HomeMy Public PortalAbout10204 LIVE OAK AVE_Electrical__ 76A66.'�i�CE806 11-71 �L
APPAK14 J LC�L LC FOR VE EA&A[� (���
PER OT
COUNTY OF LOS ANGELES �=
r DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS CC` 1111C.,
LOCALITY
FOR APPLICANT TO FILL IN CROSS NEARESST. r
�
OUTLETSNO EACH FEE
\j OWNER
RECEPT $ $ MAIL
LIGHTS TOTAL FIRST 20
Z 25 ADDRESS Gn
CITY Q �r TEL NO
SWITCH, 1 OVER 20 10
PLAN CHECK
FIRST 20 APPLICANT
LIGHTING Il TOTAL 25
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES clry TEL. N0.
RANGE DRYER_WTR. HTR PERMITAPPLICANT
STA. COOK DISP. F.A U. ADDRESS 4
SPACE HTR AIR COND. CITY TEL NO.
CLOTHES WASH, 01SHWASH. LICENSE NO CLASS.
FAN OTHER 100 1 HEREBY ACKNOWLEDGE THAT 1 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
O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND Tp O
1 - lO 300 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
U
10 - 50 500 SIGNATURE IC
OF PERMITTEE O
50 - 100 1000 - - : G
DISTRICTNO CLASS ZONE PROCESSED BY Lu
100 — 500 1500 S (� $ -T: R_ z
SIGN, GAS SIGN AND ONE CIRCUIT 500 NOTES:
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 1000 ':•r
TEMP.POWER POLE ,
TEMP SERVICE,POLE, &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM _ 300
ROUGH CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL) �
� UTILITY,CO. NOTIFIED
PLAN CHECK FEE A
' 00 FINAL
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION SCK M 0 CASH PERMIT VALIDATION K M D CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE