HomeMy Public PortalAbout4815ALESSANDRO AVE_Electrical (3) `76A663 CE 60 9/76 APPLICATION FOR ELECTRICAL P MIT
COUNTY OF LOS ANGELES i
DEPARTMENT OF COUNTY ENGINEER JOB / Q
BUILDING AND SAFETY DIVISION ADDRESS
62
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE CROSS ST
1 &2 Family Sq Ft $ 025 — $ OWNER OR
Multi family Sq Ft 02 — FIRM NAME j
1,-14
!�
Residential Swimming Pools 2000 MAIL
~ ADDRESS
Outlets RecLight,�__Sj. CITY Tel No +
First 20 �l PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
1
Lighting Fixtures First 20 Q CITY Tel No
Additional 30 PERMIT
Total No APPLICANT L3
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D W CITY Pj 0 Tel No
Oven _Dryer_W M_ LICENSE OR
Top —FAU —W H REG NUMBER ClassG—
Hood—Fan _Other I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp _ Room Air Cond THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances /
Size&Type HP KW KVA or KVAR i 1 HEREBY CERTIFY THAT I AM PROPERLY R ISTERED AND/ LICENSED AS
REQUIRED BY LOS aANGELESCOAND STAT OFCALIFORNI OR THAT I AM
Up to 1 InC 200THE LEGAL OWNERSCRIBED IDENTIAL PRO RTY
Over 1 to 10 Incl 500
Over 10 to 50 Incl 1000 PERMITTEE C
Over 50 to 100 Inc 2000 SIGNAT161- U
IQ mmmj 30 00 oC
Over 100 DISTRIC N f� R C BY 0
Services 06
bd
0 200 Amp Under 600V APPROVALS DATE INSPECSIGNATOR S URE N
201 1000 Amp Under 600 V 25 00 ?
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
Temp Power Pole&Appurtenarces
1000 UNDERSLAB WORK
Sign with One Branch Circuit 1000
ROUGH CONDUIT
200 WIRING
Additional Sign Branch Circuits
Mlsc Conduits&Conductors 1500 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO NOTIFIED _-7
t
FINAL Z3��
PERMIT FEE (Sub Total) 01 NOTES
PLAN CHECKING FEE (One Fourth Permit Fee)
PERMIT ISSUING FEE9�
TOTAL FEE V�
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
00 2r'-- IN 14 2 �
J
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ®S
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