HomeMy Public PortalAbout5002ALESSANDRO AVE_Electrical (2) 7rA663 CE806y468 APPLICATION FOR ELECTRIC"LPMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER �JC
BUILDING AND SAFETY DIVISION BUILDING
J014N A LAMBIE COUNTY ENGINEER ADDRESS
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
RECEPT �
S $ OWNER JO `AQ�o/ K�✓/° /
MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS o, 19C�`,S w O �idG
SWITCH_ OVER 20 10 CITY Cilli TEL NO 4T
PLAN CHECK
LIGHTING �TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER—WTR HTR CITY TEL NO
STA COOK_DISP F A U COr,TRAC rOR
SPACE HTR AIR COND
ADDRESS
CLOTHES WASH —DISHWASH CITY TELJC
FAN—OTHER 1 00 o LICENSE NO S
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THATII HAVIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND WS REGULATINGELECTRICAL WIRING t0 — 1 1 00IHEREBY CERTIFY THAT I AM PROPISTERED AND/OR1 — 10 3 00 LICENSED ASREQUIRED BY LOS ANGELAND STATE OFCALIFORNIA OR THAT I AM THE LEGAL OAND INTEND TO10 — 50 5 00 RESIDE IN THE ABOVE DES AIPED TIAL PROP
50 - 100 10 00 SIGNATURE a
OF PERMITTEE C)
U
too - 500 15 00 DISTRICT O GROUP Z NE PROCESS E BY o
TUBE GOR SIGN AND ONE CIRCUIT 3 00 U
MARQUEE ADDITIONAL CIRCUITS 1 00
NOTES
Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP / 2 00
c
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
PLAN CHECK FEE (5011 PERMIT FEE) FIXTURES
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 !O UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEEL 00 FINAL 3 �
TOTAL FEE '� JOS PH C fZ00HAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION (� M o CASH
fA4 0s14<o &I 4 2 Q 540
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE