HomeMy Public PortalAbout4930 ALESSANDRO AVE_Electrical__ 76AG63 CF-806 3 69 _ f
APPLICATION FOR ELECT R CAL ERMIT C
COUNTY O� LOS-ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER 4930 Al imssandrin Avp.
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
cRoss sT Lower Azusa Rd.
NO $ACH $ FEE OWNER John F & Audi ey J . King
RECEIPT � MAIL
Q
LIGHT V TOTAL FIRST 20 20ADDRESS 4930
�y pp
SWITCH 11 29 OVER 20 9 10 90 CITYTem le Cit TEL Nc28 -4l 6
PLAN
TURES
('� 7 CHECK Audrey J . King r
LIGHTING 1 TOTAL FIRST 20 V 20 l 60 APPLICANT
FIX1} V OVER 20 , 10 ADDRESS 4930 Alessandro Ave.
RANGE ORYER WTR HTR CITY TEL N
OV7-4176
STA COOK_DISP F A U CONTRACTOR
SPACE HTR AIR COND 1 ADDRESS
CLOTHES WASH DISHWASH CITY TEL NO
FANZ OTHER 1 00 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
-ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
1 - 10 3 oO CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO a
RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL ROP RTY O
10 - 50 5 00 ' U
SIGNATURE
50 - 100 10.00 OF PERMITTEE
Q
lOO - SOD 1500 DISTRICT NO y GROUP Z � PR D BV
15
S �XJ W
SIGN GAS SIGN AND ONE CIRCUIT 3 00 CL
TUBE OR N
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING f
r
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED t '
PERMIT ISSUING FEE 2 00 '02- UTILITY CO NOTIFIED
FINAL > ('%ls �-
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 '
TOTAL FEE / ® JOS PH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M Q CASH PERMIT VALIDATION CK M Q CASH
5 1 9 6ti w 3 2 D 13 5 ON a
SFE BACK OF APPLICATION FOR COMPL FTF FEF SCHFD111 F J
V