HomeMy Public PortalAbout9030 ACASO DR_Electrical_9/10/1970_outlets and fixtures 76A663-CE806 3-69
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
fILDING
JOHN A LAMBIE, COUNTY ENGINEER DRESS 90 0 Acaso
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDINGCALITYTemple Cmty
FOR APPLICANT TO FILL IN AREST
OSS ST
NO EACH FEE
$ $ OWNER Stolz
RECEIPT MAIL
LIGHT TOTAL
FIRST 20 20 ADDRESS
CITY TEL NO
SWITCH OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 20APPLICANT
FIXTURES } OVER 20 1 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR Adeermatt Electric
SPACE HTR AIR COND ADDRESS BOX 401
CLOTHES WASH _DISHWASH CITY Glendora TEL NO
FAN_OTHER 1 00 '5� LICENSE NO 255126 CLASS _1
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
' O - 1 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO 9L
RESIDE IN THE ABOVE DESC BED RESIDENTIAL PROPERTY O
10 - 50 1500 U
SIGNATURE oc
50 - 100 10A0 OF PERMITTEE 0
H
100 - S00 1500 DISTRICT NO GROUP ZONE +C' �y PROCESSED B W
SIGN,GAS SIGN AND ONE CIRCUIT 3 00A �r H
TUBE, OR `s' " - Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, 81 APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 a (!) UTILITY CO NOTIFIED ,
SUPPLEMENTARY PERMIT ISSUING FEE 1 00
FINAL 7/71
TOTAL FEE JOS PH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH -- PERMIT VALIDATION M o CASH
l 4XII 6,6 6 6�� SEP 10 2 D 4.4 0 N V
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE _