HomeMy Public PortalAbout4929ALESSANDRO AVE_Electrical (7) 76A663 CE806 9 67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING cG
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALI 7Vati_ �J
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
$ $ OWNE
RECEPT J
LIGHT TOTAL FIRST 20 20 4 dp ADDRES / �c
SWITCH OVER 20 2 10 %1 CI YG EL NO
LIGHTING TOTAL FIRST 20 20 CONTRACTOR ✓ �.✓
FIXTURES � I OVER 20 10 ADDRESS
RANGE—DRYER—WTR HTR — CITY L NO
STA COOK_DISP _F A U _ LICENSE NO
SPACE HTR AIR COND IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH -DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FAN-OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IND HEATERS ETC HP KW KVA RESIDE IN THE ABOVE DESCRIBED -5E51DENTIAL PROPERTY
1�
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1 00 TNOTES
RMITTEE1 — 10 3 00 RICT NO GROUP ZONE PRO SSED BY Ou10 - 50 5 0050 - 100 10 00 G
W
100 - 500 15 00SIGN
D-
Vf
TUBE OR SIGN AND ONE CIRCUIT 3 00
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 QV
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 �� �M D1�/"l�ifYQJ��N�IeI �3�CH`�O ri.
APPROVALS DATE INSPECTORS SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT n
LD�
ISSUING FEE 2 00 WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED
PERMIT FEE U IEDo2
PLAN CHECK FEE (507 PERMIT FEE) FINAL /- 30
TOTAL FEE &O JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
DE0 2 7 5 2-0 d9 2 3 2 D 960- Q
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
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