HomeMy Public PortalAbout5809 ROWLAND AVE_Electrical__ a Lel�1�
7BA&a•7.-CEB06;,�a APPLICATION FOR ELECTRI AL PERf11
F COUNTY OF LOS ANGELES ..`
DEPARTMENT OF COUNTY ENGINEER 7ADDRESS
BUILDING AND SAFETY DIVISION JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING IGIIIIIIII FOR APPLICANT TO FILL IN .
OUTLETS NO. EACH FEE
OWNER
RECEPT._ $ $ MAIL
ADDRESS
LIGHT TOTAL FIRST 20 .20
OVER 20 CITY TEL. NO.
SWITCH_ 10 PLAN CHECK fOr
LIGHTINGTOTAL FIRST 20 20 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
t
. STA. COOK DISP. F.A.U. ADDRESS .s!: (0 �
SPACE HTR. AIR COND. CITY �• TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE N0. CLASS. C��
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I 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 — 'I 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT [ AM THE LEGAL OWNER OF, AND INTEND TO
1 — 10 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENT AL PROPERTY.
SIGNATURE
70 — 50 5.00 OF PERMITTEE Q�'�yi� ld'i G
U
50 - 100 10.00
'DISTRICT NO. CLASS GROUP ZONE P CESSE BY ad
100 - 500 15.00 4 �(; - O
_ _ UW
SIGN, GASSIGN AND ONE CIRCUIT 3.00 NOTES: w -171 2�,f Tit
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP .00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, IN APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50%. PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 00
le ff If
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.001 1
JOSEPH C. ROOHAN
TOTAL FEE 6�0 SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK. M.O. CASH
4.G J
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
--I =—C"e__.,
76AG63-CEBOB 11/70 APPLICATION FOR ELECTRICAL PERMIT
• COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ?
BUILDING AND SAFETY DIVISION ADDRESS 6?
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. e-
OUTLETS NO. EACH FEE
OWNER
RECEPT._ S S MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITY TEL. NO.
SWITCH OVER 20 10
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 f0 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT Q
STA. COOK DISP. F.A.U. ADDRESS 0�
SPACE HTR. AIR COND. CITY TEL. NOA f7, ��
CLOTHES WASH. DISHWASH. LICENSE NO. 6 Z_ CLASS.(:--/ V
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I 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 REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO �
1 - 1O 300 a v RESIDE IN, THE ABOVE DESCRI�D RESIDE
NNTIAL ROP RTY. C
10 — 50 5.00 SIGNATURE �� /iF.�st!4E
OF PERMITTEE //J(ll/� O
50 — 100 10.00 C
DISTRICT N0. CLASS lzo;�(
PRO ES ED B f
100 - 500 15.00 �' a
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00
S ERVI CE OV ER 600 VOLTS OR 200 AM P 10.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE, IN APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
'
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
3 FINAL
PERMIT ISSUING FEE 3.00 6lJ
JOSEPH C. RO N
TOTAL FEE14. SUPERVISING EL I L ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. ASH
6.0 0-
SEE cm BACK OF APPLICATION FOR COMPLETE SCHEDULE