HomeMy Public PortalAbout5951ALESSANDRO AVE_Electrical (5) f�
76A663 CE806 If/70 APPLICATION FOR ELECTRICAL ERMIT ` L.J
COUNTY OF LOS ANGELES
I'• DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS �Y1
LOCALITY /
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST (�J / (/J�
OUTLETS NO EACH FEE
OWNER ��
$ $ MAIL
[RECEPT FIRST 2028 ADDRESS CJ
HT TOTALTCH 7 a OVER 20 .00 CITY , aEL NO /� �10 C PLAN CHECK
FIRST 20 25 APPLICANT
HTING TOTAOVER 20 ADDRESS
TURES 10
APPLIANCES CITY TEL NO /T
RANGE DRYER IT
_WTR HTR_ APPPERLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN OTHER 100 1 HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICATION
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 IN 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 THAT I AM THE LEGAL OWNER OF AND INTEND TO }
1 — 10 300 RESIDE IN THE ABOVE p CRIPED RESIDDENTI PROPERTY O
10 — 50 500 SIGNATURE �{ V
OF PERMITTEE 0'0l /I
OC
50 — 100 1000 O
DIS!TRICT NO SS ZON P OC SSE Y
�
100 — 500 1500 L UJ
[L
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES N
Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 1000
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING Wf f 72.
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED f
PLAN CHECK FEE A�
FINAL
PERMIT ISSUING FEE 300 Js
C ROOHAN
TOTAL FEE ' V SUPERV ING ELEC CAL ENGINEEP
PLAN CHECK VALIDATION CK M O CASH PERMIT VALID I N cK M 0 CASH
ci
r Ao4 F 2 5�S 11 7 2 D 005-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE