HomeMy Public PortalAbout9658 WORKMAN AVE_Electrical__ COUNTY OF LOS ANGLES APPLICATION FOR PERMIT
• "DEPARTMENT OF COUNTY-ENGIDi=
DIVISION OF BUILDING&SAFErY ELECTRIC 1 -
y W1IM M 1. FOB, COUNTY ENGMM
FOR APPLICANT-TOFILL IN. DISTRICT NO. GROUP ZONE PERMITNO.
ELECTRICIAN. ,t✓ 206 -
ADDRESS /(/. - a CEI ED HY READY FOR DATE ISSUED
CITY
_ C� FIRST INSPECTION
TEL. NO
.LICENSE NO. `l EXPIRES �5" BUILDING
PERIyIIT Fm _ ADDRESS J
FEE
NUMBER EACH' LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST
WALL SWITCHES OWNER
TOTAL OUTLETS' Sc ffi MAIL
BLEC. RANGES 2s- ADDRESS
ELEC. HEATERS '25•
FIXTURES S CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBER OF LIGHT.CIRCUITS �-APPLICATION AND STATE THAT. THE -ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND6sTATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT•I POSSESS,THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY 'LICENSE, OR 1 AM THE LEGAL OWNER
Nmw MvD. HP OvsR INC. EACH OF THE RESIDENTIAL PROPERTY DESCRI ED ABOVE.
e LEBB ffi .25
SIGNATURE OR
V2 2 .50 PERMITTER
2 s 1.06 II�iSPECTION'RECORD
5 is .. 1.50
1s so 2.50
5o 2001 5.00.
200 sob 10.00 J
• .Boo 1000 1B.00 Z
OVER 1000 20.00
M.G. SE'i'/FREQ. CHANGER-HP a
WELDERS• AC-KVA 0
GENERATORS-KW
TRANSFORMERS-KVA
TEMP. MOTORS (75% OF ORIS.)
MOVED MOTORS (75% OF ORIG.)
MIGC.
SIGNS
NO. NO.TRANS.. APPROVALS
NO. NO. LA PS
FOR EACH PERMITt DATE INSPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES ffi 1.00 J WIRING --
SUPPLEMENTARY gp FIXTURES
.:POWER
TOTAL FEE ffi UTILITY CO. NOTIFIED p
-FINAL
76A663 DOB# BA. 4-82 Y
F
76A668-cE806 9-64 "'APPLICATION FOR ELIECTRICAL RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 'g! MfikXMAd
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. KAJvFrWA13
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 $20 $ 6 OWNER J• lFlRRNCAfZb,
LIGHT j MAIL C1 I A �y��
ADD'L .f0 ADDRESS / 6S p WbftJc r Apv•
SWITCH.
�— OVER 20
LIGHTING TOTAL ' FIRST 20 .20 ao CITY C T.EL.NO.
FIXTURES — OV DO
R 20 •10 ELECTRICIAN/4/(S7�N"y 1air. C C.6 -
RANGES CLO.DRYERS WTR.HTRS. 1.00 1 1 ADDRESS 6r M• rdA05j+;U4j5 Gr..
GARB.DISP. STA.COOK
CITY b TEL.NO. �O a
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(Vs H.P.MAX.) .50 LICENSE NO.
MOTORSI OVER NOT OVER H.P. DISTRI T NO. I GROUP NE P ESSED Y
O 1 1.00
1 5 1.50 a INSP CTION RECORD
8 a 2.00 W, nl&4ty a
8 1 s 2.50 V
15 50 5.00
50 100 5.00
• i4'G6'� JNI�' C
SIGNS:
NO.TRANS. _ ./� ra
NO.LAMPS _:Iw ..� �-'�• .eb -0r._.� ca
cac•
SERVICE O.000V-NOT ovER 200A 1.00
SERVICE 0-S0OV-OVER 200 A. 2.00
SERVICE OVER'S00V 5.00
MISC.
