HomeMy Public PortalAbout5716 ENCINITA AVE_Electrical__ 76A663-CE80611/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5 714 Al. FLa-cln. 7
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY /•
NEAREST { �� J v,4-",,-s
FOR APPLICANT TO FiLL'IN CROSS ST, L�
OUTLETS N0. EACH FEE C
OWNER
RECEPT. S S -MAIL
FIRST 20 25 \ A00RES S ��
LIGHT TOO FA J
_J. OVER 20 10 CITY �1P t L. N0. + , f
SWITCH_ PLAN CHECK
1 FIRST 20 ps APPLICANT
LIGHTING /l( TOTAL ,
FIXTURES OVER 20ADDRESS
IO '
APPLIANCES CITY TEL. NO.PER
17
RANGE DRYER WTR. HTR.— APPLICANT q.LS' L f.LIP
STA. COOK DISP.�t-F.A.U_ ADDRESS 4 X1.8 L
SPACE HTR. AIR GOND. CITY X•/l®�l� TEL. N0.
CLOTHES WASH.' DISHWASH.__ 'LICENSE NO. g2 ;L O CLASS. J O
FAN_OTHER / 1.00 ' 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATETHAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY
MOTOflS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE 8 TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I THE LEGAL OWNER OF, AND INTEND TO }
I - 10 3,00 RESIDE IN, THE A E eD E�SCR IB ED�R ESSI ,N.T'I g-L'PRUOPE RTY d
SIGNATURE
SIGN
10 - 50 500
OF ATURET�
50 - 100 1000 DISTPICTNO. 1CLA55 ZONE I P OCESSE B O
100 - 500 1500 /
SIGN, GAS SIGN ANO ONE CIRCUIT 5.00 NOTES: zg 7 _ /A Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 fy�
SERVICENOT OVER 600 VOLTS OR 200 AMP , 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVICE OVER 600 VOLTS OR 200 AMP 1000
TEMP.POWER POLE '
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR REC EPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
)
1 POWER AUTHORIZED I
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
-f FINAL
PERMIT ISSUING FEE 3.00 `� (� l.� ,J S PH C. ROOHAN ,
TOTAL FEE ,� P VISIG F
NLEC.JRI CAL ENGINEER
PLAN CHECK VALIDATIONcrc. M.D. cesn PERMIT V D TION
CR.. M.O. cesH
1
.(jU6262N my 25
0 825 A
' SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE'