HomeMy Public PortalAbout4902ALESSANDRO AVE_Electrical (4) 76A663 CE6G5 3 69 41
APPLICATI N F R E ECT CAL PERMLrYf
COUNTYIOF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING D� ,y���
BUILDING AND SAFETY DIVISION ADDRESS G,sy
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCAL
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NO EACH FEE
$ $ OWNER
RECEIPT MAIL
ADDRE
LIGHT TOTAL FIRST 20 20
SWITCH OVER 20 10 TEL NQ
PLA CHEC
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES } OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL fJ0
STA COOK DISP F A U e
SPACE HTR AIR COND ADDRESS
CLOTHES WASH _DISHWASH CITY f TEL N
FAN OTHER 1 00 LICENSE NO CLASS
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
0 - 1 1 OO 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
I
1 - 10 3 00 CALFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO a-
RESDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
10 — 50 5 00 V
SIGNATURE p�
50 - 100 10A0 OF PERMITTEE Q
F_
100 - SOO 1500 DISTRICT No GROU Z OC '�V W
SIGN GAS SIGN AND ONE CIRCUIT 3 00 • N
TUBE OR Z
MAR UEE ADDITIONAL CIRCUITS 1 00 NOTES
NO VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS 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 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 (l FINAL
TOTAL FEEJOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION <oK M o CASH
1 Arr, 6 7 9 89 SEP 16 2 D 7 Q 0 ' v
1
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE