HomeMy Public PortalAbout5026 ENCINITA AVE_Electrical__ 76A663-CE60612-65 APPLICATION FOR ELECRICAL ERMI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING, LOCALITY
NEAREST -� -
FOR APPLICANT TO FILL IN CROSS ST f±Ce
RECEPT. TOTALNO. EACH FEE (� ,, )
OUTLETS I F1� $ 20 $ OWNER
LIGHT 1 L J 0 /v
MAIL
SWITCHADD L 10 ADDRESS
OVER"20
TOTAL FIRST 20I .20
CITY TE NO.
LIGHTING 1 FIXTURES
FIXTURES 1 ADD-L 10 CONTRACTOR "7 li
OVER 20
RANGES DRYERS WTR HTRS 1.00 - ADDRESS •U. I` x 117
GARB.DISP. STA COOK
• CITY TEL.NO.
DISHWASH AUTO-WASH STATE
SPACE HTRS STA, APPL. 50 LICENSE NO.
MOTORS OVER NOT OVER H.P DISTRICT GR UP ON7 P OC S D BY
0 1 1.00
1 3 1.50 INSPECTION RE ORD °-
O
3 B 2.00 �- L1 u
ce
B is 250 O
15 50 1 1300 V
W
CL
50 100 5.00 In
Z
SIGNS. NO.TRANS
NO LAMPS
SERVICE 0.600V-Nor OVER 200A 100,
SERVICE 0.60OV-OVER 200 A 2.00
SERVICE OVER 600V 5.00
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 APPROVALS DATE ._INSPECTOR'S SIGNATURE-TOTAL-FEE----
I
OTAL_FEE--,=
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO POWER
RESIDE IN,THE ABOV IBED RES ENTI L ROPERTY
SIGNATURE UTILITY CO NOTIFIED ii
OF PERMITTEE
FINAL
�41DATION JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
LAL0 6 3 .4 1, DEC 13 2 D 3.0.0