HomeMy Public PortalAbout4831 FIESTA AVE_Electrical__ 76A663 Cob , 6r - APPLICATION FOR ELECTRICAL PERMIT
COCJOITY OF LOS ANGELES
DEPART ENT-OF tOWNTY ENGINEER BUILDING
BUILDING ANb SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY ENGINEER !�
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY l
NEAREST
FOR APPLICANT TO FILL IN CROSS ST �L►w/�/L LLlS
RECEPT TOTAL
NOEACHFEE
LIGHT OUTLETS FIRST 20 2,() $20 $ OWNER F�
MAIL
SWITCH 3d OVER L 1 10 �If ADDRESS
TOTAL FIRST 20 20 CITY C TEL NO
LIGHTING FIXTURES
FIXTURES ADD L 10 CONTRACTOR
OVER 20
RANGES DRYERS WTR HTRS 1 OO ADDRESS
GARB DISP STA COOK CITY TEL NO
DISHWASH AUTO WASH STATE
SPACE HTRS STA APPL S0 LICENSE NO
MOTORS OVER NOT OVER H P DIST31CT NQ, G Z E PR D B
O 1 100
tJ�/
1 3 150 INSPECTION REC RD
3 S 200,
`
8 15 250
15 50 300 I
a
50 100 500
SIGNS NO TRANS
NO LAMPS OG
SERVICE O 600V NOT OVER 200A .� loo
aW
SERVICE O 600V OVER 200 A 200 h
Z
SERVICE OVER 600V 500 1
t
B` �
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE - a 200
SUPPLEMENTARY PERMIT ISSUING FEE 1100 APPROVALS DATE INSPECTOR i SIGNATURE
TOTAL FEE $
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLI ATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING /�J/ N
ELECTRICAL WIRING WIRING il,-6M �
1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT AM THE LEGAL OWNER OF AND INTEND TO POWER
RESIDE IN THE ABOV SCRIBED RES D T PROPERTY
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
LIDATION JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
C MO CASH
LALO9490JUL 10 2 D 9.90N