HomeMy Public PortalAbout5454 ENCINITA AVE_Electrical__ 7a 3.CF°° "'° APPLICATION FOR ELECTRICAL PERMIT�
COUNTY OF LOS ANGELES BUILDING
• DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS UPE INTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS O EACH FEE
OWNER
RECEPT_ $ $ MAIL
LIGHT ! ToI•AL FIRST 20 15-0ADDRESS
CITY le TEL NO
SWITCH - OVER 20 10 AN CHECK
LIGHTINGFIRST 20 APPLICANT
TOTAL
FIXTURES i
OVER 20 101
ADDRESS
APPLIANCES CITY TEL NO
RANGE DRYER_WTR HTR PERMIT
APPLICANT
STA COOK DISP F A U / ADDRESS �. r
SPACE HTR AIR CON CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO (p 3j�'1 2 CLASS C—/O
� 1
FAN OTHER / 100 SIJ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
(((JJJ ��_
AN STATE THAT THE ABOVE 19 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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - tO RESIDE IN, THE ABOVE :ESC IPED RESIDENTIALPROPERTY
RESIDE
0.
SIGNATURE
10 - 50 500 � OF PERMITTEE 0(.J
50 - 100 1000
DISTRICT NO CLA93 OROU ZONE PR CESS Y
100 - Soo 1500 (�+�
� Lu
SIGN, GAS SIGN AND ONE CIRCUIT 300 r NOTES w-'r/
�T N
TUBE, OR V)
MARQUEE ADDITIONAL CIRCUITS 100
SERVICE NOTOVER 600 VOLTS OR 200 AMP 200
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AMP 500
TEMP POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDI UT
WIRING CV /e _J/ �"� 'sV; a
V / d d e
S
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO NOTIFIED �-�� r i/r.
PERMIT ISSUING FEE � {` �q
FIN AL ,teds i7 O/ 4d'?-911 AA.e=�'
SUPPLEMENTARY PERMIZ'ISSUING FEE 100 ,,�- _ JOSEPH C ROOHAN
TOTAL FEE 7J SUPERVISING ELECTR ENGINEEP
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK 0 CASH
1 9A4c-� AUG16 2 0 1 0.75-
SEE BACK OF APPLICATION FOR COMPLETE SCHEDUL"E_ ,?