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HomeMy Public PortalAbout9018 CALLITA ST_Electrical__ ]68563-tEBD61DYT2 APPLICATIONrrOl ELECTRICAL PERMIT •- y COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB 2018 BUILDING AND SAFETY DIVISION LOCALITY og NEAREST FOR APPLICANT TO FILL IN CROSS ST. O- /- Rev OUTLETS NO. EACH FEE OWNER OR FIRM NAME I$ O✓ RECEPT.9 , $ $ MAIL r LIGHT TOTAL FIRST 20 25 ADDRESS P /_ i•/� f )1CITY /. C . TEL. NO. SWITCH % „5— OVER 20 .1D PLAN CHECK LIGHTING FIRST 20 L 2S ry APPLICANT TOTAL OVER 20 ADDRESS FIXTURES �� .10 RESIDENTIAL APPLIANCES CITY SXK) )� TEL. NO. RANGE_DRYER WTR. HTR._ APPLICANT SNKJ -YP bIYII:L /5L STA. COOKDISP._F.A.U._ ADDRESS SPACE HTR. AIR GOND. CITY p" TEL.SE NO SSS CLOTHES WASH._DISHWAS H._ RG.N a 79' / O CLASS. G EUMBER 4" FAN_OTHER 1'.00 1 M1EREBY 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 0 TYPE OVER TO HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/0R 0 - 1 100 LICENSED A5 REQUIRED BT LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE A60VE d 1 - 10 3.00 OES Cp If ED pEHT,IUEJITPROPERTY. FERMI „,////`/`/��////// /f(/IIw.N-'V/OFA U 10 - 50 500 SIGNATEE SIGNATURE p 1-• 50 - 100 1000 DISTRICT NO. PROCESSED BY U W 100 - 500 15.00 57 SIGN, GAS SIGN ANO ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP. POWER POLE SERVI CENOT OVER 600 VOLTS OR 200AMP / 3.00 UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING 2ZJ 7 TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED , UTILITY CO. NOTIFIED FINAL /Alo PERMIT FEE (SUB TOTAL) NOTES: /f/ PLAN CHECK FEE PERMIT ISSUING FEE 40Dt7 TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ,c,KK M.O. CASH �\ r lA / �/ taC, 5 w 27J io.zs SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE oe S-A 7-40 25M APPLICATION FOR PERMIT DEPARTMENT OF BUILDING AND SAFETY COUNTY OF LOS ANGELES ELECTRIC WM J. FOX. CHIEF ENGINEER NATURE OF INSTALLATION DISTRICT NO. GROUP I ZONE PERMUV IT 7No. WIRING FIXTURES SERVICE `1 w\I � 4 -.7 RECEIVED BY READY FOR DATE ISSUED RANGE HEATER POWER FIRST INSPECTION SIGNS MISCELLANEOUS f` _ J ��J—JJ APPLICANT FILL IN_ HEAVILY OUTLINED PORTION ONLY , Q JOB NAME'• pIYIJ O�/��4jj(� " /,.(e'• " ISN ADDRESS K ADDRwES1S JS SO . WLCI 03OLO�fi[I��..'PF� _LOCALITYNEAREST If V CITY IrwLC/ 'TEL NO.W6 Y A CROSS ST. W e rs�/].� '/ CERT. NO. I EXPIRES J C NAME �/� �—IIt_'', DESCRIPTION OF WORK 2 MAIL NUMBER OF OUTLETS ON CIRCUITS 3 ADDRESS O LOCATION BY ROOMS CITY —AloofTEL No. I LIGHT OUTLETS III SW.I PLUGS IelX I AM THE LEGAL POSSESSOR OF THE ABOVE LOS CIRCUIT A I B C I D I E f I F I G H I ANGELES COUNTY CERTIFICAOTE OF QUALIFICATION. —�� LIVING ROOM eL[CiRICIAR. 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIBED DINING ROOM __'-1I— ABOVE. SRFST. RM. I OWNER. BATH CORRECTIONS ENT. HALL HALL NO. FRONT PORCH OUTSIDE _KITCHEN SERV. PCH. BORM. NO. Z__ Z CLOSET BORT. No. CLOSET TOTAL NO. OF OUTLETS a APPROVALS NO. OF FIXTURES II DATE INeFeC ows NAME NO. OF MOTORS H. P. S CONDUIT NO. OF SIGNS TRANS. Ski [� WIRING NO. OF RANGES OR HEATERS a /'J FIXTURES- MISCELLANEOUS II POWER PERMIT FEE A a UTILITY CO. NOTIFIED TOTAL FEE S 2J FINAL