HomeMy Public PortalAbout5515 SANTA ANITA AVE_Electrical__ s•,
COUNTY OF LOS ANGd1� TEMPLE CITY # 0508 ELECTRICAL PERMIT
DEPARTMENT OF PUBLIC WORKS 9701 LAS TUNAS EL 0508 9912290028
BUILDING AND SAFETY / LAND DEVELOPMENT TEMPLE CITY CA 91780
PHONE: (626) 285-0488 EXT:
LEGAL D: FEES PAID BUILDING ADDRESS:
ON FILE 5515 SANTA ANITA AV
FEE DESCRIPTION: QUANTITY: UOM: AMOUNT: TEMP CA 917802905
ASSESSOR 1 FORMATION NUMB NEAREST CROSS STREET:
8573-020-030 Al PERMIT ISSUANCE FEE 27.75 THOMAS PAGE: 597 GRID: D3 LOCALITY: TEMPLE CITY
C2 SPAS, HOT TUBS, OTHR 1.00 SPA 54.45
TENANT: TOTAL FEES 82.20 ISSUED ON: PROCESSED BY: PLA BY: EXPIRES ON:
12/29/99 UT 06/26/00
OWNER: TEL. NO: FINAL DATE FINAL BY: C
LEE FRANKLIN S;DIANA T - lQ
5515 SANTA ANITA AV
TEMP 917802905 DESCRIPTION OF WORK
ELECTRICAL FOR ABOVE GROUND SPA
APPLICANT: TEL. 0:
SAME AS OWNER -
SPECIAL CONDITIONS:
CONTRACTOR: TEL. NO: f S cf%� APPROVALS DATE INSPECTOR SIGNATURE
SAME AS OWNER
LIC. NO dd / �� TEMPORARY ER POLE
UNDERGROUND CONDUIT
rl/
ARCHITECT OR ENGINEER: TEL. 0: - {� �`✓^ FER GROUND
LIC. N0: �- ROUGH CONDUIT
OUGH IRIG
PLTL
I
ASTICY/NMETAL Y/N
U L CC � J � 3D"
T�YY COMPANY OT I F I ED
El Ij
` et-j is i �
i
REPORT ID: DPR265 ROUTE TO: SS0508
� /r! rp`E G i
76X863 CESO6'5-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OR.LOS ANGELES . --- .- --- - fl
DEPARTMENT OF`COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESSEMS be
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ej .
NEAREST
FOR .APPLICANT TO FILL IN CROSS ST.
NO. EACH. FEE
$ $ OWNERzn
REC'EPT._ MAIL //
LIGHT TOTAL FIRST 20 .20 ADDRESS g=7 (►�� ry
SWITCH_ OVER 20 .10 CITY TEL."NO.
LIGHTING �TOTAL FIRST 20 .20 CONTRACTOR AJ e-
FIXTURES OVER 20 .10 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP.—F.A.U._ 'LICENSE NO.
SPACE HTR.-AIR GOND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN-OTHER 1.00 Q 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS. REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THATJ,4M THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE BO.E DESCRIBED 81 TIAL PROPERTY.
SIZE & TYPE OVER TO t
SIGNATURE
0 – 1 1.60 OF PERMITTEE
1 - 10 3.00 DIST CT R P ZONE PROCESSED Y 8
10 – 50 5.00 r e 09
O
50 – 100 10.00 NOTES: G
W
100 – 500 15.00
N
TUBE, A SIGN AND ONE CIRCUIT 3.00 Z
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
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
�
ISSUING FEE 2.00 WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE1.00 Q POWER AUTHORIZED
n
PERMIT FEE lQ UTILIT)fCO.NOTIFIED `'l�
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE pf VON JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK M.O. CASH-
w2 3 7 0% DEC28 2 D 4,00- Iq
Lh
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ^ M
78N1883ITEB06 -67 APPLICATION FOR ELECTRICAL PERMIT
«a COUNTY OF LOS ANGEL9S
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 'JS I IJ ��$ .4D P
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY
NEARESTp
FOR APPLICANT TO FILL IN CROSS ST. lr
RECEPT. OTOTAL NO. EACH FEE
UTLETS FIRST 20 8 8.20 S 3 O OWNER ••
LIGHT /A MAIL
SWITCH ICf ADD'L 1O ADDRESS. ��MW
OVER 20 � �p
TOTAL FIRST 20 .20 ?O CITY TEL.NO.Q• UOI O
LIGHTING 1 FIXTURES
FIXTURES J( .10CONTRACTOR �1
OVVERER 20
2
RANGES DRYERS WTR.HTRS. 1.00 ADDRESS -
GARB.DISP. STA.COOK
CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. BTA. APPL. .50
LICENSE NO.
