUBE, OR h MARQUEE ADDITIONAL CIRCUITS 1.00 ? SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00 APPROVALS DATE INSPECTOR'SSIGNATURE SERVICEOVER 600 VOLTS OR 200 AMP 5.00 TEMP.POWER POLE TEMP SERVICE,POLE,&APPURTENANCES 3.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 9.00 ROUGH CONDIUT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED UTILITY CO. NOTIFIED PERMIT ISSUING FEE 2.00 ' SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL J S C. ROOH lu TOTAL FEE © SUPE VISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH ar►,9 8 7 7ti APR 23 2 6.40- IT SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 3A689-66t7 10 aI APPLICATION OR E.LIECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING. BUILDING AND SAFETY DIVISION ADDRESS 0 JOHN A. LAMBIE, COUNTY ENGINEER WILLIAM A.JENSEN,SUP'T OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS.ST. 1 T E M NO..1 EACH FEE OUTLETS: (FIRST 20) ffi $ OWNER LIGHTS RECEPT. SW. ® '2O .d a MAIL OUTLETS: (ADD'L UNIT ) .10 d ADDRESS LIGHTS RECEPT. SW.. LIGHTING FIXTURES: (FIRST 20) 7 ,2O 4 ® CITY TEL.NO. LIGHTING FIXTURES: (ADDITIONAL) .10 ELECTRICIA RANGES CLO.DRYERS WTR.HTRS. 1.00 ADDRESS GAS.DISP. STA.COOK CI ' TEL.NO. DISHWASH. AUTO.-WASH. ^ $TAT SPACE HTRS. AjM&.AE .Na H,P.MAX.) .50 (/ LICENSE NO. MOTORS: OVER NOT OVER H.P. DIST RIC NO�4 G P NE P ESSED B. O 1 1.00 i- 1 s 1.50 INSPEf-TION RECORD r S lo� d 8 8 2.00 _. O 8 15 2.50 / (� f is so 3.00 -;=/a- z-�7sY 50 100 5.00 SIGNS: NO.TRANS. �/p Z NO.LAMPS OufS._ �IY,7-,,. / ��S1 /1,I f^ . SERVICE O-SOOV-Nor OVER 200A 1.00 p,y SERVICE O-SOOV-OvER 200 A. 2.00 SERVICE OVER SOOV 5.00 MISC. PERMIT ISSUING FEE 2.00 SUPPLEMENTABLY PERMIT ISSUING FEE 1.00 TOTAL FEE I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS.APPLICATION APPROVALS PATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY CONDUIT -i WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING // I, ELECTRICAL WIRING. WIRING l�l�� G l'. !�1�/ f HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA ORTHA 1 AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT PROPERTY. POWER SIGNATURE UTILITY CO.NOTIFIED OF PERMITTE FINAL I-G L W-AlIDATION ARTHUR C. VEIT MO CASH SUPERVISING ELECTR CAL ENGINEER lee 3AG68-CESOO 10''S 0.81 APPLICATION �6!t ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER. BUILDING j BUILDING AND SAFETY DIVISION ADDRESS tt JOHN A. LAMBIE, COUNTY ENGINEER- WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN I CROSS ST. 1 T E M NO. I EACH ' -FEE _ OUTLETS. (FIRST 20) $2O $ OWNER LIGHTS RECEPT.� SW. MAIL OUTLETS. (ADD-L UNITS) .f0 ADDRESS LIGHTS RECEPT. SW. LIGHTING FIXTURES: (FIRST 20) ,20 CITY TEL.NO.. LIGHTING FI?ITURES: (ADDITIONAL) .10 ELECTRICIA V46t .. - �4c. RANGES 'I CLO.DRYERS NRR.HTRB. 1.00 ADDRESS 1 " / GARB.DISP. . STA.COOK �•►�r / 'f y 1�++^✓ olsHwasH. i� AUTO.: CITY TEL.NO. /wAeH. STATE ` p y SPACE HTRB. STA.APP.(y$H.P.MAX.) .50 LICENSE NO. f `e! MOTORS: OVER, NOT OVER H.P. DISTRIC�NO. I.QRQUP NE 1PROCESSED BY O 1 1.00 1 �'� Qu Yl •r 1 8 1.50 INSPECTION RECORD >- a 9 8 2.90 0 8 15 2.50 LL( 15 50 5.00 U.. 50 l00 1 15.00 a� SIGNS- NO.TRANS. NO.LAMPS O d SERVICE 0-600V-Nor OVER 200A 1.00 Q SERVICE 0.600V-OVER 200 A. 2.00 ~ SERVICE OVER 600V 5.00 MIST PERMIT ISSUING.FEE 2.00 SUPPLEMENTARY PERMIT ISSUING FEE 1.00 ! TOTAL FEE $ , 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS'APPLICATION APPROVALS DATE INSPECTOR'S S:GNATURV I AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. WIRING 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES CALIFORNIA OR THAT 111AM THE LEGAL OWNER OF TH BOVE DESCRIBED RESIDENTir ROPERTY. ;' POWER SIGNATURE. YYYYYY"'''' I� 1Z�F r �� UTILITY CO.NOTIFIED OF PERMITTEE'- (� �/ ri�/v FINAL •� ` ( -VALIDATION ARTHUR C. VEIT t cl r MO CASH SUPERVISING ELECTRICAL ENGINEER - ��///"'