HomeMy Public PortalAbout5715 OAK AVE_Electrical_3/20/1967_Y6M63-'al66 9-66 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 1 I
JOHN A. LAMBIE. COUNTY ENGINEER //,�--
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 7 7
NEAREST / U /_ /�� n H' ./
FOR APPLICANT TO FILL IN _, CROSS 5T. q / (/
RECEPT.TOTAL 1
O. I
EACH I
F
_
OUTLETS
1$.20
$
LIGHT / FIRST 20
� 11.1 l
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GA v 1
6
ADD'L �_
SUPERVISING ELECTRICAL ENGINEER
SWITCH OVER 20
.,O
.20
TOTAL FIRST 20
LIGHTING FIXTURES
FIXTURES
OVERADD'L
20
10
1.00
RANGES DRYERS WTR. HTRS.
GARB. DISP. STA. COON
OISNWASH. AUTO. -WASH.
SPACE HTRS. STA. APPL.
.50
1.00
MOTORS. OVER NOT OVER N.P.
O 1
1 3
1.50
3 8
2.00
S , 8
2.50
15 50
3.00
50 100
5.00
SIGNS: NO. TRANS
NO. LAMPS
SERVICE 0 -600V -NOT 200A
11.00
/
�0
SERVICE 0.600V.OVER 200 A.
2.001
1
SERVICE OVER 6OOV
5.001
OTHER .SEE COMPLETE FEE SCHEDULE)
_
PERMIT ISSUING FEE
I
12.00
-A
loo
SUPPLEMENTARY PERISSUING FEE
11.00
TOTAL FEE
$
8O
IHEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AN
STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
_OWNER AD, � 7-A/
MAIL S/y
ADDRESS - / J /�l✓,
CITY?/= "RAID //C / TEL. NO./
CONTRAC/JTOI�//n ,F�/=/Zy/' (�%�ST'.f-/` ` • -
ADDRESS 9� IF//'T/z/!)r/��/�� W/� 7
CITY/ G'/=Sr (rG �!//w/W TEL. NO.i,/I�7✓%O
LICENSE NO. Cl T
DISTRICT NO. G
.1 UE//yI ZO E P
; 1" I� r LAJ"i
/_ INSPECTIONRECORD j) )
APPROVALS
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OltFIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF
CALIFORNIA OR
T I AM THE LEGAL OWNER OF. AND INTEND TO POWER
RESIDE IN. THE A V ESCRIB O gELS..ENTIA fl0 E T
61GNATURE N / �/� UTILITY CO. NOTIFIED
OF PERM ITT i��lll
FINAL
IDATION
CK MO GASH
LA'60 7 6 8 0 MAR 2 0
DATE INSPECTOR'S SIGNATUM
N LO�!
V/✓T �✓
C7TIIL
//_rt_�r•�'
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JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
2 D 4.8 0- q
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