MOTORS, OVER NOT OVER H.P. DISSTTRIC NO. GROUP ON Pr
SED BY
O 1 ` 1.00 OQ 5,
♦ r�
t 3 1.50 INSPECTION RECORD
3 s
2.00
a 1s 2.50 "r�,
1s so 3.00
50 1005.00 U
SIGNSs NO.LAMPS ] —
SERVICE 0.600V-NOT OVER 200A 1.00 W
0.
SERVICE 0-600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 OQ
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 RROUGH
ALS DATE INBPECTOR'991GNATUR6
TOTAL FEE IS �Q
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY DUIT
WITH ALL COUNTY ORDINANCES AND STATB LAW8 REGULATINGELECTRICAL WIRING. A' J A
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES'
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF.AND INTEND TO POWER
It
IN,THE ABOVE DESCRIBED RESIDENTI P PERTY.
SIGNATURE 1 UTILITY CO.NOTIFIED
OF PERMITTEE FINAL
IDATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
co
LAL;o 2 3, 7G AUG 23 2 0 7.80-
78A668•CEG06 I0174 APPLICATION FOR ELECTRICAL PERMIT
T'
. COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB •7
BUILDING AND SAFETY DIVISION 7ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. /Q
OUTLETS N0. EACH FEE OWNER OR >v���J
FIRM NAME "4
RECEPT._41� $ $ ` ADDRESS
LIGHT TOTAL FIRST 20 / ® ,
CITY a TEL. NOJ�L&
SWITCH OVER 20 s .10 PLAN CHECK
LIGHTINGTOTAL FIRST 20 ZO APPLICANT L
FIXTURES OVER 2010 ADDRESS 2 ( f
RESIDENTIAL APPLIANCES CITY n Y.t/ TEL. NO.
PER IT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS -2-4 IL4—
SPACE HTR.. AIR COND. CITY Ivolowloilez,
®h/TEL. NO.
CLOTHES WASH. DISHWASH. REG NNUMBER p V4� CLASS.�i
I•S
FAN OTHER ISO
I 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 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I' AM THE LEGAL OWNER OF THE ABOVE
1 - 10 8.00 DESCRIBED RESIDEN IAL PROPERTY. p
V
PERMIT EE
10 - 50 5.00 SIGNATURE O
50 - 100 10.00 DISTRICT N0. PROC SED
rL
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR-S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 8.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,'&APPURTENANCES B.oG WIRING -2d
A/
TEMP LIGHT OR RECEPT. SYSTEM 9.00 1 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) &1 70 NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE d
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ����M.o. CASH
71 oti• a 30 2 u, 142 0 :98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
r COUNTY OF LOS ANGELES APPLICATION FOR PERMT
DEPARTMENT OF COUNTY ENGINEER ELECTRIC 1
DIVISION OF BUMDING & SAFETY
WILLIAM J. FOX COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN �. 5 J—
ADDRESS �s RECEIVED BY READY FOR DATE ISSUED
YFIRST INSPECTION
CITY N TEL. NO.
COUNTY LICENSE NO. EXPIRESBUILDING ')9
PERMIT FEES ADDRESS ���� 40 s
NUMBER EACH FEE T J�,
LOCALITY I � L•; `�r I,� ��U
LIGHT OUTLETS
NREST ) - — �
RECEPTACLES EA� T• •�I7�)
WALL SWITCHES OWNER )
TOTAL OUTLETS b se g L) Al
ELEC. RANGES 25 ADDRESS 4 r 400P. nl
ELEC. HEATERS 29 .A
FIXTURES s U CITY a f F 0—I'rM TEL. NO ` rI i.A
MISC. 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS I' APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS ' AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW MVD. HP ov6R I INc. -cm OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
1_ Va a LES@ $ .25 A p
SIGNATURE ,1.4 -P,
+/z 2 .90 PERMITT - _
2 s 1.00 INSPECTION RECORD
9 1s 1.50
1s s0 2.SO
so 200 9.00
200 Soo 10.00 J
Soo 1000 19.00 a
OVER SOOO 20.00 Z
M.G. SET/FREQ. CHANGER-HP
WELDERS: AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (79% OF ORIG.)
