HomeMy Public PortalAbout5429 ENCINITA AVE_Electrical__ T
76A663-CE6061/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS J
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY /
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST yQ 4
FOR APPLICANT TO FILL IN CROSS ST. �.J
OUTLETS NO. EACHI FEE
OWNER Cor„
RECEPT._ MAIL '4 -
TOTALLIGHT TOAL
FIRST 20 .20- ADDRESS 4�`.7 .7
CITY �� • TEL. NO.
SWITCH OVER 20 .1p
PLAN CHECK
LIGHTING TOTAL
FIRST 20 20 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRY ERWTR. HTR. APPLICANT
STA. COOK OISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITYEL. N0. 41 41'sff"22.
CLOTHES WASH. DISHWASH. r LICENSE NO. 1 z'_Y-3 CLASS.
FAN OTHER ! 1.00 00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
/// AND STATE THAT THE ABOVE 15 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
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00LICENSED AS RED UIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNERD INTEND TO
PED RES ENTY
s
1 - 10 3.00 RESIDE IN, THE PL P OPERT Y.
SIGNATURE d
10 - 50 5.00 OF PERMITTEE
lJ
50 - 100 10.00
rDIRICT NO. IQLASS
72
GROUP ZONE P O Y OC
100 - 500 15.00 a V
r
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: LLL
D_
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.001 z
SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00 3 .00
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING _ 7/
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED ��1z_ 71 212,9W
PERMIT ISSUING FEE 3.00 00
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL, 'G/�
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELE L ENGINEER,
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.0. CASH
K s g 5" AUG 11 2 D 7.0 0 - —Acp
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE "`