HomeMy Public PortalAbout9445 LAS TUNAS DR_Electrical_7/23/1974_Rustlers Steak House temp power pole 768663-CE806 10/72 APPLICATrOWLECTRICAL PERMIT .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB r
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY /
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. 1C
OUTLETS NO. EACHI FEE IRM . R B
5
RECEPT._ - MAIL ,
FIRST 20 25 ADDRESS
LIGHT TOTAL - _
1.
CITY I TEL. N0.
SWITCH OVER 20 .10 -
PLAN CHECK
FIRST 20 25. APPLICANT '
LIGHTING. TOTAL _
OVER 20 ADDRESS
FIXTURES, .10 .
RESIDENTIAL'APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR._ - APPLICANT `
STA. COOK, DISP. F.A_.U. - ADDRESS Q
SPACE HTR, AIR COND. CITY -TEL. NO
CLOTHES WASH. DISHWASH. LICENSE OR D CLASS.
REG. NUMBER
FAN OTHER 1,.00 1 HEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15
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
T HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0'— 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AMTHE LEGAL OWNER OF THE ABOVE }
1 — 10 3.00 OESCRIF.ED RESIDE NTIA PROPERTY:
O
PERMITEE • rJ
10 - 50 5.00 SIGNATURE�,99 ;6gd:&
O
S0 - 100 19.00 DISTRICT NO. OC ED BY tV
100 - 500 15.00 N5 ' /
Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 'APPROVALS DATE INSPECTO SIGNATURE
TUBE,,OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER-POLE f
SERVICE NOTOVER600VOLTS OR2.00AMP 3.00 UNDERSLAB WORK
SERVICEOVER600VOLTS OR200AMP, 10.00 ROUGH CONDUIT ' '
ro.,sw
TEMPSERVICE,POLE, &APPURTENANCES /' 5.00 d -0 WIRING - - ,
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO..NOTIFIED -
.. FINAL
PERMIT FEE (SUB TOTAL) NOTES: 7-t" };1 - .i' •"�fi`itri
S'•
PLAN CHECK FEE - - '
����IdB�'-�
PERMIT ISSUING FEE - 3.00 d
TOTAL FEE �Q
PLAN CHECK VALIDATION CK; M.O. CASH PERMIT VALIDATION C . M.O. (CASH
SEE BACK OF APPLICATION FOR COMPLETE SCH.EDUL `