HomeMy Public PortalAbout10800 DAINES DR_Electrical__ ^ �p �a �✓'�/�®�✓/��-
Z.fiA fi63-CEBO6,al0/Z2 A■ PLICA tl I.®(CI ■ OR E �'CAII PERMIT
COUNTY of LOS ANGELES rr �[ �L u
DEPARTMENT OF COUNTY ENGINEER o6 /�
BUILDING AND SAFETY DIVISION iADDREss oo
'LOCALITY —^_fn PLZ
NEAREST C
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS EACH TEE QWNER OR `
S $ FIRM NAME Q
RECEPT.-S- MAIL
LIGHT� ADDRESS SQ
SWITCH � FIRST-20 25 _ (�• (,.�
CITY TEL. N0. { y
SWITCH_ OVER 20 .10'. PLAN CHECK
LIGHTING FI RST 120 25 - .APPLICANTS
20 ADDRESS
OVER
FITOTAL XTURES ..f0
RESIDENTIAL APPLIANCES .CITv TEL. 90,
PERMIT R
RANGE_DRYERWTR. HTR._ APPLICANT (7 n
STA. COOK_DISP. F.A.U._ ADDRESSIr aI SQ,. cC Ave ']
SPACE HTR. AIR CON D. Q7Y RCrq>) 4EL. NO, 41-116-044
CLOTHES WASH. DISHWASH._ LICENSE OR CLASS.
REG. NUMBER
PAN. OTHER 1,00 1 HEHEBI' 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 & TYpE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND ESTATE OF
CALIFORNIA OR THAI AM THE ) GAL OWNER OF THE ABOVE
1 - 1D 3.00 DE5CRI RED RE51 NTIAL PROPE( 1 y
O
PERMITEE"
10 - 50 5.00 SIGNATURE
O
50 - 100 1000
DISTRICT NO. P E ED BY W
100 - 500 15,001 - ` o G y
C/ Z_
SIGN, GAS 'SIGN AND ONE CIRCUIT 5.00 APPROVALS ` DATE INSPECT0,RKSIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP..POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 - r 1 UNDERSLAS WORK
SER'JI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDWT f
TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT, SYSTEM 3100 FIXTURES
- POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE -(SUB TOTAL) NOTES:
PLAN CHECK FEE QC�
PERMIT ISSUING FEE '300 Gb
TOTAL FEE ,TV
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION C K. M.D. ' CASH
SEE BACK 01 APPLICATION FOR COMPLETE SCHEDULE 1' •• ••