HomeMy Public PortalAbout5757ALESSANDRO AVE_Electrical «76g66a CE806 ID/�2 APPLICATION FOR ELECTRICAL PERMIT f
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB 5.
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER OR
$ S FIRM NAME
RECEPT MAIL
LIGHT TOTAL FIRST 20 25 ADDRESS
CITY TEL NO
SWITCH OVER 20 10
PLAtJ C ECK
LIGHTING TOTAL I
FIRST 20 25 APPLICANT
FIXTURES
OVER 20 10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER_WTR HTR_ APPLICANT
STA COOK DIS`'' F, U ADDRESS
SPACE HTR AIR COND CITY TC-
CLOTHES WASH DISHWASH R GENSE UMBER �j�'l t(/ CLASS U
FAN OTHER 100 �� 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
_16AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERSRATING 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 THAI I AM THE LEGAL 0 NER OF THE ABOVE >_
DESCRIPED RESIDE NTIA OP R{Y O.
1 - 10 300 �
V
10 - 50 500 PERM IT.EESIGNATURE O
F-
50 - 100 1000 U
DISTRICT NO ED BY
W
C/
100 - 500 1 0 00j O �Q i N
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPE RS SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK `
SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 0
TOTAL FEE o V
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
C 9 7 6'3 flm 7 2 4 t0 0-
D �
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 4