MOVED MOTORS (78% OF ORIa.)
MIBC.
SIGNS
NO. NO.TRANS. APPROVALS
NO NO. LAMPS
FOR EACH PERMIT: DATA INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 ) 0 WIRING(/ �•�' _ ? � �
i
SUPPLEMENTARY S0 FIXTUR —'
/ POWER
TOTAL FEE $z 6 Q UTILITY CO, NOTIFIED
FINAL �'L:%tt. .�l/,:L--'', •J '/'
78A 663 D]38# 3A. 4-82
76.06013-C,EE0.0611-74 APPLICATION: FOR ELECTRICAL PERMIT
C XJATY OF LOS ANGELES
'DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
FOR APPLICANT TO FILL IN NEAREST ^
CROSS ST.
OUTLETS N0. EACH FEE /a
$ $ OWNER GY
RECEPT._ MAIL
LIGHT TOTAL
FIRST 2025 lip ADDRES
CITYCPP,' TEL. NO.
SWITCH OVER 20 10. PLAN CHECK
LIGHTINGTOTAL FIRST 20 .25 -APPLICANT
OVER 20 ADDRESS
FIXTURES .f0
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT
RANGE DRYER_WTR. HTR.- APPLICANT J `_
STA.'COOK DISP. F.A.U. ADDRESE44t � — �� �/*
SPACE HTR. AIR COND. CITY TEL. NOy —J6 (y
CLOTHES WASH. DISHWASH. LICENSE N0. CLASSJor.
FAN OTHER 1.00 1 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
.1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
^� 0 — 1 1,pp 6L® LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE LEGAL 0 R OF, AND INTEND TO 4.
1 — 1O 3.00 RESIDE IN, THE A . E E CRIBE R E L PR ERTY. V
SIGNATURE
10 — 50 S.W. OF PERMITTEE
0
50 — 100 10.00 G
DISTRICT NO. CLASS ZONE P ESSED BY.
100 — 500 15.00 Q y
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 10.00
'TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
O
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
-
UTILITY CO. NOTIFIED
PLAN CHECK FEE A
�0 FINAL (�
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION OCKM.O. CASH
V"5
( '� 3 7 .9 4 73 NOV 2 0 2 D 5.5 0.0 •� '
•SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
7sAg69 DBB:qA 7-s1 - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WI'LLIAM J. FOX, CHIEF .ENGINEER
FOR APPLICANT TO FILL IN. DISTRICT NO.. GROUP Z,O+►NE PERMIT NO.
ELECTRICIAN Walton Electric C& R.. EIVED BY READY' FOR DATE ISSUED
ADDRESS 2454 N; Rosemead Blvd•, FIRST.INSPECTION r
CITY El Monte TEL-No.FO 85679 gg��..nn
COUNTY LICENSE NO. 1104 EXPIRES BUILDING 5515 N• DOu4ieAnrta
ADDRESS
PERMIT FEES _
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS NEAREST
CROSS By.
RECEPTACLES
WALL SWITCHES OWNER Creative Builders
TOTAL.OUTLETS 2 5D .6.. 10 MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 _ 1 HEREBY ACKNOWLEDGE. THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY .ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS j AND STATE LAWS REDULATI.NS ELECTRICAL WIRING.
MOTORS. I CERTIFY THAT I POSSESS'THE ABOVE VALID LOS
NUMBER "HORSEPOWER , ANGELES COUNTY LICENSE, OR- 1 AM THE LEGAL OWNER
-FEE
New MVD. HP OVER IND. EACH OF THE RESIDENTIAL RROPE TY DESCRIBED. ABOVE.
Y2 A LESE 6 .25 SIGNATURE OF �xJ
1/2 2 .50 PERMITTEE.
