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I6A6JVCE806 8-62 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER 7F/�9P[E
WILLIAM A.JENSEN,SUP'T OF SUILbING LdCALITY
NEAREST
FOR APPLICANT TO FILL IN CR068 ST. FAI S
RECEPT. TOTAL. N . EACH FEE
OUT Ts FIRST 20 $20 $ OWNER —
LIGHT
3 MAIL
SWITCH. �.
=[-OVER
ADDIL
OVER 20 .10
LIGHTING FIRST 2O �CITY F C—JT TEL.NO.FIXTURES ELECTRICIAN
2L .1OO.
RANGES CLO.DRYERS NRR.HTRS. 1.00 ADDRESS
GARB.DISP. STA.COOK
- CITY TEL.NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Va H.P.MAX.) .50' LICENSE NO. '
MOTORS: OVER NOT'OVER H.P: DISTRICT NO. GR P O E P E
O 1 1.00 lJ_•
to
1 s 1.50 ,1 INSPECTION RECORD
S 5 2.00 ely
1
S 1 S 2.50
15 50 3.00
so too 5.00
NO.TRANS.
NO.LAMPS }OC
SIGNS:
SERVICE O-SOOV-NOT OVER 200A 1.00 b
W
SERVICE 0-600V-OVER 200 A. 2.00- D'
N
SERVICE OVER 600V 5.00 ?
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE 8
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INBPECTOR'B SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT '
WITH ALL-COUNTY ORDINANCES AND STATE LAWS REGULATING _
ELECTRICAL WIRING. WIRING _
1 /IEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOB ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THB LEGAL OW ER OF THE ABOVE
DESCRIBED RESIDENT L PROPERTY. (�� POWER' f
SI PERMI TEE �'�� y UTILITY CO.NOTIFIED 1 I
FINALl �y
VALIDAT� ARTHUR C:VEIT+ '
CK MO CAS SUPERVISING ELECTRICAL ENGINEER
(_( .c 7 3 .3 8 v JUL h 2 2 D 4' 0
76A663-CE8068-89 APPLICATION FOR ELECTRICAIL RMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING 9'�a �(!cb E woo-D
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY""&P9P( C iT
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. FS /� 0
NO. EACH FEE
$ $ OWNER V/NC.e/N7- � 171SHe
RECEIPT._ MAIL
LIGHT TOTAL FIRST 20 ,20 ADDRESS
SWITCH OVER 20 ,70 CITY p r- TEL.NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U.
CONTRACTOR WfJe(~/(,T k� JZ fSojf EQ
SPACE HTR. AIR COND. ADDRESS 9 G,/e4D4CE CVQd.D
CLOTHES WASH._DISHWASH. CITY Ptit� C-9-rX TEL.NO. ���
FAN_OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING 1 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 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I — 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO C
RESIDE IN, THE ABOVE DESCRIBED/RESIDE "LPROPERTY.NC
10 - 50 15.00 1
�Ly
SIGNATURE pd
50 - 100 10A0 OF PERMITTEE c
H
100 - 500 15.00 DISTRICT NO. GRO ZONE P OC LL
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 v r
tfl !
MARQUEE [ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 Q / .7,:7 Pb r . E11If] it r•t�l/JI
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 s .-
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED 4
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. ASH
00~SE1 R��6 4 1 6t:--' JUL23 2 D 4.00-
SEE
E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
7SASS3 1388 SA 7-s, APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND'SAFETY
COUNTY OF LOS ANGELES ELECTRIC i
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL DISTR NO. GROUP I ZONE PERMIT NO.
ELECTRICIAN II
REPEIVED BY READY FOR DATE ISSUED
ADDRESS ��� G FIRST INSPECTION
TEL
CITY TEL NO.
COUNTY LICENSE NO. EXPIRES BUILDING //f"p J_ !'
PERMIT FEES ADDRESS rTcff--! �(f��, FJ�Cy9 [� VV
N14MBER EACH FEE LOCALITY I L�/'9 PL't, +
LIGHT OUTLETS NEAREST. �. `. FyJ / Ia
RECEPTACLES DROSS ) ry� {�
WALL SWITCHES OWNER I F)J R �k
TOTAL OUTLETS 513 11 MAIL /l y !� lA� d ?�
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 2S C r
FIXTURES �� 5 � CITY / , 4 TEL NO. J� 63, d �I
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
M19C. q .APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS / �(� '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 HORSEPOWERFEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEW MVD. HP OVER 11413. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
I/2 6 LESS $ .25 SIGNATURE Or /w
1/2 2 .50 PERMITTEE.S %� tr'!�` ✓t�'- t'1
2 B 1.00 INSPECTION RECORD
5 15 1 1.50
15 50 2.50
50 200 5.00
200 500 10.00 J
500 1000' 115.00 Q
Z
OVER 1000 20.00
M.G. SET/FREQ. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - ICVA
TEMP. MOTORS (75% OF ORIS-)
MOVED MOTORS (75% of ORIS.) _
M19C.
SIGNS
NO. _ NO.TRANS.
NO. 140.LAMPS APPROVALS
FOR EACH PERMITS DAPfE INSPECTOR'S NAME
WIRING $1.00 CONDUIT /
FIXTURES $1.00• WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE UTILITY CO.NOTIFIED
FINAL /��! l.w.,. .. 1 )71J Z
V I '