HomeMy Public PortalAbout5822ALESSANDRO AVE_Electrical (2) 76M663 CE806 3 69 ������ �/�
APPLICATI6�I AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION ADOREIss15y ,2 N e6; ro ve
JOHN A LAMBIE COUNTY ENGINEER T �L
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST I
CROSS ST �QtL4 IVCs S
NO EACH FEE
RECEIPT $ $ OWNER J e e / icQll
MAIL �L�56AN Ie0
FIRST 20 20 ADDRESS
LIGHT TOTAL ---
i ^-
CITY 1 TEL NO
SWITCH OVER 20 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES }_AL OVER 20 10 ADDRESS
RANGE DRYER WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR / L e Olt-1 G
SPACE HTR -/L—AIR COND ADDRESS
CLOTHES WASH _DISHWASH CITY o TEL NO
FAN—OTHER 1 00 VG LICENSE NO CLASS
MOTORS TRANSFORMERS RATING 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 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
ICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO a_
RESIDEIIN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
10 - 50 5 OD U
SIGNATURE
50 - 100 10.00 1 OF PERMITTEE
100 - 500 1500 DISTRICT NO GROUP ZONE PROCESSED BY W
• 4 Q EL GAS SIGN AND ONE CIRCUIT 3 00 `47 0 27 N
TUBE OR Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
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
WIRING
I
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1001 FINAL l
TOTAL FEE � n/ JOSEPH C ROOHAN
O v' SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 cA
73811-0 w6v17 2 D 58 ���'
r
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ,
r.