HomeMy Public PortalAbout5951ALESSANDRO AVE_Electrical (3) 7,6A663 CE'806 3 69
APPLICATION FOR ELECTRICAL PE &
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER _
BUILDING AND SAFETY DIVISION FDR
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JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING c/7-®tl¢�
FOR APPLICANT TO FILL IN NEAREST —
CROSS ST t V
NO EACH FEE
$ $ OWNER (f ��
RECEIPT MAIL
FIRST 20 20 ADDRESS its
LIGHT � TOTAL OVER 20 10
CITY Q TEL NO a-P7� mel
SWITCH PLAN CHECK
LIGHTING TOTAL FIRST 20 2 20 APPLICANT
FIXTURES }� OVER 20 10 ADDRESS &,
Ilvedr
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR
SPACE HTR AIR COND ADDRESS �C .S� L xg
CLOTHES WASH DISHWASH CITY TEL NO
FAN_OTHER 1 00 / 60 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
ICEN5ED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF }
1 - 10 3 00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO d
RESIDE IN THE ABOVE DESCRIB RESIDENTIAL PROPERTY Q
10 - 50 5 00
SIGNATURE
50 - 100 10.00 OF PERMITTEE Q
100 - 500 15 00 DISTRICTGROUP ZOy{ PRO SED BV
W
SIGN GAS SIGN AND ONE CIRCUIT 3 00
TUBE OR N
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 f
r
ROUGH CONDUIT
WIRING Q
_ r � t.t?'�✓
PERMIT FEE (SUB TOTAL) FIXTURES 70
POWER AUTHORIZED
PLAN CHECK FEE (507 PERMIT FEE)
PERMIT ISSUING FEE 2 00 /z UTILITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECT CA-6 ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CCK, M 0 CASH C
IAr 3363c .g4l5 2 D 580K
D
SEE BACK OF APPLICATION FOR COMPLFTE FFE GrHEOUI F �C�I� •f/I'•'"`