HomeMy Public PortalAbout5927-29 IVAR AVE_Electrical__ 7;IK
76d663-CE8I56 468AJPCrN FOR ELEVq?MCAL
COUNTYOF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING'
BUILDING AND.SAFETY. DIVISION ADDRESS
'JOHN A. LAMBIE. COUNTY ENj,INEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
LOCALITY /j,,s`J✓I�GL-r
FOR APPLICANT TO FILL IN NEAREST
CROSS-ST.. �TE/P„f✓/f�v�/S�•'
NO. EACH .FEE .. ,
RECEPT. $ $ OWNER f .. .�ZT.G,=/3%✓/
' MAIL. -
�� LIGHT TOTAL FIRST 20. .20 c5 ADDRESS -�,q` /�f;���.•-f-,f p' /J,��jL-, �,�r
.. SWITCH . " '� OVER 20 .10 CITY l/Yfljly,.LI./•7"�WE_L. NO./T,?'�,/�/
PLAN CHECK '
LIGHTING TOTAL FIRST 20 .20 -Yo APPLICANT �/1/`�/'
FIXTURES, OVER 20 .10 ADDRESS
RANGE 'DRYER_WTR.HTR•— CITY TEL. NO. -
STA.COOK ' DISP• F.A.U— CONTRACTOR
SPACEHTR.' ' AIR COND.
ADDRESS
CLOTHES WASH._DISHWASH._ CITYTEL:. NO.
FAN OTHER 1.00 LICENSE 1-40. CLASS...
MOTORS,TRANSFORMERS .RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE. THAT I= HAVE READ THIS APPLICATION
SIZE &"TYPE OVER TO AND 'STATE THAT'THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH 'ALL -COUNTY'ORDINANCES AND. STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 — 10' 3.00 L-ICENSED AS REOUIRED BY LOS.ANGELES COUNTY AND STATE OF
_ - CALIFORNIA OR THAT I AM THE LEGALOWNEROF, AND INTEND TO
10 SO 5.00 RESIDE IN, THE ABOVE DESCRIFED RESIDENTIAL PROPERTY. C7
SIGNATURE C.7
50 - 100 10.00 OF PERMITTEE
O
.100 .500 15.00 ~
DISTRIC NO: GROLLP ZONE P OCESSEI BY w
TUBE, OR �A.
GN AND ONE CIRCUIT.,. 3.00
MARQUEE
DI TIONAL CIRCUITS 1.00 NOTES: ,
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00 _
TEMP SERVICE, POLE, &APPURTENANCES 3-.00 'APPROVALS DATE INSPECTOR'S SIGNATURE'
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES - - _
PLAN CHECK.FEE (50% PERMIT FEE)
p,•� POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 190 UTILITYCO.NOTIFI.ED -
SUPPLEMENTARY PERMIT ISSUING'FEE 1.00 / FINAL'
TOTAL FEE 7 /1J JOSEPH C. ROOHAN
- _ SUPERVISING'ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK, M. CASH PERMIT VALIDATION CK. M.O. CASH
a4 - JAN 1
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE