HomeMy Public PortalAbout9929 LAS TUNAS DR_Electrical__ 76A663-CE80610/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES r ,/
DEPARTMENT OF COUNTY ENGINEER ADDRESS ,Z �f�`+ T(I
BUILDING AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
DU LETS NO EACH FEE OWNER OR /S /� / �✓I�
FIRM NAME 0 /
RECEPT�,� $ $ MAIL ( S /�
LIGHT.J v TOTA FIRST 20 25 �� ADDRESS JAL/J -4 /�+ T /I
OVER 20 CITY /..� v L NO
SWITCH_ J 10 PLAN CHECK
LIGHTING TAL FIRST 20 25 ` EJB APPLICANT
} OVER 20 v O ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY /L TELA. NO
RANGE DRYER WTR HTR. APPLIICANT S lio�RcT IG
STA COOK DISP F.A.U. ADDRESS �,+V o'l5 A' ,x rs^
SPACE HTR. AIR COND. CITY gm TEL N0. -
CLOTHES WASH DISHWASH. R G. NUMBER 3OV CLASS.0 /0
FAN OTHER 100 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
y//`1 OVER TO
T'/ F/�'/y+� 0 - 1 p� 1 00 tj� I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
v LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF/TH ABOVE
p ,�fl 1 - 10 2 300 ov DESCRIPED RESIDENTIAL PnJR,O�PERTY O
" 10 - 50 500 PERMITEE
SIGNATURE
O
F-
50 - 100 1000 U
DISTRICT NO PR SS B W Cl_
100 - 500 1500 45 1) _ r r-
c
SIGN, GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER600VOLTS OR200AMP 300 UNDERSLAB WORK f� r, -77VQ A-11�
SERVI CE OVER 600 VOLTS OR 200 AM P 1000 ROUGH CONDUIT :7v
TEMP SERVICE,POLE, &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT• SYSTEM 300 FIXTURES v
POWER AUTHORIZED
a
UTILITY CO NOTIFIED I
FINAL,
PERMIT FEE (SUB TOTAL) NOTES ,
PLAN CHECK FEE
PERMIT ISSUING FEE 300 .30_0
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATIONCK M o CASH
6 0:4 e.AU6 20 2 -0, 4 1.7 0 ®�o
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - ^ ^