HomeMy Public PortalAbout5833 TREE ROSE TER_Electrical__ °D-DrEDB '-M APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPRRINTIEND6NT OP BUILDING LOCALITY // ANEAREST
6/'i e �
FOR APPLICANT TO PILL IN I CROSS ST O S Q/
RECEPT_ OWNER
MAIL
LIGHT_ TOTAL FIRST 20 20 ADDRESS
SWITCH_ OVER 20 10 CITY TEL NO
PLAN CHECK
LIGHTING iTOTAL FIRST 20 20 APPLICANT
FI%TURES /( OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U CO„ITRAC AOR
SPACE HTR —AIR COND _ ADDRESS
CLOTHES WASH _DISHWASH CITY TEL NOS,2!Z 19k
FAN—OTHER 1 00
LICENSE NO _ 7/'2 CLASS
MOTORSOCR3 RATING
SMD HEATERS
TCRB ET!TC XP KW KVA 1 HEREBY ACKNOWLEDGE THE Dp( THAT 1 CORRECT
READ THIS ATO COMPLY
SIZE B TYPE OVER TO
NO STATE THAT THE ABOVE E LAND S AND AGREE TO REGULATING
ELECTRICAL
ALL COUNTY OWDINA NCE/ AND STAT( IJWI NCpD4TINp
O I 1 OD [L[CTN ICAL WIN IND
1 HEREBY CENTIIv THAT I AM PROPERLY REGISTERED AND/OR
I 10 j 00 LICENSED Al REOUDIE0 •Y LOS ANGELES CWMTY AND STATE OI
CALI/ORM11 OR THAT 1 AY TN[ Lf AL OW W[R 0I AND IN
TO Y
rl
ID SD S DD RESIDE IN THE ABOVE DCBCPI[CD RE31DENTIAL PROPERTY Cl.
SIGNATURE w
SO - 100 10 DO OF PERMITTEE G
loo - 600 1s oo DISTRI NO G P N PSpCESSED BY
SIGN GAS TUBE OR SIGN AMD ONE CIRCUIT 300 GG 1!?t
MARQUE! _
[ADDITIONAL CIRCUITS 1 00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 AMP2 00
SERVICE OVER SOO VOLTS OR 200 AMP S 00
ill.P SORVICE PDL! 6 APWRTENAMClS ! 00IROUGH
APPROVALS DAT[ IMSP(CTAb tlpxATMTC
POWER POLE
S7 WORK
CONDUIT
PERMIT FEE (SUB TOTALIESPLAN CHECK FEE (SO% PERMIT FEE) AUTHORIZED
PHRMIT ISSUING FEE 2 00 Y CO NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1 00 -�
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION �9 M O CASH
I lir' 0Z? a E17 3 A �(5J/..p�00- v
iEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE U
TSABSS CEEDS 1-60 APPLICATION FOR ELECTRICAL PERMITS
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ' T
BUILDING AND SAFETY DIVIStO ADDRESS91
1PLIse
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPIINI
RINTDNT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO
RECEPT _ S OWNER
MAIL
LIGHT_ TOTAL FIRST 20 20 ADDRESS
SWITCH_ OVER 20 10 CITY EL NO
PLAN CHECK
LIGHTING iTOTAL FIRST 20 20 APPLICANT
FI%TURES /( OVER20 10 ADDRESS
RANGE_DRYER_WTR HTR _ CITY TEL NO ,
STA COOK_DISP _F A U — CONTRAC iOR
SPACE HTR _AIR COND _ ADDRESS IIS
CLOTHES WASH _DISHWASH CITY TEL NO
FA N_OTHER 1 00 LICENSE NO CLASS O
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA 1 HERESY ACKNOWLEDGE THAT 1 NAV! READ THIS APPLICATION
SIZE B TYPE OVER TOARD STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AMO !TATE IAW[ REGULATING
O 1 100 ELECTRICAL WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED NY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA T TMC DAL R OF • INTEND TO
10 - SO S 00 RESIDE M::(GRT OV! D[ IIS R ID[MT PROPLIITY O
SO - 100 1000 SIGNATURE V
OF PERMITT DE
100 - 500 IS 00 0
SIGN DAB DIST ICT Np UP NE P ESSED BY
TUBE OR BION AND ONE CIRCUIT 300 CJ 6
MARQUEE ADOI TIONAL CIRCUITS 1 00 NOTES Z
SERVICE NOT OVER BOO VOLTS OR 200 AAS 12 00
SERVICE OVER BOO VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE B APPURTENANCES 3 00 IO APPROVALS DAT[ INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
%TURES
PLAN CHECK FEE 150% PERMIT FEET
nnIFFINAL
WER AUTHORIZED
PERMIT ISSUING FEE 2 00 12- ILITY CONOTI FI ED
SUPPLEMENTARY PERMIT ISSUING FEE 100 hK
TOTAL FEE p/, JOSEPH C ROOHAN
SUPERVISING ELECT AL ENGINEER
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M 0 CASH
X 5 7 9 2.4 MI6 7 2 A 5.00-
/<
iCE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE Oe D _ /
76AS63-CEI06 S-ST APPLICATION FOR ELECTRICAL PERMIT/61'q
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Terrace
JOHN A LAMBIE. COUNTY ENOIN[ER Lot 3
COLEMAN JENKINS, SUPRRINT[NORNT Or SUILOINO LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST Hermosa St.
No �Arl
FEEPT'V� 5 OWNER Qlf }'� IIStr11C t1 on Co.
J•� TOTAL FIRST 20 20 ADDRESS
Iti� L
� OVER20 10 CIT TEL NO 2ING TOTI,} FIRST 20 20 CONTRACTOR
FI%TURES OVER 20 10 ADDRESS C St
RANGE_D//R��YE WTR HTR — CITY I TEL NO
STA COOKILDISP LF A U L LICENSE NO
SPACE HTR�A OR COND I HERESY ACKNOWLEDa TI T I HAVE READ THIS APPLICATION
/
AND [TAT! THAT THE ASOVL IS CORRECT AND ACRE! TO COMPLY
CLOTHES WASH ISHWASHL NITN ALL COUNTY ORDINANCES AND STATE LAMS R[GULATIM[
ELECTRICAL WININt
FAN—OTHER I DO I N[R[SY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REOUIR[D LY LOS ANGELES COUNTY AND STATE OF
MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IND HEATERS ETC HP KW KVA RESIDE IN. THE ABOVE D[ RILED SIOENTIAL • OP TY
SIZE A TYPE OVER TO SIGNATURE
0 1 1 00 OF PERMITTE
O
1 - 10 3 OD DISTRICT O G P NE P CESS D BY V
10 - SO 500 K
O
SO - 100 1000 NOTES
100 - 500 15 00 D-
TION GAS gIGN AND ONE CIRCUIT 3 00
TUT! OR
IMAGO ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER eW VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP T 00
TEMP SERVICE POLE h APPURT1 N 14ClB 3 00
•PPROVA Lt DAT[ INfPECTORb SIGNATURE
TEMP POWER POLE
UNDERSLAR WORK
ROUGH CONDUIT
ISSUING FEE Z 00 WIRING
FIXTURES - iG j
SUPPLEMENTARY ISSUING FEE I 1 001 POWER AUTHORIZED
PERMIT FEE UTILITY CO NOTIFIED ` L
PLAN CHECK FEE (TO% PERMIT FEE) FINAL ���,�.J• I I
TOTAL FEE d JOSEPH C ROOHAN
SUPERVISING ELEC AL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o CATH
X6277.8 UP 5 2 A 25.60 a
IEE SACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 964