HomeMy Public PortalAbout5828, 5828 1/2 ENCINITA AVE_Electrical__ 76A668.CES06. 10.5. APPLICATION FOR ELECTRIC PERMIT
BUILDING AND SAFETY DIVISION
Department of County Engineer BUILDING
County of Los Angeles ADDRESS ��^ �.
JOHN A. LAM IFFI COUNTY ENGINEER LOCALITY T .!!! IP- �l
C HN A. D. GRIFFIN.OUNTY BUILDING
NEAREST
FOR APPLICANT TO FILL IN "O"
'
PERNHT FEES OWNER PAri
LIGHTS ' RECEPTACLES SWITCHES
NUMBER ITEM EACH FEE MAIL
'IG ADDRESS U TOTAL OUTLETS S .10 S
ELEC. RANGES, WATER HEATERS, CITY TEL. NO.
CLOTHES DRYERS .50
ELEC. SPACE HEATERS, STAT 1, COOK. ELECTRICIAN . I
aINE UNITS. GARBAGE DISPOSERS, ADDRESS �E,J
AUTO WASHERS, DISHWASHER .25 q p
LIGHTING FIXTURES .10 CITY /}--� 6 rT Q] TEL NO
MOTORS STATE /o ^ / L
LICENSE NO. W O"t9 v
HORSEPOWER
H.P. OVER INC. DISTRICT NO. LOWINEREADY FOR INSPECTION
%i &LEES .25 `�
vz - 2 .50 INSPECTION RECORD
2 5 1.00
5 15 1.50
15 50 2.50
50 200 5.00
MISC.
SIGNS NO.TRANS
N O.LAMPS eio�
VL SERVICEO-600V 1.00 W
SERVICE OVER 600V 5.00
WIRING PERMIT 1.00 0-0
FIXTURE PERMIT 1.00 100
SUPPLEMENTARY PERMIT .50 APPROVALS
TOTAL FEE S 1010 DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRI G �f '�14
1HEREBY CERTIFY THAT 1 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 THE ABOVE POWER
DESCRIBED RESIDENTI L P OPERTY. I
SIGNATURE UTILITY CO. NOTIFIED _
OF PERMITTEE FINAL
JOHN A. LAMBIE. ATION ARTHUR
COUNTY ENGINEER c MO CASH SUPERVISING ELECTRICAL ENGINEER
1 AC 1 3 5 4m 1•" R12 2 1 3.20 F
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