HomeMy Public PortalAbout5941ALESSANDRO AVE_Electrical (2) 76A883 CE808,468 } APPLICATION FOR ELECTRICAL ERIIAIT
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNE
ING
BUILDING AND SAFETY DIVISION ESS
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDINGLITY
ESTFOR APPLICANT TO FILL IN S ST
NO EACH FEE
4 $ $ OWNER 4L= / 1�
RECEPT MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS L5
SWITCH_ OVER 20 10 CITY TEL- NO
PLAN CHECK
LIGHTING �TOTAL-1 FIRST 20 20 APPLICANT
,
FIXTURES OVER 20 10 ADDRESS
RANGE_DRYER—WTR HTR _ CITY TEL NO
STA COOK_DISP F A U _ COIJTRAC rOR IND
SPACE HTR AIR CONO
ADDRESS CLOTHES WASH —DISHWASH CITY TEL NO
FAN_OTHER 100LICENSE IJO CLAS �MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIATIONSIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT,AND AGROMPLYWITHALL COUNTY ORDINANCES AND STATE LALATINGELECTRICAL WIRING
0 — 1 1 00 II HEREBY CERTIFY THAT I AM PROPERLY REGIAND/OR1 — 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTYTE OFFCALIFORNIA OR THAT I AM THE LEGAL OWNER OF END TO10 — 50 , 5 00 RESIDE IN THE ABO DESCRIPED RESIDENTPERTY
J
50 - 100 10 00 SIGNATURE a
OF PERMITTE
U
100 - 500 1500 0Z
DIS RICT GROUP Z NE PROCESSE BY p
TUBE SIGN A SIGN AND ONE CIRCUIT 3 00 U
LLJ
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTE O_
If
f/1
Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
a
SERVICE OVER 600 VOLTS OR 200 AMP 5 00 '
TEMP SERVICE POLE &APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE
t
* TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT I
WIRING
PERMIT FEE (SUB TOTAL)
a FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 200 40 UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL n `J
TOTAL FEE JOSEPH C RO)HAN
SUPERVISING ELECTRI AL ENGINEER
PLAN CHECK VALIDATION CK M O GASH PERMIT VALIDATION CK M 0 CASH
I
1 FEB 14 2 D 4.0 0,
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE �
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