PERMIT ISSUING FEE 2.00 Z 6]FINAL SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ + 00
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLYCONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING
1 HEREBY:CERTIFY THAT I AM PROPERLY REGISTERED AND/ORFIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .�
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF; AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTEE
VALIDA JOSEIPH.t. ROOHAN r1
' CK MO CAS SUPERVISING ELECTRICAL ENGINEER
LAC0 3-9 Z TO JU 22 2 D 4.00-
WWRARTMENT Or BUILDING AND i7E FEE �rrLaveaxava� rvx� a iva�a�+s+
COUNTY OF COS ANGELES IELECTRIC
WM. J. FOX CHIEF ENGINEER
NAME // - DlSTRI GROUP SONE PRMIT NO.
U ADDRESS l �. �
E
CITY TEL.NO. t RECEIVED BY READY FOR DA ISSU
�� r FIRST INSPECTION s
COUNTY
CERT.NO. EXPIRES � � L "` ��
APPLICANT FILL IN HEAVILY OUTLINED PORTION OJOB
NLY
DESCRIPTION OF WORK ADDRESS- RA �
NUMBER OF OUTLETS ON CIRCUITS LOCALITY P7Q�
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS JSW. PLUGS Fnfr CROSS ST.
CIRCUr A B IcID E F G H W NAME
3 MAIL
ADDRESSAp
O
CITY TEL.NO.
1 App��Np�THE LEGAL POSSESSOR OF THE ABOVE LOS
AKQKLCS COUNTY CERTIF h OF �ALIFICATION.. I
ELECTRICIAN.
ABOVE'1716 lOOAL OWNER OF'1F16 OF DESCRIBED
//��������++ry� 77��77Q OWNER.
4VJILWI MONS
J
— Q
Z_
O
lz
O
TOTAL
NO. OF OUTLETS ffi A APPROVALS
NO. OF FIXTURES ffi DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT
kNOOPSIGNS TRANS. ffiWIRIN6
RANGES OR HEATERS ffi FIXTURES
LANEOUS ffi WER
FEE ffi .� �-. UT ITYCO.NOTIFIED
FEES -
COUNTY OF LOS ANGELES APPLICATION FOR PE DW
DBPARTNJENT of COUNTY ENG ELECTRIC 1
i. DMSION OF BUILDING &SAFETY
-- w>ZLLAira I. FOS, COUNTY ENG>l�
FOR APPLICANT TO FILL IN DISTRICT NO. GROUPZONE PE/R-MITNO.
ELECTRICIAN, AC .� 9—/
ADDRESS A., EI ED BV� READY FOR DATE ISSUED
FIRST INSPECTION �r
CITY _ TEL. NO =W—
LICENSE NO. L 0 EXPIRE AX BUILDING
PERMIT FEES ADDRESS
NUMBER EACH FEE
.LOCALITY _
LIGHT OUTLETS NEAREST
RECEPTACLES CROSSg
WALL SWITCHES OWNER
TOTAL OUTLETS sc S MAIL
ELEC. RANGES 28 ADDRESS
ELEC. HEATERS 25
FIXTURES s CITY TEL. NO.'
MISC. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
NUMBBR OF LIGHT CIRCUITS �—APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND6'STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE ,VALID LOS
NUMBBR HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEW .MVD. HP OVER IgG. EACH OF THE RESIDENTIAL.PROPERTY DESCRI ED ABOVE.
a LX88 ffi .25 SIGNATURE OF
t/e 8
.50 PERMITT ' -
2 s I.oo INSPECTION RECORD
s 2s . 1.50
15 s0 1 2.50
50 200 5.00
200 Soo 10.00 J
Soo 2000 Is.Do a
OVER i000. 20.00
M.G. SET/FREQ. CHANGER-HP a
WELDERS: AC-KVA O
GENERATORS-KW
TRANSFORMERS-KVA .
TEMP. MOTORS (75% all MCI.)
MOVED MOTORS (7s% or CRIB.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMITS DATE INSPECTOR'S NAME
'WIRING $1.00 CONDUIT
FIXTURES $2.00 WIRING -
SUPPLEMENTARY .SO FIXTURES
iPOWER
TOTAL FEE s �� UTILITY CO. NOTIFIED. A w v
llNAi. !e � �.�lL ✓
76A 662 008# 8A. 4-82 , ` V