HomeMy Public PortalAbout4843 FIESTA AVE_Electrical__ 76A663CE806(11 %78) APPLICAVIOLA-F®R" ELE TW: 41. PERMIT 4 _
COUNTY OF LOS ANGELES Y y BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
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ewBldgs &Pools "' EACH NO FEE A ADDRESS
Sq Ft $ 025 — $ LOCALITY
Sq Ft w 02 — NEAREST }'
�mmm Pools 2500CROSSST -9- OWNEROR"a FIRM NAME IFOZU�'�7
Outlets Rec Light_Sw _ 2 MAIL
First 20
50 - ADDRESS % � s
Total No Additional 30 CITY " `Cw LvJj I No,,,,.,,,r
PLAN CHECK
" APPLICANT
Lighting Fixtures First 20 d 50 ADDRESS ,v
— --t
- Additional 30 -- - - --
Total No" s f M CITY s -~ M Tel No + v
r
Fixed Appliances Not Over 1 HP u PERMIT
APPLICANT
Range_Heater_D W
Oven—Dryer—W M— rY rADDRESS
Top Y�FAU _ WH _amY CITY �i� .Z� �.�/ Tel No° _ p.Z
Hood_Fan r_Other
Dap Room Air Cond 2 50 f REG LICENNUMSE OBER S '/9 Class r`°-J4
�+ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA"
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND STATE"LAWS
Size&Type HP"KW KVA or KVAR 2 50 REGULATING ELECTRICAL WIRING+ ` O
_ a.
Up to 1 Incl 0 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR "-V
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF 09
Over 10 to 50 Incl�- 12 50 CALIFORNIA OR THAT IMAM THE LEGAL OWNER OF THE„PBOVE "_0
Over 50 to 1 00 Inc
25 00 DESCRIBED RESIDE N L PROPERTY c
Over 100 ' 40 00} - PERMITEE
✓ SIGNATURE__ N
Services -_T - f DI TRICT NO PROCESS BY
`0 200 Amp Under 600V 12 50 AL 10
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000 i Z
t1 O
Temp Power Pole,&Appurtenances 1000
Sign with One Branch Circuit _' t 10 00 - t ' �o v ,
Additional Sign Branch+Grcuitss 1" ,2 00 I a Q 9 1 `�?
ti _ INSPECTION >
INFORMATION u # o 0 o 0'02
Misc Conduits&Conductors -ON REVERSE `i 2 0 0 9 Q
Other(See Complete Fee Schedule) SIDE u
r d _ - ,�g aao19506
�� + �t x 0229-80
PERMIT FEE " ''� �"(Sub Total) `- _ -
`> rO fe
PLAN CHECKING FEE (One Fourth)Permit Feel
PERMIT ISSUING FEE rF$7,00
TOTAL FEE t�v > �f c
INSPECTION FINALED , 009
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date _
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