HomeMy Public PortalAbout6206 IVAR AVE_Electrical__ 764'r3�'CE8s6 I 71 A11 Il`GU/C/r�1/fP0N FOR EL�cvpuc,-,d. pC�amff
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY 'ENGINEER BUILDING 'r
BUILDING AND SAFETY DIVISION ADDRESS" i do V
LOCALITY'
f FOR APPLICANT TO FILL IN CROSSS T. ;
OUTLETS NO. EACH FEE
RECEPT. $_ $ OWNER 711
MAIL /
FIRST 2025, ADDRESS
LIGHT TOTAL. ll
CITY TEL: NO.p(1
7- 2
SWITCH - OVER 20 .10
_ PLAN CHECK V -
LIGHTING TOTALFIRST 20 25 -APPLICANT
.
FIXTURES
OVER 20 ADDRESS
.10
RESIDENTIAL APPLIANCES CITY TEL. NO.
qy�� /y�
PERMIT D!`/✓ / /1. i ) /e,`. ` 1�
RANGE DRYERWTR. HTR. APPLICANT ° 97/x/ /4 /L
STA. COOK DISP. F.A.U. ADDRESS,
SPACE HTR. AIR COND. CITY /.}' TEL. NO.
CLOTHES.WASH. DISHWASH. LICENSE NO.pC (� �•/ CLASS. ��D
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•
SIZ E.& TYPE. OVER TO
I HEREBY CERTIFY THAT I AM PROP LY REGISTERED ANO/OR
0 - 1. 100 LICENSED AS RED IRE BY LOS ANGEL COUNTY AND STATE OF d
CALIFORNIA OR THAT"I AM.THE LEGAL G/NER OF, AND INTEND TO
L 1 --10 3.00 O(� RESIDE IN THE ABO DESCR ED RESID TIAL_PROPERTY, O
10 - 50 5.00 SIGNATURE I=
OF PERMITTEE O
50 100 10.00 DISTRICT NO. CLASS �PROCE SED Yv 1J
W
1 00 - 500 15.00 °d .� -" L( U ` N
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR .
MARQUEE ADDITIONAL CIRCUITS 1.00 "
SERVICEN_OTOVER600VIOLTSOR200AMP 3.00 OO
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 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 CONDI UT
WIRING
FIXTURES
POWERAUTHORIZED '
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED .
'PLAN CHECK FEE
' PERMIT ISSUING FEE 3.00 _3100 FINAL
TOTAL FEE
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION (CK. M.0. CASH'
v A °'
Iji
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-0 E1;0f0�71
. QIrPLS�CG=,11J 0®I�II �L 0O �n ECT )CAI� uVuN PER1r u
'COUNTY OF LOS ANGELES
w u
DEPARTMENT OF COUNTY ENGINEER JOB
e
BUILDING AND SAFETY DIVISION
LOCALITY 11 Vii' -
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. J '
OUTLETS NO. EACH FEE OWNER OR -
FIRM NAME
RECEPT. [[ $ S MAIL
f/�� FI RST",20 - Q- ADDRESS
LIGHT TOTAL 25 jj
`
�7 s, CITY V •` ,�, TEL. NO: s � � `'
SWITCH �I OVER 20 ,1p IJ o
PLAN CH CK
LIGHTING FIRST 20 APPLICANT
TOTAL .
10
FIXTURESOVER 20 ADDRESS
_ . -
RESIDENTIAL APPLIANCES CITY TEL.. NO.
_ PERMIT
RANGE DRYER_WTR• HTR. - APPLICANT
STA.' 000K DISP, F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO..
CLOTHES WASH. DISHWASH, REG. NUMBER- LICENSE 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 RATINGWITH 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 — 1 100 LICENSED, AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF - r
CALIFORNIA ORTHAI- I AM THE EGAL OWNAR OF THE ABOVE ,
I — 10 300 DESCRIBED RESIDENTIAL PROP TY.
'PERNIITEE
10 - 50 5.00 SIGNATURE
F-
50 - 100 10.00 LLJ
DISTRICT NO. 20CSED B N
100 - 500 15.00 ` (� 8 Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS .DATE INSPE. SIGNATURE
TUBE, OR -
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI.CENOTOVER 600VOLTS OR200AMP 3.00 UNDERSLAB WORK
SERVICEOVER60OVOLTSOR20OAMP 10.00 ROUGH CONDUIT /„7 ...
TEMPSERVICE,POLE, &APPURTENAN.CES 5.00 WIRING 7-�` 7� 'A�°J''1..%•t
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES o
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
zaivJGIs L/ /c
Y
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0. LASH'.
15-0-5 ,08
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE