HomeMy Public PortalAbout5032 FARAGO AVE_Electrical__ =63 CE806 1 t 41 APPLICATION 'FOR ELECTRIC L PERMI
COUNTY OF LOS%ANGELES
DEPARTMENT OF CdUNTY ENGINEER BUILDING„,y a Q a
" BUILDING AND SAFETY DIVISION ADDRESSAl /44
LOCALITY 7c
NEAREST /
FOR APPLICANT TO FILL IN CROSS ST m l
OUTLETS NO EACHI
$ OWNER / Y� ar.0
$
RECEPTD MAIL ??
HT TOTAL FIRST 20 <70 ADDRESS U� 1 r� O e44 c e,
25
I SWITCH 7 OVER 20 / / /'► CITY �fyl *y TEL NO S79- �'7
10 lJ PLAN CHEfK
LIGHTING1 FIRST 20 25 L� -0 APPLICANT \
T TOTAL \
OVER 20 ADDRESS
FI TURES t0
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT r
RANGE DRYER_WTR HTR APPLICANT
t .f � ) /r
STA COOK DISP =F A U ADDRESSdec /I/ I��.(+'�- •(��t/J Lt, —
SPACE HTR AIR COND CIT EL
NO �)
CLOTHES WASH DISHWASH LICENSEANO CLASS
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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO B 0
1 - 10 300 RESIDE tN THE AOVE DESCRIBED RESIDENT AL ROPERTY
U
SIGNATURE
10 — 50 5 D OF PERMITTEE O
50 — 100 1000 G
DIST CT NO T CL ASS ZONE PROC t3S
100 — 500 1500 H
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES ?
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP / 300
APPROVALS DATE INSPECTORS SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 1000
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONOIUT
WIRING
� 1
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) �/
UTILITY CO NOTIFIED /
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE300
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATIOCAS .
7494N S 2 0 177 N
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
4 � '
76A663 CEf1G^ 10,74 APPLICATION iR ELECTIVI-CAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST ({
OUTLETS NO EACHI FEE OWNER OR
FIRM NAM
RECEPT_ S $ MAIL /
LIGHT TOTAL /J /
FIRST 20 25 ,(�� ADDRESS �(,/ �/T'/�—
(J
OVER 20 CITY EL NO �'OtIJ
SWITCH 10 PLAN ECK
LIGHTING � FIRST 20 25 3 _ APPLICANT
TO AL
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE DRYER NWTR HTR APPLICANT
STA COOK DISP F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE OR cl,
CLASS
REG NUMBER
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 TO
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSED AS REQ I ED BY LOS ANGELES COUNTY AND TATE OF }.
CALIFORNIA OR l I AM HE EG AL �E � a-
1 — 1O 300 CALIFOPED RE NT 1A P PE Y `a-
I v
PERMITEE
10 — 50 500 SIGNATUR O
U
50 — 100 1000 W
DISTRICT NO PROCE ED BY n-
1 00 — 500 1 j 00 � Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE 1NSPECTo SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICE NOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING .�
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL I /—`� 7/7
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 v
TOTAL FEE ig
PLAN CHECK VALIDATION CK M CASH PERMIT VAL\IDAJjq(N CK M 04
CASH
8 4 r JrJL 28 2 / 4 7 5 oyo
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE