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HomeMy Public PortalAbout5816 ROWLAND AVE_Electrical__ i7GA66B-LEB06 5-69 /0oe la2W / ll • , �� APPLICATION FOR ELECTRICAL /PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEAREST ILDING BUILDING AND SAFETY DIVISION DRESS a JOHN A. LAMBIE, COUNTY ENGINEER �^ COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGCALITY FOR APPLICANT TO FILL IN OSS ST. NO. $ -- $ FEE OWNER JeidL RECEIPT/?2. MAIL LIGHT TOTAL FIRST 20 1D ,20 �00 -ADDRESS CITY TEL.NO. SWITCH _� OVER 20 .10 PLAN LHECK LIGHTING TOTAL FIRST 20 ,20 D APPLICANT FIXTURES OVER 20 ,10 ADDRESS RANGE DRYER rWTR. HTR: CITY T .NO. STA. COOK_DISID._F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS 06 vv CLOTHES WASH._DISHWASH. CITY V TEL.NO. FAN_OTHER • 1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING V I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 1 - 10 3.00 CALIFORNIA OR THAT i AM THE LEGAL OWNER OF, AND INTEND TO CL RESIDE IN, THE ABOVE DES CRIED RE31D TIAL PROPERTY. 10 - 50 5.00 �' U SIGNATURE p� 50 - 100 10.00 OF PERMITTEE (` H IDD - SOO 1540 DISTRICT NO.f� GROUP ZWPRTSSED BY LLTSIGN GAS UBE, OR SIGN AND ONE CIRCUIT 3.00 ✓�D V Z MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP ! 2.00 a v� SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING v FIXTURES PERMIT FEE (SUB TOTAL) POWER AUTHORIZED PLAN CHECK FEE (50% PERMIT FEE) PERMIT ISSUING FEE 2.00 12 00 UTILITY CO.NOTIFIED qy + SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEEO JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH ( 482592 tRy 7 2 D 10.0 0- V SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE w�A COUNTY OF LOS ANGELES APPLICATION FOR PERMIT Department of County Engineer DIVISION OF BUILDING & SAFETY LECTUC WILLIAM J. FOX, County Englnoer FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE- PERMIT NO. EL'ECTRICIA �p7G.v... ADDR r B w1 � (/S �,x„11 R FIVE BY FIRST IN8PECTIQN'READY FOR DAT iBBU CITY 6t .. / TBJO. .`© Z. G� -08 LICENSE 1%113.1EXPIRE BUILDING. / PERMIT FEES ADDRESS,. / FEE sr t NUMBER EACH LOCALITY LIGHT OUTLETS NEAREST RECEPTACLES CROSS BT. WALL SWITCHES OWNER P 2 .d,C�"i TOTAL OUTLETS 5C III V MAIL ELEC. RANGES 2g ADDRESS ELEC. HEATERS 25 CITY TEL. NO. FIXTURES 5 I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS 1418C. 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 13TATE LAWS REGULATING ELECTRICAL WIRING. MOTORS 1 'CERTIFY THAT 1 POBSEBB TME ABOVE VALID LOS NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM. THE LEGAL OWNER New -MVD. HP OYER INC. EACH OF THE RESIDENTIAL PRO ERTY DEBCRIBEFrASOVE. V2s LE99 $ .25 SIGNATURE OF C ��'L/ I/a 2 .50 PERMITTEDE �� T. 2 5 1. o INSPECTION RECORD _ 5 15 1.50 15' 50 2.50 50 200 5.00 200 Sao 10.00 .,J 500 113013 15.00, Z OVER 10130 20.00 5 M.G. SET/FRE11. CHANGER-HP WELDERS:AC-KVA GENERATORS KW TRANSFORMERS - KVA TEMP. MOTORS X75% OR CRIIIJ MOVED MOTORS X75% CF CRIMJ MISC. SIGNS, NO. NO.TRANS. NO. NO..LAMPS APPROVALS FOR EACH PERMITS DATE INSPECTOR'S NAME WIRING $1.00 11po CONDUIT FIXTUREB $1.00 WIRING A / SUPPLEMENTARY .50 FIXTUREB POWER TOTAL FEE » TILITY Co.NOTIFIED / FINAL I G tt 46Afi63. DBa#SA 53-53 '