HomeMy Public PortalAbout10912 WILDFLOWER RD_Electrical__ 76166'i-'c E0- 11/70 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
r�COLEMAN W. JENKINS. SUPERINTENDENT.OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
7RECEP;T.T/
TS NO, EACH FEE
OWNER
S SMAIL TOT LFIRST 20 25 ADDRESSOVER 20 CITY/` C TEL.
SWITC •10. PLAN CHECK
FIRST 20 .25 APPLICANT
; LIGHTING TOTAL J
OVER 20 ADDRESS
FIXTURES � •10
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT .�-1
ST,A. COOK DISP. F.A.U. ADDRESS Q /'J
SPACE HTR. AIR COND. CITY C , TEL. NO.y7 -.V-CJ/
CLOTHES WASH. DISHWASH. LICENSE k0,j/,_7p/- 2 CLASS.G' IP
FAN OTHER 1.00I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY OYiDINANCES 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, AND INTEND TO },
1 — 1O 9,00 RESIDE IN, THE ABOVE DESC�R ABED REBID NTIAAL ROPE T CL
SIGNATURE d/�L.a"_aIs/ OV
GG
10 - 50 5.00 OF PERMITTEE cd
50 - 100 10.00 0
DISTRICTNO. JCLASd ZOPRO S Y
l1
100 - 500 15.00 P w
N
_ o.
SIGN, GAS=SIGN ONE CIRCUIT 5.00 NOTES: N
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600VOLTS OR200AMP3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600 VOLTS OR200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRIN �?Lr
FIXTURES
POWER AUTHORI7ED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE 44
FINAL
PERMIT ISSUING FEE 3.00 JOS C. ROOHAN .SIN
TOTAL FEE SUPE G ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VA CK. M.O. CASH
6392;9 2 2 D ' 8.25- V
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE .. —
� W
r3A3e 303.3 , APPLICATION FOR ELECTRIC PERMIT: 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUMDING AND SAFETY DIVISION ADDRESS
JOHN A.LAMBIE,COUNTY ENGINEER F IF
CASSATT D.GRIFFIN,SUPT OF BUILDING: LOCALITY
NEAREST
FOR APPLICANT T TTOS�FILL IN CROSS ST. -
OWNER
LIGHTS RECEPTACLES SWITCHES
NU ITEM EACH F MAIL
ADDRESS772
TOTAL OUTLETS $ .10 Q
ELEC. RANGES. WATER HEATERS, CITY 'TEL.NO.
CLOTHES DRYERS .50
ELEC.SPACE HEATERS. STAT-Y. COOK-
ING UNITS. GARBAGE DISPOSERS, ?/� ADDRESS
AUTO WASHERS, DISHWASHER .2v
LIGHTING FIXTURES .I0 CITY EL NO
MOTORS STATE
LICENSE NO.
HORSEPOWER ISTRICT N GR
N.PJ OVER INC. P O 'N READY FOR INSPECTION
yla&LESS .25
- 2 .50 INSPECTION RECORD
z 5 1.00
5 15 1.50
15 So 2.50
50 200 5.00
MISC.
SIGN91 I NO.TRANS
NO.LAMPS
SERVICE O-SOOV 1.00 r�
SERVICE OVER SOOV 5.00
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00 T
SUPPLEMENTARY PERMIT .SO APPROVALS
TOTALFEE S DATE 1NSPECTQR'S SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A LI TION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR _ FIXTURES
LICENSED AS REQUIRED&MTHI
ANGELES COUN AND TE OF
CALIFORNIA OR THAT LEGA OWNS OF ABOVE POWER.DESCRIBED RESIDENTIALY. _ -
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE FINAL
IOHN A.LAMBIE. `�LMATION ARTHUR C.VEIT.
.OUNTY ENGINEER / o., NO CASH SUPERVISING ELECTRICAL ENGINEER
3 9 4 4 NOV 1 2 9.1 5 