HomeMy Public PortalAbout8806 GARIBALDI AVE_Electrical__ APPLICATION FOR ELECTRICAL PPEIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION 6 ti
JOHN A. LAMBIE, COUNTY ENGINEER ADDRESS -y---
COLEMAN W. JENKINS, SUPtRINTENDENT Of BUIL-DING LOCALITY f
FOR APPLICANT TO FILL IN NEAREST CROSS
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CROSS ST. /x'93 8 � /[�
RECEPT OWNER
AIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH OVER 20 .10 CITY TEL. NO.
�TOTAL
PLANCHECK
LIGHTING FIRST 20 .20 APPLICANT
FIXTURES I OVER 20 .10 ADDRESS
RANGERYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP.-I—F.A.U.— CONTRACTOR ,,
SPACE HTR.AIR COND. ADDRESS Z-
CLOTHES WASH. DISHWASH l CITY TEL. NO.
FAN—OTHER ,J 1.00 dO LICENSE NO. Z. Z CLASS. �r
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HERESY ACKNOWLFOVE THAT I HAVE READ THIS APPLICATION
OVER TO
SIZE R TYPE AND STATE T
WITH ALL COUNTY OROINANCES AND STATE LAWO REGULATING
RAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY
ELECTRICAL WIRING.
0 - 1 1.00
IHERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AD REOU Ut ED BY LOG ANGELES COUNTY AND STATER OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 505.00 RES IOF IN, THE ASO DESCRIflED EGIDENTIAL PROPERTY. O
SIGNATURE V
80 - 100 10.00 OF PERMITTEE OC
loo — aoo 15.00 DIS RICT NO. GROUP NE P CESSED BY LL
810N,GAS SIGN AND ONE CIRCUIT 3.00 /O LL
TUBE, OR _ D„
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 500 VOLTS OR 200 AMP 2.00 dD
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVAL* DATE INIPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAS WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 �-�d UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE $ JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LCO 7 1 4 6�8 WV 6 D 8.0 0-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE