HomeMy Public PortalAbout5836 TREE ROSE TER_Electrical__ 75Aee3 CE806 10-7= APPLICATION FOR ELECTRICAL PERMIT
-COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 'pB
BUILDING AND SAFETY DIVISION ADDRESS I'CC ���
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST C
OUTLETS " • OWNER OR
// FIRM NAME I"
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REC EPT FIRST 20 Z Z.j 1 1 ADDRMAI LESS r G ET
LIGHT TOTALHI
OVER 11 CITY //'[ TEL NO 7-
SWITCH 10 PLAN CHECK
LIGHTING1 FIRST 20 n ry APPLICANT
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10
OVER 20 ADDRESS
FI%TURES
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_ORYER_WTR HTR_ APPLICANT
STA COOK_DISP _F A U _ ADDRESS
SPACE HTR AIR GOND CITY TEL NO
CLOTHES W�SN OISNWASH_ LICENSE OR
✓/ REG NUM9ER CLASS
FAN_OTHER 100I nEMERY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
ARD STATE TMA T THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND XfATER$ CTC HP KW RVA ELECTRICAL WIRING
f IZL a TYPE OVER To
1 HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM TMC LEGAL OWNER OF THE ABOVE
1 - 10 900 OCSCRIFE0 RE IDENTIAL FG OPLRTY `- s
10 - 50 500 SIGNATEE
SIGNATURE EC
O
SO - 100 IOAO DISTRICT NO PROCESSED BY
100 - 500 1500 \� 1 1
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVAL$ DATE UmECTDR L SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS IAO TEMP POWER POLE
SERVICENOTOVER BOO VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 10 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 to
TOTAL FEE I c
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
402nD" 10 2 A 9.00Aw
SEE RACK OF APPLICATION FOR COMPLETE SCHEDULE
75AG63-CESOO 4-68 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOB ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENa1N[ER
COLEMAN W. JENKINS. SUPEININT1ENORNT OF BUILDING LOCALITr
F
OR APPLICANT TO FILL IN NEAREST
CROSS ST
NO PAC.
S OWNER
MAIL
TOTAL FIRST 20 20 ADDRESS TX
OVER 20 10 CITU TEL NO
PLAN CHECK
TOTAL FIRST 20 20 APPLICANT
OVER 20 10 ADDRESS
DRYER_WTR HTR _ ITTEL NO
K_DISP _F A U _ CONTRAC FORR _AIR COND ADDRESS WASH _DISHWASH CITY TEL NO
FAN_OTHER 1 00 cw LICENSE NOJQJI�V21— CLASS
MOTORS TRANSFORMERS RATI NO
IND HEATERS ETC HP KW KVA I MEREST ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE 6 TYPEOVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WINING
O 1 1 00
I HEREBY CERTIFY THAT 1 AM PROP' R[SIS T[RW ANDMR
1 10 3 00 LICENSED AS REOUIRED SY LOS AM L C XTY AMD STATE 0E
ALIIORNIA AT 1 A H[ L WN' OP AND INTEND TO
10 a0 S 00 RE'IDE IM H HE,
RE D'NTI PROPERTY
SIGNATURE
SO - 100 10 00 pG PERMITTE U
100 - Soo 15 00
910N c,La DISTRICT G P Z6NX P ED BY CD
TUBE A BION AND ONE CIRCUIT 3 00 /` �j
MARQUEE ADDITIONAL CIRCUITS 1 00 d
NOTES y
2
SOiVICE NOT OVER 600 VOLTS OR 200 AW 2 0
SERVICE OVER 600 VOLTS OR ZOO AMP 5 00
TEMP SERVICE POLE 6 APPURTENANCES 3 00 APPROVALS DATE INSPECTOR 2 SMNATURE
T
EMP
MP POWER POLE
DERSLAB WORK
UGH CONDUIT
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE (SO% PERMIT FEE) PIx TURES
POWER AUTHORIZED
PERMIT ISSUING FEE 200 JLITILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE • OD JOSEPH C ROOHAN
SUPERVISING L ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIO E CK o c,LSN
L&07 4 O 3;S MV25 2 A w� 30.00- S
EE aACK OF APPLICATION FOR COMPLETE FEE SCHEDULE S I`rrW�✓(/
7GA663•CEBOO O-BT APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER goon E33 N
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOt 7
COLEMAN W JENKINS, SUPIRRINTENCIRNTOP BUILDING LOCALITY SannGrabriel
POR APPLICANT TO PILL IN NEAREST
CROSS ST
Hermosa St-
NO EACI
Re 'EPT_ OWNER
MAIL
LIGHT TOTAL FIRST 20 20 ADORE ss5926 Temple City Rlvd
SWITCH OVER 20 10 CITY TEL NO
LIGHTING 1 L FIRST 20 20 O CONTRACTOR
FIXTURES /( OVER 20 10 ADDRESS
RANGE_DRYERLWTR HTR _ CITY TEL NO 444
STA COOK-7-DISP LF A U ' LICENSE NO 163252
SPACE HTR � R CONO I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE AD VE IS CORRECT AND AOR[[ TO COMPLY
CLOTHES WASH DISHWASH / WI TM
ALL COUNTY ORDINANCE! AND STATE LAWS REOULATI KG
/ �A ELECTRICAL WIRING
PAN—OTHER 1 00 / ♦ Po 1 HEREBY C[RTIIY THAT I AM PROPERLY REGISTERED AND/OR
MOTORS TRANSFORMERS RATING LICENSED AS REOUIRLD SY LOB ANO COUNTY AND [TATE 01
CAL
IIORMIA OR TX I TML L 0 O [R OI O INTEND TO
IND HEATERS ETC MP KW KVA R[pIDE IN TM[ OLS IS 0 !IDE L PROPERTY
SIZE 6 TYPE OVER TO SIGNATURE
0 1 1 00 OF PERMITTEE
1 - 10 3 00 DIST I T NO GP NE PR ESSED BY V
10 - SO Soo L K
0
BO - 100 1000 NOTES
100 - 500 IS 00 d
SIGN OAS SIGN ANO ONE CIRCUIT 3 DO
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER SOO VOLTS OR 200 AMP 2 00
SERVICE OVER GOO VOLTS OR ZOO AMP G 00
TEP SERVICE POLE G APPURTENANCES 3 00
APPROVALS DAT[ INSPECTORS SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
ISSUING FEE 200
FIXTURES O-
SUPPLEMENTARY ISSUING FEE 100
POWER AUTHORIZED
PERMIT FEE UTILITY CO NOTIFIED
PLAN CHECK FEE ISO . PERMIT FEE) FINAL —(s
TOTAL PEE / JOSEPH C ROOHAN
SUPERVISING ELEC AL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M o CASH
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IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _i/ e