HomeMy Public PortalAbout5405 ENCINITA AVE_Electrical__ 76A663-��806,,0;�2 APPLICA O FOR I EYRICAL PERMLT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS O J
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH FEE OWNER OR
FIRM NAME
FIRST 20 25
RECEPT $ $ AMAI L
DDRESS `j Q
LIGHT---?- TOTAL
CITY TEL NO
7
SWITCH OVER 20 10
PLAN CHECK
FIRST 20 25 Q APPLICANT
LIGHTING TOTAL
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL No
PERMIT
RANGE DRYER WTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO t 9
CLOTHES WASH DISHWASH RECENRSE OR I,
G NUMBER G CLASS `- j d
FAN OTHER 100 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
I HEREBYCERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LO5 ANGELES COUNTY AND STATE OF
/ CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE AB VE a
(.fi[/ri 1O �ff300 DESCRIPED RESIDENTIAL PROPERTY O
/ PERMITEE CD
10 - 50 500 CD
SIGNATURE
F-5
50 - 100 1000 DISTRICT BY LLA
ci-
100 - 500 150015-D f� Z
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS V DATE INSPEc RAS SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER600VOLTS OR200AMP / 300 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMP SERVICE, POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL Z
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION CK M CASH PERMIT VALIDATION M o CASH
�r cK'-)3 JUL 1 2 0 1 4 .7 5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
�1