HomeMy Public PortalAbout4941ALESSANDRO AVE_Electrical (3) 76k¢63?CEB06 1/70AL PERMITu
APPLICATION FOR ELECTRIC
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
DING
BUILDING AND SAFETY DIVISION ESS /jL
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LITY �� A
FOR APPLICANT TO FILL IN S ST
OUTLETS NO EACH FEE
OWNER u7 Q f
$ $
RECEPT 'Q FIRST 20 I 20 ADDRESS �� Y �!V A C`r
LIGHT //� TONAL
SWITCH d OVER 20 10 CITY ��� ?� TEL NO , 75s3
PLAN CHECK
LIGHTING TOTAL FIRST 20 1 20 D APPLICANT
FIXTURES 10
J} OVER 20 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING W IT ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
1 - 10 300 RESIDE IN THE ABOVE DESCRIFED RESIDENTIAL PROPERTY
10 — 50 500 SIGNATURE /✓ O
OF PERMITTEE C. V
50 — 100 1000 CC
DISTRICT NO CLASS 4110CSSED BY O
100 — 500 1500 Q /
W
SIGN GAS SIGN AND ONE CIRCUIT 300 NOTES :2 db7Ar 2
TUBE OR N
MARQUEE ADDITIONAL CIRCUITS 100 'tf
L
SERVICENOTOVER600VOLTS OR200AMP 200 /� 06
APPROVALS DATE INSPECTOR S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 500
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONMUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (507 PERMIT FEE)
UTILITY CO NOTIFIED
PERMIT ISSUING FEE 200 �0
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL
JOSEPH C ROOHAN
TOTAL FEE i ZQSUPERVISING ELECTRICAL ENGINEEP
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M 0 CASH
7 6 9 2C fi, i18 2 D 620- a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE