HomeMy Public PortalAbout5937ALESSANDRO AVE_Electrical 7.6A663 CE806 1170 APPLICATION FOR ELECTR CAL PERMIT IJ
DEPARUNTY OF LOS ANGELES
TMENT OF COUNTY ENGINEER BUILDING n p
BUILDING AND SAFETY DIVISION ADDRESS 3 �L �nO
n
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
F
TS NO EACH FEE �.
$ $ OWNER
RECEIPT ADDRESS J /—L� ,. /!� (/n O
MAIL
TOTAL FIRST 20 25 A`?CIT �E( / / TEL NO OVER 20 10PLAN CHECK
FIRST 20 25 APPLICANT
TOTALOVER 20 ADDRESS
10LIANCES CITY TEL NO
PERMITYER_WTR HTR APPLICANTDISP F A U ADDRESS
SPACE HTR AIR CONDCIell
TY TEL NO �Q. VO
CLOTHES WASH DISHWASH LICENS 0 CLASS
FAN OTHER / 100t7r1 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
6 `V AND 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 REQUIREDOS NGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I M T E LEAGAL OWNER OF AND INTEND TO }
1 - 10 300 RESIDE IN THE A VE ESCRIPED RESIDENTIAL PROPER D-
O
10 - 50 500 SIGNATURE OF PERMITTEE u
50 - 100 1000 DISTRICTNO IQLASS ZONEPROCES ED BY O
100 - 500 1500 a
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER600 VOLTS OR 200AMP 300
APPROVALS DATE INSPECTOR S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 1000
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRING b s-21 7.2 -1.4i,,'D"✓
FIXTURE'S
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) 1
UTILITY CO NOTIFIED
PLAN CHECK FEE �!
FINAL G' 3� 7
PERMIT ISSUING FEE 300
JOSEP C ROOHAN
TOTAL FEE SUPERVI DING ELE L ENGINEEP
PLAN CHECK VALIDATION CK M O CASH PERMIT VAL`IID I CK M 0 CASH
LA�o6 JUN 13 2 0 700-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE