HomeMy Public PortalAbout5339 ALESSANDRO AVE_Electrical__ 76A663 CE806 0,74 APPLICATION FOR ELECTRICAL PERMITI
COUNTY OF'LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER Joe
BUILDING AND SAFETY DIVISION ADDRESS eQ,jjIIfs'c /-d V
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OF RM NAME y�RQ• f�
RECEPT 1 $ $ MAIL
LIGHT TOTAL FIRST 20 O ADDRESS
PLAN CHECKCITY C_ TEL NO
SWITCH OVER 20 ,�
FIRST 20 APPLICANT
LIGHTING TOTAL 70
FIXTURES
} OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT C1r kr+A/ �t l
STA COOK DISP F ArfJ ADDRESS �' S la&I y
SPACE HTR AIR COND`� CITY TEL NO
CLOTHES WASH DISHWASH S O REG NUMBER ,�/ �� CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS, ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYFE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED A9 REDU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGA WNER OF THE ABOVE pr„
1 - 10 900 OE9CRIPED RESIDE N P PERTY p
U
PERMITEE
10 - 50 5001 SIGNATURE O
H-
50 — 100 1000 C.>
DISTRICT NO PROCES u
ED BY L
�_
100 — 500 1500 �� (J +.a-.�c�l z
SIGN GAS =SIGN ONE CIRCUIT 500 APPROVALS DATE INSPECTOR S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP / 300 Sam& UNDERSLAB WORK
SERVICEOVER600VOLTS 0R200AMP 1000 ROUGH CONDUIT
TEMP SERVICE POLE &APPURTENANCES 500 WIRING ON�,_ h.
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
' POWER AUTHORIZED
UTILITY CO NOTIFIED,
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 t1
TOTAL FEE -7,s---
PLAN
7SPLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M 0 CASH
1 5 2 rf B 11 2 2 1.7f &'33
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE U
I I