HomeMy Public PortalAbout5013ALESSANDRO AVE_Electrical (2) �'78A683 CE 606R 1077 APPLICATION FOR ELECTRICAL PERMIT
r
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRE
I
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools $ EACOH25 NO $ FEE CNEAREST
ROSS ST '
1 &2 Family Sq Ft OWNER OR
Multi family Sq Ft 02 — FIRM NAME
Residential Swimming Pools 2500 MAIL
ADDRES
Outlets Rec Light—Sw CITY Tel No
First 20 50 PLAN CH C
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 J 50 CITY Tel No
Additional 30 PERMIT
Total No APPLICAN r
Fixed Appliances Not Over 1 HP ADDRESS OFD
Range—Heater_D W CITY 41 No
Oven —Dryer_ M— LICENSE OR
Top —FAU _G W H REG NUMBER Class
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp — Room Air Cond
250 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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STA E OF CALIFORNIA OR THAT I AM 9-
Up TO 1 Ind 2 50 THE LEGAL OWNER THE ABOVE DESCRIBED IDENTIAL PROPERTY �
Over 1 to 10 Incl 5 00 v
Over 10 to 50 Incl 1250 PERMITTEE W
Over 50 to 100 Inc 25 00 SIGNATURE o
LLI
Over 100
4000 DISTRICT NO PROCESSE CL
Services
0 200 Amp Under 600 V 1250 INSPECTOR S
201 1000 Amp Under 600 V 2500 APPROVALS DATE SIGNATURE
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
Additional Sign Branch Circuits
2 00 WIRING
Mlsc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedulei POWER AUTHORIZED
UTILITY CO NOTIFIED
]FINAL
PERMIT FEE {Sub Totoll NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE $700
TOTAL FEE
PLAN CHECK VALIDATION K M 0 CASH PERMIT VALIDATION CK M O CASH
7 5 2,DEC 2 n 6.50 3
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
i