HomeMy Public PortalAbout8847 ELM AVE_Electrical__ 76A663-CE806 10,72 APP UCS IMO N .F dEOMC AL pEQG�iv U�'
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER nooREss �7
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST ^ ,
FOR APPLICANT TO FILL IN CROSS ST. �N D
OUTLETS NO. EACH FEE OWNER OR
$ $ FIRM NAME
RECEPT._ _ MAIL
LIGHT TOTAL
FIRST 20„ 25 ADDRESS
'
CITY "���L'� / EL..NO. '��/L
SWITCH OVER 20 1p
PLAN CHECK
FIRST 20 25
FIXTURES APPLICANT
LIGHTING TOTAL '
OVER.20 ADDRESS
.10
RESIDENTIAL APPLIANCES CITY /7 TEL. N0.
PERIT
RANGE - I DRYERWTR. HTR._ APPLICANT C. IG r
STA. COOK DI SP. F.A.U. ADDRESS �iJ� //C/
G' Q, ryQ y
SPACE HTR. AIR COND. I' CITY p`FC/� TEL. NO.;-lf'J—
")5?.L
CLOTHES WASH. DISH WAS H. RECENSE OR
G. NUMBER �.S"S CLASS.rl0
FAN - OTHER '1.00Q(� 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.
SdZE & TYPE OVER TO '
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE r
1 - 10' 3.00 PESCRII'ED RESIDENTIAL PROPERTY. p_
PERMITEElJ / _ ' 0_ V
SIGNATURE 10 — 50 � 5.00 � SIGNATURE���,�� O
50 — 100 10.00 U
DISTRICT NO. PROC SSED BY W
100 — 500 15.00 G g Z
N
SIGN, GAS =AND ONE CIRCUIT, 5.00 APPROVALS DATE INSPECT 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600V0 TSOR OOAMP, / 3.00 co. UNDERSLAB WORK
SER'VICEOVER60OVOLTSOR200AMP - ` 10.00 ROUGH CONDUIT '
TEMP SERVICE, POLE, &APPURTENANCES 5.00 WIRING �' m
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED r
oel
FINAL
PERMIT FEE (SUB TOTAL) NOTES: '
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 OCA
TOTAL FEE w
PLAN CHECK VALIDATION CK. M.Q. CASH PERMIT VALIDATION CK. M.O. CASH
e
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,