.2 s INSPECTION RECORD
_ 5- 15 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000 15.00 - Z
OVER' 1000 1 20.00
M.G. SET/FREq. CHANGER-HP a'
WELDERS:AC-KVA
GENERATORS - KW .
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIB-)
MOVED MOTORS (75% DF DRIB.).
MISC.
SIGNS
NO. NO.TRANS.
NO. NO.LAMPS APPROVALS
DATE INSPECTORPB NAME
FOR EACH PERMIT:
WIRING Tem • power pole •61..00 1.00 CONDUIT
FIXTURES 61.00
WIRING ' T (L
SUPPLEMENTARY .50 FIXTURES
1. 10 POWER
TOTAL FEE 4, UTILITY CO.NOTIFIED !
FINAL.
76A663 oeB.sA 7-51 - - APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT O. GROUP I ZONE PERMIT NO.
/
ELECTRICIAN Walton Flectria Co. RECEIVED BY READY FOR DATE ISSUED
ADDRESS 2454 N. Rosemead Blvd.,- FIRST INSPECTION
CITY El Monte TEL. N0. FO 85679 AA,-1,. I
COUNTY LICENSE NO. 1104 EXPIRES - ABUILDING
DDRESS
PERMIT FEES 5515 N. Double Drive
NUMBER EACH FEE LOCALITY Temple City
LIGHT OUTLETS 9 NEAREST
RECEPTACLES 14 CROSS ST.
WALL SWITCHES 13 OWNER Creative Builders I_ne.
TOTAL OUTLETS 36 Sc S 8cc,01 MAIL
ELEC. RANGES 1 85 25 _ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES .9 5 1 HEREBY ACKNOWLEOGE THAT 1 HAVE READ THIS
MISC. 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 STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSBESS THE ABOVE VALID LOS
NUMBER HORSEPOWER - ANGELES COY UNTLICENSE. OR I AM THE LEGAL OWNER
FEE
NEW MvO. HP oven INC. EACH OF THE RESIDENTIAL PR Y DESCRIBED ABOVE.
%2 s LEBB $ .25 25' SIGNATURE OF .
%2 2 .50 PERMITTEE .
2 s 1.1313 INSPECTION RECORD
S 15 1.50
15 50 2.50
50 200 5.00
200 500 10.130 J
5130 1000 15.00 - Z
OVER 1000 20.00 ED
M.Q. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% CF MRIO.)
MOVED MOTORS (75% OF CRIB.) _
MISC.
SIGNS
N0. NO.TRANS.
NO. NO.LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.00 1 QO CONDUIT- .�
FIXTURES $1.00 00 WIRING
SUPPLEMENTARY .513 FIXTURES ®��vY•C1Fs a
4 75 POWER _
TOTAL FEE >D UTILITY CO.NOTIFIED ej
FINAL
8 S.A 12-43 25M
MT1
DDEPARTMENT OF BUILDING AND SAFETY': TTION�F''ORPERM OF LOS ANGELES ELEC 1 RIC
WM. J. FOX CHIEF ENGINEER:
NAMB l� cS�. �v $IDISTRIG'T NO. GROUP ZONE RMI�T N0.
U ADDRESS 1 I0I aa7ile j
' CITY V` T e I TEL.NO �/ U�/ E READY FOR DATE SSU D
7,
y® p.� 7`3T� FIRST INSPECTION y1y-1p
d UN
CERT.O. /C9 V , EXPIRES/0-3 �/ /v/`
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY-
DESCRIPTION OF WORK ADDRESS 1149-��
NUMBER OF OUTLETS ON CIRCUITS LOCALITY A*W C
LOCATION BY ROOMS
NEAREST -
LIGHT OUTLETS SW. PLUGSdl-
TOTAL
CROSS ST. CEJ Gr�'IQS
CIRCUIT A B C D E F G tN NAME
3 AD MAIL
S.IrS
CITY X/®. Fel/00"* TEL.NO.
1 AM THE LEGAL POSSESSOR OF THE ABOVE LOSER
ANGES COUNTY CERTIFICATE OF QUALIFICAT.I�,N�-
EIFCiRIGAN.
I AM TN6�,EAAL OWER NoPLTH6 PROPFJZTY DESCRIBED
ABOVE
OWNER.
