HomeMy Public PortalAbout9465 EMPEROR AVE_Electrical__ 76A663-CE8061-66 APPLICATION OR ELEC ICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
FNEAREST
BUILDING AND SAFETY DIVISIONJOHN A NKINS,, COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTENDENT OF BUILDINGTY
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
R E C E P T �(OTAL
$ $ OWNER ,yy ..�A ,�Jis�E U 7-Al
MAILv �+LIGHT(11FIRST 20 20 ADDRE(tSS I/Z_7A� �(/Ip✓l�f LC af7-,
SWITCH , / -47-- OVER 20 10 CITY.J ' TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGEDRYER—WTR HTR CITY TEL NO,
STA COOK DISP F A U COINTRAC rO — _
i
SPACE HTR AIR CONE) D
ADDRESS
CLOTHES WASH _DISHWASH CITY TE Ngf7
FAN—OTHER 1 00 LICENSE NO CLASS D
MOTORS TRANSFORMERS RATING
IND HEATERS, ETC HP KW KVA I HEREBN ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
O - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d
10 - 50 5 00 RESIDE IN, T SrRIPtD ESIDE NTIAL PROPERTY O
SIGNATURE V
50 - 100 10 00 OF PERMITT I
100 - 500 15 00 0
DISTRIC O G P Z E PR D BY
SIGNTUBE A SIGN AND ONE CIRCUIT 3 00 OA-11 74
MARQUEE ADDITIONAL CIRCUITS 1 00 NOT SS /�`/� Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 S ®A
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE & APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) '
POWER AUTHORIZED
PERMIT ISSUING FEE 200 cp UTI LI TY CONOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL ✓
vxex�p'
TOTAL FEE to JOSEPH C ROOHAN �
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION ( M O CASH
1
�4b s1 i-W13 2 D 6.20
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE