HomeMy Public PortalAbout5903 IVAR AVE_Electrical__ 76A663-CE806 4-65 APPUCAMN FOR ELECUMCAL pC6D3N T �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING ��N ✓J��
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE,.COUNTY ENGINEER /� �
COLEMAN W. JENKINS. SUPT. OF BUILDING LOCALITY C (�
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ✓LDS
RECEPTACLE TOTAL NO_EACH FEE
LIGHT OUTLETS I FIRST 20 �20 $ OWNERMAIL
[ D
SWITCH ADD'L .1O
LIGHTING FIXTURES ADDRESS' / `� 3
N°•-� {��/ Y
OVER 20 `�
TOTAL FIRST 20 .20 .CITY/,e� e rI TEL.NO. / , 06
FIXTURES ADD-L 10 -CONTRACTOR
OVER 20
RANGES CLO.DRYERS WTR.HT RS. i 1.00 ADDRESS
GARB.DISP. STA.COOK
CITY TEL. NO.
DISHWASH. AUTO.-WASH. STATE
SPACE HTRS. STA.APP.(1/¢H.P.MAX.) 1 ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. ;'DISTJXT NO. GR, C},L1PZ NE I PR Eff B
O 1 1.00 f. ��!
I 3 1.50 INSPECTION RECORD
3 S 2.00
8 15 2.50
15 50 3.00 -
O
SO 100 15.00 u
Im
SIGNS: NO.TRANS O
NO.LAMPS F'
VW
SERVICE 0.600V-NOT OVER 200A � � F.,
� �� N
SERVICE 0.60OV•OVER 200 A. z_
SERVICE OVER 600V
OTHER (SEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2.00 (�"�••�
SUPPLEMENTABY PERMIT ISSUING FEE 1.00
TOTAL FEE APPROVALS DATE INSPECTOR'S SIGNATURE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY 3 ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING, WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR. FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO POWER e /
RESIDE IN,THE ABOVE DESCRIBED` REv,6(DENT L PRPPE p
SIGNATUOF PERM
P'Z .Gc >' UTILITY CO.NOTIFIED w�
777��` FINAL ✓/
VALIDATI JOSEPH C. ROOHAN
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
u',Lo 1 6 4 8 ZE APR 2 9 2 A 3.0 0-