HomeMy Public PortalAbout6017 IVAR AVE_Electrical__ 76A663-CE806 10/72. All L! LSICAVIOII V FOR R ELEC TFR d PERM u
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING'AND SAFETY DIVISION ADDRESS 40 `Y I/-e— `
LOCALITY " r' }�,
NEAREST 1 �y,q
FOR APPLICANT TO FILL IN _ CROSS ST. LJ
OUTLETS NO. EACH FEE OWNER OR
$ $ FIRM NAME
RECEPT._ ADDRESS
MAIL
LIGHT TOTAL FIRST 20 .25 -®
CITY _TfG TEL. NO
SWITCH OVER 20 �p
PLAN CHECK
FIRST 20 25 APPLICANT
LIGHTING TOTAL
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO,
PERMIT _�y
RANGE DRYER_WTR. HTR._ APPLICANT
STA. COOK DISP. F,A.U. ADDRESS
SPACE HTR. AIR COND. CITY j!TzTEL, NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN OTHER 1.00 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. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 ipp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAII AM THE LEGAL OWNER OF THE ABOVE
^ DESCRIBED RESIDENTIAL PROPERTY. p}_,
3.00 C! o
PERMITEE 'LAM-, �py�� v
10 - 50 5.00 SIGNATURE `G✓���` U./�1""'�✓�'
O
50 - 100 10.00
DISTRICT NO. OCE ED BY W
100 - SOO 15.00 1
J Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 ` TEMP. POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200AMP 3.00 0( UNDERSLAB WORK
SERVICE OVER 600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.D01 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIEDY
FINAL
PERMIT FEE (SUB TOTAL) NOTES:TEG., .� 'vA'
PLAN CHECK FEE I?—. �/$P•/�
PERMIT ISSUING FEE 3.00
TOTAL FEE G(�
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
2 5 273 JUL 1'7 2 D �.�0