HomeMy Public PortalAbout6132 AVON AVE_Electrical__ c
76g663 ..�6�,p�72 APPLICAT N ;R�E ECT AL PERMITCOUNTY OF LOS ANGELESDEPARTMENT OF COUNTY ENGINEERJOB ? �1 UQ
BUILDING AND SAFETY DIVISION ADDRESS J !^r
LOCALITY 7-LO� 0G
NEAREST +
FOR APPLICANT TO FILL IN CROSS ST ^�
OUTLETS NO EACH I FEE OWNER OR
$ Is FIRM NAME t
RECEPT_ MAIL
FIRST 20 ADDRESS t
LIGHT TOTAL \ 25 r
SWITCH OVER 20 tp
Cl TY . TEL NO
— PLAN CHECK
LIGHTING ,TOTAL FIRST 20 25 APPLICANT
FIXTURES
OV10
ER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYERWTR HTR_ APPLICANTef!IV
STA COOK DISP F A U ` ADDRESS
SPACE HTR AIR COND CITY ` ' TEL NO 2�
CLOTHES WASH DISHWASH LICENSE OR
REG NUMBER CLASS >�
FAN OTHER 100 1 HEHEBI ACKNOWLEDGE THAT 1 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 & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 1 100 LICENSED AS REOU IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL 0 THE ABOVE r
1 — 10 300 DES CRIfED RESIDENTI PRO ERTY
C�
PERMITEE
10 — 50 500 SIGNATURE
O
50 — 100 1000 1
DISTRICT NO OP�ROCE!�pft BY W100 — 500 li00 � Z_
SIGN GAS SIGN AND ONE CIRCUIT 500
APPROVALS DATE INSPEC76RSSIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300 0 UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ROUGH CONDUIT -
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES l
POWER AUTHORIZED
UTILITY CO NOTIFIED U-"
FINAL
PERMIT FEE (SUB TOTAL) NOTES
r �
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE OO
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M oCASH?
3 9 2 1xAUG 6 2 0 6 0 0 ®yd
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 1
1 r
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DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERDU'!'
COUNTY OF LOS ANGELES r- ELECTRIC T,
NAT 4r
AE,,OF INSTALLAVON DISTRICT No GROUP ltPERMIT No `
wIRINO FIXTURES SERVICE (J 14�
READY FOR RSC[IY[D fly "&_Z,
RANGE MEATCR 4 POWER F 4E•^ ;Nsl ECi+6h
I GIGNS I MISCELLANCOUS
Ai'pl, N t r;t,>tii7R ii"!'!—wtLr UU]LINEL V01 ION ONLY cz�
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ADDRESS LOCALITY
1U- NEAREST /
u CITY TEL No CROSS ST •�
J STATE v�t REON Ho
LICENSE No C NAM[ w 1N
DESCRIPTION OF WORK0
3 ADDRESS
NUMBER OF OUTLETS ON CIRCUIT! D
LOCATION BY ROOMS j CITY TEL Nn
^� LIGHT CUTLEre SW PLUG! Fi:r CORRECTIONS i
CIRCUIT A l B I C I D I E F I G I H
LIVING ROOM I I I 1 11 I
DINING ROOM I I I I I I I I I
GRFST RM
OATH I { I I
ZNT HALL
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OUTSIDE I (�
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CLOSET
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�R•�[CTOR• RAM! ��
♦ I I I I C t
CONDUIT
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WIRING D
TOTAL , FIXTURE!
.v OF OUTLl1fe I t I pr ' p".E�
U
NO OR FIXTURES lipUTILITYCO NOTIFIRO•
Fty AL
-0 CF .ICTO�f N P f
1 AM THE LEGAL OWNER OF TH3 AfoV � QANOtL[f i
No OF SIGN! TRANS 111 COUNTY R[OIfTRA ON NU R �� s
NO OF RANGES OR HEATERS f w aucrRtcuw ..L
-V rsy
��� IdIECttLANr�V• f a' !AM Tug l.[GAL OWItiR OF THI PROP[1tTY OtfCRtfED
ANOV[.
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