HomeMy Public PortalAbout8816 LAS TUNAS DR_Electrical__ •>6A863fESO6 4-68 APPLICATION FOR ELECTRI—/C/AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION AooR Ess I 7-&, �f
JOHN A. LAMBIE, COUNTY ENGINEER /�
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY ` /
NEAREST _
FOR APPLICANT TO FILL IN CROSS ST. /00
NO. AC FEE
S
$
OWNER
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS y /l"
SWITCH_ OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE—O R Y E R_W T R.H T R.— CITY �Aaa TEL. NO.
STA.COOK—DISP._F.A,U._ CONT RACT0R
SPACE HTR—AIR GOND.
ADDRESS
CLOTHES WASH._DISHWASH._ CITY .I. tf ! TEL. NO. Q
FAN—OTHER 1.00 t
LICENSE 14 0. Z CLASS.[ U/)~
MOTORS.TRANSFO RMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE IN TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
W ITN ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 - 1 1.D0 ELECTRICAL WIRING.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 10 3.00 LICENSED AS REDUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
10 50 5.00 RESIDE IN, THE ABOVE DESCRIP.ED RESIDENTIAL PROPERTY.
SIGNATURE �
SO - 100 10.00Cl-
OF PERMITTEE G O
U
100 - SOO 15.00
DISTRICT O. GROUP I ZONE PROCESSED BY z
TUBE. A SIGN AND ONE CIRCUIT 3.00 Q U
MARQUEE gDUIT10NAL CIRCUITS [.00,
NOTES: 0-
C4)y
SERVICE NOT OVER 600 VOLTS OR 200 AMP Z
SERVICE OVER 600 VOLTS OR 200 AMP TEMP SERVICE, POLE. &APPURTENANCES APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE,
UNDERSLA8 WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 OQ UTILITY CO.NOTI FIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL ' ,Q
TOTAL FEE _ JO H C. ROOHAN
SUPERVISING ELE AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
W1. 07 6 8� JUL 1 > D 5.00--
a/
SEE ACK OF APPLICATION FOR COMPLETE FEE SCHEDULE