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Home My Public Portal About4820 BALDWIN AVE_Electrical__ (2) 76A663 CE606 ;0,74 APPLICATION FOR ELECTRICAL PERMIT J COUNTY OF LOS ANGELES DEPARTMENT AND SAFETY DIVISION ER JOB BADDRESS -1 pal D a jtc.l-t+�J A © rT rG LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST _!✓fJ OUTLETS NO EACH FEE OWNER OR $ $ FIRM NAME 1.40, co RECEPT 3 S MAIL LIGHT T TAL FIRST 20 / rb ADDRESS CITY SWITCHL (Oil OVER 20 l - I 6,30 PLAN CHECK TEL NO LIGHTING l TOTAL FIRST 20 q Selb() APPLICANT I )L/ FIXTURES OVER 20 10 ADDRESS / / RESIDENTIAL APPLIANCES CITY TEL NO ` PERMIT RANGE DRYER_WTR HTR_ APPLICANT c" STA COOK DISP Al—F A U L ADDRESS �j C�Li (y✓.J2 SPACE HTR AIR COND CITY TEL NO CLOTHES WASH /DISHWASH REG NN UMBER J� CLASS FAN " OTHER C 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE 19 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 & TYPE OVER TO IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 - 1 100 LICENSED AS REQUIRED BY L09 ANGELES COUNTY AND STATE OF CALIFORNIA OR THAII AM THE LEGAL OWNER OF THE ABOVE d 1 - 1D 300 DESCRIBED RESIDENTIAL PROPERTY O U 10 - 50 5001 PERMITEE SIGNATURE o 1- 50 - 100 1000 Lu DISTRICT NO ESS BY CL 100 - 500 1500 {�0 Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP w UNDERSLAB WORK SERVICEOVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES �, ol POWER AUTHORIZED UTILITY CO NOTIFIED FINAL 77 PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE .3.00 �O TOTAL FEE 4139, f PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M O CASH 0 6 8 EMAR S i 3 7.9 0 Ag- SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663C- CES06B 12,76 APPLICATION FOR ELECTRICAL PERMIT BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN nn New Residential Bldgs & Pools EACH NO FEE ADDRESS 0 1 &2 Finaily Sq Ft $ — $ LOCALITY Multi family Sq Ft — NEAREST CROSS ST Residential IS, Pools OWNER O FIRM NAM Outlets Light Switch& Receptacle MAI L �1 First 20 ADDRESS J IS !LG Additional CITY Tel No �f PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tel No " PERMIT Fixed Appliances Not Over 1 HP APPLICANT Range Heater_ D W ADDRESS Oven Dryer W M Top FAU W H CITY Tel No .]� a Hood Fan LICENSE OR Disp A C Class y� U REG NUMBER Ci Z� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION O AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING V Size&Type HP KW KVA or KVAR ELECTRICAL WIRING uJ c� Up to 1 Incl I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED RE L PROPERTY Over 50 to 100 Incl PERMITS e Over 100 SIGNATUR �y DISTRICT NO GESS D"BY Services 0 200 Amp Under 600 V V 201 1000 Amp Under 600 V APPROVALS D E INSPECTOR S Over 1000 Amp or Over 600 V SIGNATURE TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) W I R I NG FIXTURES POWER AUTHORIZED PERMIT FEE (Sub Total) sD UTILITYCO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Feel FINAL PERMIT ISSUING FEE L4 �j NOTES TOTAL FEE I-�%O v PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK MID CASH 689nrL 16 2 D i IVU -3 r.