HomeMy Public PortalAbout6210 BURTON AVE_Electrical__ 76A663-CE8061-68 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION AUILINDDRESS ♦ YY .4 Ye
JOHN A. LAMBIE. COUNTY ENGINEER ' �+
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 'Ve�•f Y/C
FOR APPLICANT TO FILL IN NEAREST r e,
CROSS ST. G
`�� NO. EACH FEE JL Ba
R ECEPTV_Q S S OWNMAIL
ER ♦ ♦ C. .Z
� ADDRESS `L J
LIGHT.6S._I TOTAL FIRST 20 .20 I� /
SWITCH6L OVER 20 .10 CITY nvp.�/"/G •TEL. NO.
ee������ PLAN CHECK
LIGHTING lTOTAL FIRST 20 �y� .20 APPLICANT
FIXTURES 11((/ L) OVER 20 .10 ADDRESS
RANGELDRYERLWTR.HTR.— CITY TEL. NO.
STA.COOK_^OISP.,F.A.U. 1 CONTRACTOR C C
SPACE HTR. ;P- AIR CON D.� ADDRESS )-r t✓J7-
CLOTHES WASH.,DISHWASH.L-- CITY
FANJ—OTHER /e 1.00 LICENSE IJO. CLASS. C� Q
MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. A. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
W ITN ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
1 t0 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF r
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a
10 - 50 5.00 RESIDE IN. THE ABOVE DESCR 0 R IDENTIAL ?ROPE RTY. O
rE
TURE / V
50 - 100 10.00 RMITTEE / K
too - 500 15.00 DISTRICT NO. GROUP ZO P OCESSED BY
iUBE,OOR SIGN ANp ONE CIRCUIT 3.00AL CIRCUITS 1.00 ES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.001
TEMP SERVICE, POLE, & APPURTENANCES 3.00APPROVALS DATE INSPECTOR'S SIGNATURE
. POWER POLERSLAS WORKH CONDUITGPERMIT FEE (SUB TOTALIURES D „//— FPLAN CHECK FEE (SD% PERMIT FEE)
R AUTHORIZEDPERMIT ISSUING FEE 2.00 I T Y C O.N O TI F IED/QSUPPLEMENTARY PERMIT ISSUING FEE 1.00 L 0-
TOTAL FEE ( O JOSEPH C. ROOHAN
SUPERVISING ELEC RICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK\ M.0. CASH
7.90' ao5 5 6 7-� JUL22 2 A 27.90-
EE
F_E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE k 5 _- _