HomeMy Public PortalAbout5522ALESSANDRO AVE_Electrical 78A883 CE806 3 89 �"��"✓// 1/�I�� D� �
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER ,
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS T
NO EACH FEE
$ $ OWNER
RECEIPT MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH OVER 20 10 CITY ) EL NO
PLAN CHI K
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES } OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR
SPACE HTR AIR COND ADDRESS
CLOTHES WASH DISHWASH CITY TEL
FAN_OTHER 1 00 / LICENSE NO CLASS
MOTORS TRANSFORMERS RATING v I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 OO I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF O
1 - 1O 3 OO CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO U
RESIDE IN THE ABOVE DES C (BED RESIDENT( PROPERTY
10 - 50 5 00 DC
SIGNATURE 0
50 — 100 10.00 OF PERMITTEE u
Lu
100 - 500 1500 DISTRICT NO GR ZONE�� PR E d
,J/tt[JJ N
SIGN GAS SIGN AND ONE CIRCUIT 3 00 z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 0000
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
WIRING 'r j71 - 'f 9 a�
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (507 PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED O
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 V FINAL �d���� ��
TOTAL FEE ✓^ JOSEPH C ROOHAN
�7 SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
4 �r, 5789a jill3 2 D 5.00-
SEE BACK OF APPI(CATION cOR COMPI FTE FFE SCHEDULE