CORRECTIONS
J
Z
� l7
' - O
NO. OF OUTLETS . EAZ
>a APPROVALS
NO. OF FIXTURES 7� DATE \ INSPECTOR'S NAME
NO. OF MOTORS H.P. CONDUIT /� IN L-
NO. OF SIGNS TRANS. WIRING
./ v \��
NO. OF RANGES OR HEATERS FIXTURES
ISCELLANEOUS POWER
PERMIT FEE UTILITYCO.NOTIFIED �+ 1 CA
TOTAL FE -
FINAL V���� \—
76AGM DBB 6A 11-49 APRLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN I
-�•p�- RECEIVED BY READY CR DATE ISSUED
ADDRESS .�`7 FIRST INSPECTION �� ^�
CITY {� TEL NO. r/ �
COUNTY LICENSE O EXPIRES BUILDING
../�J�.//
PERMIT FEES
FEE ADDRELOCALITY I� L — C
NUMBER OUTLETS EACH
LIGHT SO $ NEAREST
CROSS ST.
RECEPTACLES 5
FIXTURES 5 OWNER ^/Cy/9 1 C/L� AJ i P Q�
WALL SWITCHES 5 AMAIL
DDRESS I eJ / D�/L
EL C. RANGES 25 /� Q
ELEC. HEATERS 25 CITY J0�C— 01 TEL. NO.FO 5-p
MISC.. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF CIRCUITS INSTALLED:
TOTAL / APPLICATION AND STATE THAT THE ABOVE 15 CDRREC
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING.
NUMBER HORSEPOWER FEE I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NEw MVD. HP OVER INC. EACH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
OF THE RESIDENTIAL PROP�RTY DESC 1 D BOVE.
SIGNATURE
2 5 1.00 PERMI
i
164
5 is 1.50 INSPECTION RECORD
15 50 2.50
50 200 5.00
2130 5130 10.00
500 1 1000 15.00 J
OVER 1000 20.00 Z
M.G. SET/FREQ. CHANGER-HP 1;
WELDERS:AC-KVA
GENERATORS - KW O
TRAN8FORMERS - KVA
TEMP. MOTORS 68 or CRIC.) _
MOVED MGTORS (75% or CRIB.)
14180.
SIGNS
TYPE: NO.TRANS-
TYPE: NO. LAMPS AP ROYALS
FOR EACH PERMIT: D TE ./INBPECTOR!B NAME
WIRING $1,pp CONDUIT _J•1
FIXTURES $1.00 WIRING
V r _
SUPPLEMENTARY .50 FIXTURES r
POWER
TOTAL FEE $ ) ��FUTILITY CO.NOTIFIED / �vg�
r FINAL //�� SHVreS�Y-•-/
76A663 OBS SA 3-313 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC �
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRFCIAN RECEI BY READY FOR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY //gyp~ 3 w
COUNTY LICENSE NO. EXPIRES - BUILDING
PERMIT FEES ADDRESS 316-1 0 94C-3 A.ft J2
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS CNEAREST
ROSS ST. 6 CU A
RECEPTACLES Q -
WALL SWITCHES
TOTAL 13UTLETB 5C MAIL ,`J
ELEC. RANGES 85 T71 "
ADDRESS bJ� 1/0 e4
ELEC. HEATERS 25 �O7J�o
CITY J-l� J T-V TEL. No:
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. 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 STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE
ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MvD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED AB VE.
'/2-A LESS S .25 SIGNATURE Or ''
%2 2 .50 PERMITTER •�� -_ ��
2' 5 1.00 INSPECTION RECORD
5 15 1.50
is 50 2.50 w w r d C
50 1 2013 5.00 I/-1 �� _ $r 0
200 son 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 0
M.G. SET/FREQ. CHANGER-HP
WELDER III AC-KVA O
GENERATORS - KW
TRANSFORMERS --KVA
TEMP. MOTORS (75% OF DRIB-)
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. N0.TRANS.
N
APPROVALS
O. NO.LAMPS
FOR EACH PERMIT. DATE INSPECTOR'S NAME
WIRING S1.30 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER l�
TOTAL FEE S� y UTI LITYCO.NOTIFIED
FINAL
1