HomeMy Public PortalAbout5223ALESSANDRO AVE_Electrical (3) -,9SA6463 CES06 1/70
APPLICATION FOR ELECTRICALR
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING o
BUILDING AND SAFETY DIVISION ADDRESS C.
JOHN A LAMBIE COUNTY ENGINEER LOCALITY �— le-
NEAREST
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE
OWNER
RECEPT $ J$ MAIL .�
' D ADDRESS
LIGHT FIRST 20 20 TONAL �
CITY TEL NO
SWITCH 9;202— OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 201 It APPLICANT
FIXTURES 10
OVER 20 ADDRESS
1 v
APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS /✓�'i
SPACE HTR AIR COND CITY TEL NO 044
CLOTHES WASH DISHWASH LICENSE NO CLASS i
OTHER 100 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH 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
0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER F AND INTEND 0
1 — 10 300 RESIDE IN THE ABO E GRIPED RES IAL PROPE
a
SIGNATURE
10 — 50 500 OF PERMITTEE
50 — 100 1000 pe
DISTRICT CLASS IGROU ZONE_ PR C S Y
100 — 500 1500 V
SIGN GAS ll.I
SIGN AND ONE CIRCUIT 300 NOTES N
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 z
SERVI CENOTOVER 600 VOLTS OR 200 AMP 200
APPROVALS DATE INSPECTORS SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 500
TEMP POWER POLE
TEMP SERVICE POLE &APPURTENANCES 300
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
t
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES "Z -7/
I
POWER AUTHORIZED
PLAN CHECK FEE (507 PERMIT FEE)
I UTILITY CO NOTIFIED
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL _j
JOSEPH C ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEEP
` PERMIT VALIDATION �J M o CASH
PLAN CHECK VALIDATION CK M CASH
AC, 7 4 6 OR NOV 4 2 0 7.40N v
SEE BACK OF APPLICATION,FOR COMPLETE SCHEDULE