HomeMy Public PortalAbout9052 ACASO DR_Electrical_3/20/1975 768663-CE80610/72 -APPLICATION -FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING-AND SAFETY DIVISION ADDRESS,
LOCALITY
i
�414EAREST
FOR APPLICANT TO,FILL IN CROSS ST ��"�—�
OUTLETS NO EACH FEE OF RM NAME {/rV/ �
NER OR
v���
RECEPT_ f $ 5 AMAIL
DDRESS / O J '.I
LIGHT , TOTAL FIRST 20 25 CITY G i a TEL N
SWITCH OVER 20 10 � ✓���
PLAN CHECK
LIGHTING TOTAL 25
FIRST 20 + APPLICANT
OVER 20ADDRESS
FIXTURES 1U "
RESIDENTIAL APPLIANCES CITY TEL' NO
` PERMIT
RANGE-1DRYER_WTR HTR_ APPLICANT
STA COOK DISP F A U ADDRESS OK 0%7
SPACE HTR AIR+ �COND ) CITY C TEL NO + ,u
CLOTHES WASH DISHWASHZ a CLASS C-Gv
REG N-;E OR
' I
FAN- OTHER 100 1 HEHEBt ACKNOWLEDGE THAN 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 ELf CTRICAL WIRING '
SIZE & TYPE OVER TO ' • I
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 100 I LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER 0 THE tABOVE `J"
1 — 10 300 DESCRIPED RESIDENTIAL P OPERTY O
PERMITEE- ` �/ C V
10 — 50 5001 11 SIGNATURE ✓�T7
O
50 — 100 1000 DISTRICT NO ROC SED BY ~
W
100 — 500 1500 • ^Q cm
SIGN, GASSIGN AND ONE CIRCUIT 500 APPROVALS DATE ' INSPECTO SIGNATURE ,
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS, 100 TEMP POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK t
SERJICEOVER 600VOLTS OR200AMP 1000 ROUGH CONDUIT +
TEMP SERVICE,POLE,&APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
A POWER AUTHORIZED
+
UTILITY CO NOTIFIED
i FINAL
+
PERMIT FEE + UB TOTAL) NOTES d
PLAN CHECK FEE " ^
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION + CK M 0 CASH PERMIT'VALIDATION cK M o cgsH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE f +e