HomeMy Public PortalAbout5102 DOREEN AVE_Electrical__ APPLICATION FOR EL�t ��Ad k&T S/O2
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• ,' ,'COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS pZWa lcj
COLEMAN W. JENKI NS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0, EACH FEE
OWNER
R EC EP T..So-I S $ MAIL
✓✓// J11(\ FIRST 20 n/w ss)� ADDRES
LIGHT /�.7 TO'LAL �d 25 5 l.�
(( CITY TEL, NO.
SWITCH -0—L. OVER 20 .10 / PLAN CHECK
LIGHTING FIRST 20
FI%TURES y� ,.10 25 �5- APPLICANT
TOTAL
OVER 20 ADDRESS
APPLIANCES CITY TEL. NO.
RANGE_DRYER_ HTR._ PERMITAPPLICANT i
STA. COOK OISP. F.A.U._ ADDRESS 9.,�r
SPACE HTR. -
iR COND. CITY ,� LC T TEL. NO. Q/6 0 •C.
CLOTHES SH.' DISHWASH. LICENSE NO.CP-15 p g CLASS.
FAN OTHER 100 L� O HEREBY
AC N NOWLEDGE THAT I HAVE READ THIS APPLICATION
�) J ANO 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.
51ZE & TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - I 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY ANO STATE OF
CALIFORNIA OR THAT
1 AM THE LEGAL OWNER OF, AND INTEND T )-
1 - lO 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.. d
10 - 50 5.00 SIGNATURE UO
OF PERMITTEE Q
OL
SO - lOO 1000 DISTRICTN CLASS ZONEI OCES 0 By O
100 - 500 15.00 a
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES:((C..///
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 Q �
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL7 'L
PERMIT ISSUING FEE 3.00 0
_ JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK D Al.'D. CASH
LAo 2 5 4 4,p— 2 4 2:.D
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE '