HomeMy Public PortalAbout5019ALESSANDRO AVE_Electrical (3) y TEMPLE CITY
76A663 CES05 468 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BULDING
f�
BOILDING AND SAFETY DIVISION ADIDRESS 5019 Alessandro
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY Temple Cit
NEAREST D
FOR APPLICANT TO FILL IN CROSS ST La Rosa
NO $AC FEE
$ OWNER Mary Dierlam
RECEPT _ MAIL
LIGHT TOTAL FIRST 20 320 60 ADDRESS as job
SWITCH_ 3 OVER 20 10 CITY TEL NO
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 _ COIJTRAC FOR Cobine Electric Co.
SPACE HTR AIR COND ADDRESS 160Chestnut St.
CLOTHES WASH —DISHWASH _ CITY Alhambra TEL NO 282-0315
FAN—OTHER 1 00 LICENSE 1d0 CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 / LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
10 - 50 5 00 RESIDE IN THE ABOVE DEICR PED ,REJIDENTIAL PROPERTY
SIGNATURE C�^/��" l/ CL
50 - 100 1000 OF PERMITTEE L O
U
100 - 500 15 00 1 =
DI ICT N G P Z P D p
SIGN GAS SIGN AND ONE CIRCUIT 3 00 0 ~
TUBE OR tV
MARQUEE ADDITIONAL CIRCUITS 1 00NOTES N
Z
SERVICE NOT OVER 600 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
PERMIT FEE (SUB TOTAL) L WIRING
U FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 2 00 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL Z61 I
TOTAL FEE 2 60 JOSEPH C ROOHAN
SUPERVISING ELEC L ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK _M O CASH
1
.60-EDEC 7 - 2 D 2.60-
EE
E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ..