HomeMy Public PortalAbout5225 DOREEN AVE_Electrical__ 76A663-CE80510/72 APPLICATION F® �LFC4Itl PERMIT �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB ��11
BUILDING AND SAFETY DIVISION .ADDRESS - o1cy.S O �E
LOCALITY 2 _�fri Z--
NEAREST /'
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EA cH FEE OWNER OR
$ S FIRM NAMERECEPLJ
LIGHT T. TOTAL
MAIL
FIRST 20 ADDRESS —
LIGHT_ TOTAL '25
CI TV TEL. N0.
SWITCH OVER 20 .10 PLAN CHECK
GHTING TOTAL
LFIRST 20 P5 APPLICANT
FIXTURES .10 I
OVER 20 AOOR E55
�
RESIDENTIAL APPLIANCES CITY iEL'NO.
PERMIT
RANGE_DRYER_WTR. HTR._ APPLICANT
STA. COOK_OISP. F.A.U._ ADDRESS
SPACE HTR. AIR COND. - CITY TEL, N0.
CLOTHES WASH.
LICENSE OR CLASS.
DISHWAS H._ REG. NUM9ER
FAN_OTHER 1.00 1 HEREBY 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 CEOTIFT N T AM PROPEflLT REGISTERED AND/OR
O - 1 L00 LICENSED AS REOUI D T LOS ANGEL COUNTY AND STATE OF
CALIFORNIA C T l I AM THE LEGA NER OF TX BOVE y
DESCRIBED RESI NT L P OPERTY. CD
1 - 10 3.00 Q U
PERMITEE
10 - 50 5.00 SIGNATURE 0
H
50 - 100 1000 DISTRICT NO. PROCESSID BY yV,1
'''+++111 d
100 - 500 15.00 9 1 H
19 � Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS , DATE INSPECTOR' SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS LOp TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTSOR 200AMP / 3.00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING - A
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 Q'r�
TOTAL FEE ,pQ
n '
PLAN CHECK VALIDATION CK. M.0 CASH PERMIT VALIDATION <K. M.O. CASH
075, kIAY 2 2 R 9.0 0 A98.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
'°A° °°'-°' APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDINGJ^' � - n
BUILDING AND SAFETY DIVISION ADDRESS .J P2 C S /v
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY
F
OR APPLICANT TO FILL'IN NEAREST _
PERMIT FEES CROSS ST.
ITEM NUMBER EACH FEE OWNER
S: // $ S MAIL
RECEPT./ SW. fd ,1O �ajjADDRESS
G FIXTURES /' 10 CITY TEL,NO.
NGES CLO.'DRYERS ELECTRICIAN
ATER HEATERS .SO ADDRESS
�J ��
ACEHTR5. DISHWASHERS CITY' �%W TEL.
DISPOSERS AUTO.-
STATE1 aS STA.COOKING UNITE .25 LICENSE NO.S: OVER IND. H.P. DISTRIC NO. G O ZONE PO— V2 .25
V2- 2 .so INSPECTION RECOD
•2— 5 1.00 "}_5— 15 1.50 Hlo �JIS— 50 2.50s0-20os.00 /NO.TRANS. iJ T
NO.LAMPS >rT
1�
SERVICE 0-600V 1.00
SERVICE OVER 600V 5.00
Misc.
WIRING PERMIT 1.00
FIXTURE PERMIT 1.00
L' p
EMENTARY PERMIT .50
TOTAL FEE 8
REBY ACKNOWLEDGE THAT 1 HAVE READ THIS A LICATIONAPPROVALS DATE INSPECTOR'S SIGNATURE
TATE THAT THE ABOVE IS CORRECT AND AGREETO COMPLYALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
RICAL WIRING.REBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRINGSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES �� 11la OORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
IBED RESIDENTIAL PROPERTY. - POWER
ATURE UTILITY CO.NOTIFIEDERM ITTEF —
FINAL I
®..
VA DAT ARTHUR C.VETT,
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LjU4533v DEC21 2A 750