HomeMy Public PortalAbout4912 DOREEN AVE_Electrical__ 76A663;CE806 10/]2 APPLICATION E R ELECTRICAL PERMIT
`I COUNTY OF LOS ANGELES -
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION - ADDRESS 4912 N. Doreen .Avenue
LOCALITY
FOR APPLICANT TO FILL IN NEARESTCR05S ST.
OUTLETS NO, IF— FEE OWNER R Louis R. Sloan �
REC EPL_ S $ FIRM MAIL
FIRST zo MAIREss 4 12' N. Doreen .Avenue
1 .zs CITY Tem le Cit TEL. NO 443-5289
LIGHT J TOTAL
ADD
SWITCH J1 2 OVER 20
_ PLAN CHECK
FIRST 20 .2 APPLICANT
LIGHTING TOTAL '25 -
OVER 20 ADDRESS
FIXTURES 1 .10
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT
RANGE_ORYEP_WTR. HTR._ APPLICANT Trane H C C
STA. COOK DISP. F.A.U.1_ ADDRESS 2034 N. Peck Road
SPACE HTR. AIR COND. CI TV El/ Monte rEL. No. 82
' REG.NNUMBER 2.V 0 4 SC-10
CLOTHES WASH. ❑ISHWASH._ CLASS.
FANOTHER 1 1.00 1 .00, 1 HEREBY ACKNOWLEDGE THAT I HAVE READ TH15 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 B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1- LICENSED AS REQUIRED BY LOR ANGELES COUNTY AND STATE OF
1 2 1.00 .00 CALIFORNIA OR THAI I AM THE LEGAL OWNER Oe THE ABOVE
3 I - 10 3.00 oo DESCPI6ED RESIDENTIAL PROPERTY O
500 PERMITEE
10 — 50
SIGNATURE O
O
50 — 100 1000 DISTRICT NO. Pjt6CES ED BY, W
100 — 500 15oO � Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS CJ DATE INSPECTO SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOTOVER 600 VOLTS OR 200 AMP 1 3.00 00 UNDERSLAS WORK
SERVICEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT -
TEMPSERVICE, POLE, &APPURTENANCES 5.00 WIRING 2� 1-7- y L� /QTY
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:,
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE j, 1 ' 75
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION CK: m. CASH
73 2'�:NOV- 13 2 D 1 1.7 5 m96
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE