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HomeMy Public PortalAbout5104 FARAGO AVE_Electrical__ 78A883` �,ao' ,z,7s APPLICATION FOR ELECTRICAL PERMIT BUILDING SAFETY DTVI FOR APPLICANT TO FILL IN JOB o� New Residential Bldgs &Pools EACH NO FEE ADDRES 1 &2 Finaily Sq Ft $ — $ LOCALITY C T Multi family Sq Ft — NEAREST CROSS ST lutilt Residential IS, Pools OWNER OR FIRM NAME (rgAlIL(,L Outlets Light Switch& Receptacle MAIL First 20 ADDRESS '! Additional CITY Tel No K — 7 Q PLAN CHECK LL Lighting Fixtures APPLICANT First 20 ADDRESS oz Additional CITY Tel No ((qY— 7?O PERMIT Fixed Appliances Not Over 1 HP 1 APPLICANT Range Heater_ D W ADDRESS Oven Dryer W M �— Top FAU WH CITY Tel No Hood Fan LICENSE OR REG NUMBER Class C Disp AC c) 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THI5 APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY O Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING I. Size&Type HP KW KVA or KVAR ELECTRICAL W RING `U Cl- UptO 1 InCI HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Z Over 1 to 10 Incl LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT THE LEGAL OWNER OF THE ABOVE Over 10 to 50 Incl DESCRIBED NT P RESIDEROPERTY Over 50 to 100 Incl PERMITEE Over 100 SIGNATURE DISTRICT NO PROCESSED BY Services 0 200 Amp Under 600 V 201 1000 Amp Under 600 V APPROVALS DATE INSPECTOR S SIGNATURE Over 1000 Amp or Over 600 V TEMP POWER POLE Temp Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub Total) UTILITY CO NOTIFIED PLAN CHECKING FEE (One Fourth Permit Fee) FINAL PERMIT ISSUING ISSUING FEE NOTES TOTAL FEE O PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION MO CASH 7 3 4 FEB 17 2 © 1C, 5 C A?0u 78A683 CgBA ,ot74 APPLICATION FO�t ELECTR CAL PERMIT ti COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY BUILDING AND SAFETY DIVISIONER JOB /� oADDRESS r Al LOCALITY T5,01 PC/ C/ f-Y FOR APPLICANT TO FILL IN NEAREST CROSS ST OUTLETS NO EACH FEE OWNER NAMEIZ? 41 RECEIPT_ $ $ MAIL FIRST 20 O _ Z5 ADDRESS /0-1— LIGHT LIGHT T TAL CITY TEL NO SWITCHOVER 20 7. J 10D ti �Q PLAN CHECK LIGHTING TOTAL FIRST 20 25 APPLICANT FIXTURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY TEL No PERMIT RANGE DRYER_WTR HTR APPLICANT STA COOK DISP F A U ADDRESS SPACE HTR AIR GOND CITY NO CLOTHES WASH DISHWASH LICENSE OR CLASS REG NUMBER FAN OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORSTRANSFORMERS 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 - I 100 LICENSOED A9 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIF RNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE - 1O 300 DESCRIFED RES NTIAL PROP Y CD PERMITEE C=10 - 5o 500 SIGNATURE O 50 - 100 1000 U DISTRICT NO PSED BY a 100 - Soo 1500 G fJ' Z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE NSPE RS9IGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 UNDERSLAB WORK SERVICEOVER 600 VOLTS OR200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING 2- �? TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES N POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE , PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M 0 CASH a o 4 rJAN 3 2 3 51 5 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE P v o>