HomeMy Public PortalAbout5941 IVAR AVE_Electrical__ 76&,663-CEO,Q6 10/72 APPUCAUMH FOR Q ELECTMAL AEG°N'T
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS /`,�• �/
LOCALITY G
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
O1ET$ N0. EACH ;FEE OWNER M
FIRM NAME
RECEPT $ $ MAIL ^^ 'A
O'� FIRST 20 25 ADDRESS oI+O G v/- •.
LIGHT TOTAL
SWITCH OVER 20 - ,1p
o CITY " G� TEL. N0.
PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 �' 25 APPLICANT
T OVER 20 ADDRESS
FIXTURES .10
RESIDENTIAL APPLIANCESPERMIT
clTv TEL. N0.
RANGE DRYERWTR. HTR._ APPLICANT ��yy
STA. COOK DISP.�F.A.U.� ADDRESS , Vy go X 1.2
SPACE HTR. AIR COND. CITY •yam TEL. NO./ `' alf
CLOTHES WASH.--/_DISHWASH. ® REG.N UMBER / _ CLASS. C-1a
FAN-7/--OTHER `yr 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
(/d AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY )
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING l
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR �
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE i
1 - 10 3.00 PESCRIRED RESIDENTIAL P PERTY. (5
PERMITEE � / + V
10 - 50 5.00 SIGNATURE
50 - 100 10.00 _., c-')
DISTRICT N0. ROCES D BY W
CL.
100 - 500 15.00
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOT.OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERV[CEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING jq
A1k t/s/q
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES -7� kqv
POWER AUTHORIZED
UTILITY CO. NOTIFIED - Af j _
FINAL (�
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.0013 04
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASHPERMIT VALIDATION CK. M.O. CASH'
. » 2 0 2 5.05
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
.76A663-CE.806 10/72 %PP UCQM'FO - ELECU U AL HG3 gu I
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS K
LOCALITY �,
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. _
- OUTLETS - NO. EACH FEE OWNER OR �J /•.
$ FIRM.NAME
RECEPT. - MAIL ,l
•FIRST 20ADDRESS
28
LIGHT. TOT L 'CITY •EL. N ,� �.-
.•'OVER 20 PLAN CHECK
SWITCF(�� - .10 • Wu&xle � � •
FIRST 20 APPLICANT � '
LIGHTING �sl TOTAL ,.25
/1j ADDRESS f
FIXTURES OVER 20
RESIDENTIAL APPLIANCES clTv TE
A No a�Qe
PERMIT l
RANGE DRYERWTR. HTR:_ APPLICANT IIIA b
STA,,COOK `.DISP. F.A.U.- ` -
ADDRESS
SPACE.HTR. AIR.COND. - CI /s• - TEL. N
LICENSE OR
CLOTHES WASH. DISHWASH. - REG. NUMBER CLASSO
' FAN OTHER 1.00':: I 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. HP. KW.'K VA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
- I HEREBY CERT Y THAT [,.AM PROPERLY REGISTERED AND/OR
0 1 1 00 LICENSED'AS R U RED BY LOS ANG LES COU NTY AN ST TE. OF
CALIFORNIA O T Al' I AM T.HE L AL OWNER OF HE ABOVE
DES f.R I'P•ED S ENT'I L PROPER Y. c)
J — 10 3.00 0
- PERMITEE ��� V
10 ='50 5.00 SIGN'ATU - r�
50 — 100 10.00 O
DISTRICT N0. PROCES ED BY
U
LLJ
100 —500 • 15.00' +
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECT SSIGNATURE
TUBE, OR
•.MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER600VOLTSOR20OAMP. 3.00 UNDERSLAB WORK
SERVICEOVER600VOLTS OR.200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE, POLE, &APPURTENANCES _5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM .3.00FIXTURES ��`C�•„'� Y(r
POWER AUTHORIZED
•' \ UTILITY CO. NOTIFIED
..
'FINAL
PERMIT FEE ' (SUB TOTAL) OTES �. ®,r).,�''",y��® rd v✓s�.ri�.r
PLAN CHECK FEE B PS 1dlI&Jr A+ad�A.Gt�//•'� /�A.�. 7/,RVw:t.�'•az
�--
PERMIT.I3SUING FEE 3.00
TOTAL FEE C`.•
r iL?�3
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT I1V ci. M.O. CASH
9..� 1 lu : � .. '• .7.5.C�
SEEBACK•OF APPLICATION FOR COMPLETE-SCHEDULE _ �• ,