Loading...
HomeMy Public PortalAbout9570 BISBY ST_Electrical__ I� I 76AB"-CE6061-66 APPLICATION FOR ELECTRICA PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING -� Tr BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER W. JENKINS, SUPKREf INTNDIENT OBUILDING LOCALITY / NEAREST FOR APPLICANT TO FILL IN CROSS ST. NO, 17AC FE RECEPT._ OWNERMAIL 1 LIGHT TOTAL FIRST 20 .20 ADDRESS I SWITCH_ OVER 20 .10 CITY TEL. NO. PLAN CHEC V IGHTING TOTAL FIRST 20 .20 APPLICANT IXTURES OVER 20 .10 ADDRESS RANGE-LDRYER—WTR.HTR.— CITY TEL. NO. STA.COOKDISP.—F.A.U._ CONTRACTOR SPACE HTR AIR COND. ADDRESS 1 r 3 CLOTHES WASH._DISHWASH— CITY TEL. NO. FAN_OTHER 1 � LICENSE NO ' CLASS. MOTORS,TRANSFORMERS -RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE R TYPE OVER TO AND STAT[ THAT THE ABOVE IS CORRECT AND AGR[[ TO COMPLY WITH ALL COUNTY ORDINANCE[ AND STATE LAWS REGULATING ELECTRICAL WIRING. O — 1 1.00 I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR ' 1 — 10 9.00 LICENSED AS REQUIRED DY LOS ANGFiLEG COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEE AL OWNER OF, AND INTEND TO 10 — 60 5.00 RESIDE IN, THE A80 VE DESCRIBED R ID TIAL PROPERTY. O EO - 100 10.00 SIGNATURE u OF PERMITTEE oad 100 - 500 1s.00 DISTRICT N GR ZONE P D SIGN,GAB SIGN AND ONE CIRCUIT 3.00 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 2 NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 29 SERVICE OVER 600 VOLTS OR 200 AMP 6.00 TEMP SERVICE, POLE, R APPURTENANCES 3.00 APPROVALS DAT[ LKSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLABWORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) /} POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE Q JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. M.O. CASH e 8�2 MC 9 2 © 5.Q0N 'z 9EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE