HomeMy Public PortalAbout4927 ARDSLEY DR_Electrical__ 76A663t:.E806 12-65 APP CAU ON FOR ELECUL PuL ep, v
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILIIING AI`4D SAFETY DIVISION ADDRESS LF
JOHN A. LAMBIE,.COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING, LOCALITY
- NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
REC EPT,} TOTAL NO. EACH FEE -
. 1I OUTLETS FIRST 20 � $.20 $ MA NER
SWITCH ADD'L I 10 ADDRESS
OVER 20
TOTAL FIRST 20I ® .20 CITY TEL. NO.
LIGHTING 1 FIXTURES
FIXTURES 1 CONTRACTOR
•D
OVVERERADD20 .10 2
RANGES PRYERS WTR:.NToS. 1.00 ADDRESS
GARB.DISP. STA-QOOK
CITY TEL. NO.
DISHWASH. ALTO,-WASH. STATE
SPACE HTRS. STA. ADPL. .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT NO. Gl�"P ZONE PROCESSED BY
O 1. 1.00 v 6 -L }
1 s 1.50 INSPECTION RECORD o_
O
3 8 2.00 V
8 15 2.50 Q
H
15 50 3.00 W
a
50 100 - 5.00 N
Z
SIGNS: NO.TRANS _
NO.LAMPS
SERVICE 0.600V-NOT OVER 200A / 1.00
SERVICE 0.60OV-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 lzi APPROVALS DATE INSPECTOR'S SIGNATURE
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ^/ �,-{� _
ELECTRICAL WIRING. WIRING / llz-7
1 HEREBY CERTIFY THAT I AM PROPERLY R ISTERED NO/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGE ESC TY AND TE OF
CALIFORNIA OR THAT T LEGAL WN F,AN I NO TO POWER
RESIDE IN,THE ABOV ESC BED RE ENT PR R
' gCCy a
SIGNATURE 11TILITYCO.NOTIFIED f/�T/�.6 j
OF PERMITTEE11
FINAL
oc,
IDATION JOSEPH C. ROOHANMO CASHSUPERVISING ELECTRICAL ENGINEER
'
L.iCO3j1 7 9 JUN30 .2 D 1 3.30