HomeMy Public PortalAbout5415 HILTON AVE_Electrical__ )6A6fi3-C�BO6 102 A PLkAglON FOR ELEdRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER aooREss
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACX FEE 0 HER OR
S S FIRM NAME 1
RECEPL_l MAIL
\11 FIRST 20 25 ADDRESS
LIGHT —1 TOTAL
OVER 20 CITY TEL. NO
SWITCH .10 PLAN CHECK
TOTAL
FIRST 20 25 APPLICANT
LIGHTING
OVER 20 .10 ADDRESS
FIXTURES
RESIDENTIAL APPLIANCES CITY TEL. No.
PERMIT .Il..
RANGE_DRYER_WTR. HTR._ APPLICANT I
STA. COOKDISP. F.A.U._ ADDRES
SPACE HTR. AIR GOND. CITY TEL. NO. O�
CLOTHES WASH._DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FANOTHER 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. NP. KW. KVA. ELECTRRAL WIRING.
S1ZE & TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Q - I 10D LICENSED AS REBY lANGELES COUNTY AND STATE OF
THAI I TH
CALIFORNIA OR AM THE LEGAL OWNER OF THE ABOVE Y
1 - 10 3.00 JE OESCRI P.ED RESIDENTIAL PROPERTY. O
ll PERMIT V
10 - 50 300 SIGNATURE
50 - 100 1000 H-
DISTRICT NO. ROCE SED B
100 - 500 15.00U'
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1,00 TEMP. POWER POLE
SERVI CE NOT OVER 600 VOLTSOR20DAMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES 5.00 UNOTES: ;;;
,TEMP UGHT OR RECEPT. SYSTEM 3.00 pp� �y , yA!? m 09%PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE (006
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ck M.D. CASH
4 7 SwA 12 2 D
6.0 0 .st.
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -
APPLICATION FOR ELECTRICAL PERMIT
76A663-CE.805 I I`--]I
COUNTY OF LOS AtNGINEER
,�.%.
DEPARTMENT OF COUNR nooREss��
BUILDING AND SAFE
LOCALITY ` G'/ `
NEAREST
FOR APPLICANTCROSS ST.OUTLETS FEE.71 $ OWNERRECEPT MAIL LIGHT TOTAL FIRST 20ADDRESS /SWITCH OVER 20CITY Gam/ / TEL. NO.
PLAN CHECK FIRST 20APPLICANT
/o OVER 20 .ID ADDRESS
FIXTURES /�
RESIDENTIAL APPLIANCES CITY TEL. NO,
PERMIT �j/ A
RANGE—DRY ERWTR. HTR._ APPLICANT /��'{ 1/.J//T� y
STA. COOKDISP.�F.A.U.� ADDRESS. (/„J V/1 13/ �p
SPACE HTR. AIR GOND. CITYTEL. N y � f
CLOTHES WASH./DISHWASH.–/— LICENSE NO. 7 Z CLASSC— D
FAN OTHER 1.00 1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE.THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITHALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE B TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
D - 1 1,00 LICENSED AS REQUIRED GT LOS ANGELES COUNTY AND STATE OF a
CALIFORNIA OR THAT I AM.THE LEGAL OWNER OF, 4N0 INTEND TO O
1 - 10 3 R IDE Ni IAL P OP
.00 RESIDE IN, THE ABOVE OE RIBEO ERTT,
ER V
10 – 50 5.00 SIGNATURE
OF PERMITTE �'w O
50 – 100 10.00 F"
DISTRICT NO. CLASS ZONE PROC Ss EO BY W
100 – 500 15.00 �.� Rj d
N
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUIT$ 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS GATE INSPECTOR'S SIGNATURE
SERVICE OVER600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 FINAL
TOTAL FEE LZL.�S
PLAN CHECK VALIDATION CK. M.O. cAsx PERMIT VALIDA f19//NcK. M.0. CASH
i11L;0 1r) G,'3 .; DN 5 2 D o 2 4.1 5� P
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE