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HomeMy Public PortalAbout8814 LONGDEN AVE_Electrical__ 76A66 3C- CE 468 1275 &PPLEMOZ FOR EL ECYG3EA PERM , BUILDING AND SAFETY .DIVISION FOR APPLICANT TO FILL IN JOB L New Residential Bldgs.& Pools EACH NO.1 FEE ADDRESS 1 &2 Finaily Sq. Ft. $ — $ LOCALITY .7._--m LC C/ T Multi-family Sq. Ft. NEAREST Residential Swimming Pools CROSS ST. n l r rb FO RM NA EWNER OR I/�/eS I�G C�C.s Outlets: Light, Switch&ReceptacleMAI L First 20 11-0-1 ADDRESS Additional CITY Tel. PLAN CHECK APPLICANT Lighting Fixtures First 20 SIC ` ADDRESS Additional CITY Tel. No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT 1B / Range Heater D.W. Q� Oven Dryer W.M. ADDRESS Top FAU W.H. CITY W, C204///JA Tel. No.3-3'y Hood Fan _� LICENSE OR >.y 5_7Disp. A.C. REG. NUMBER /2c � Class. 0 �/Q � I HEREBY AC-OWLEDGE.THAT I HAVE READ THIS APPLICATION Q AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATINGLU V Size&Type HP, KW, KVA,or KVAR ELECTRICAL WIRING. 0- C/) UpU to 1 Incl. z 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1'AM H ,LEGAL OWNER OF TME ABOVE Over 10 to 50 InCI. DESCRIBED RESIDENTIAL PR OPE TY. Over 50 to 100 Incl. PERMI TE EPERMITEE Z Over 100 SIGNATURE DISTRICT NO. PRO SSED BY Services .67- 0-200 Amp. Under,600 V ?_S ®8 201 - 1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S Over 1000 Amp.or Over 600 V SIGNATURE TEMP. POWER POLE Temp. Power Pole&Appurtenances UNDERSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits ROUGH CONDUIT Q � (Other) WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (Sub-Total UTILITY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL PERMIT ISSUING FEE i NOTES T TAS FEE ..- F_ .O. CACI PERMIT VALIDATIONC 0 5 M.O CASH )LICY HOLDER:',��� � Ca ►LILY NUMBER:: 1139a .r• IIM : s �KLE APPLICATION FOR ELECOTRIC PERMIT DIVISION OF RUILDI.NG AND SAFETY p , P. Department of County Engine= Cnantv of Lou Ango,vo ADDR NaC7�t� LO,u(� WM.J. FOX. COUNTY ENAINXxR ADDRESS C�✓ C.AGGATT O. GRIT'FIN.SUPT oP GVa.Dr - „- LOCALITY FOR .APPLICANT TO FILL IN �) _ PERMIT FEES CR0 55 sT. MV T L? FEE - _ - - 1NUMpER '_A C" 1 I OWNER �:J'u� k' vl j n_,�'C%�tir LII,MI Vu_uc_ �•l � RECEPTACLES / : MAILADDRai(�'� Lj L - _ WAIL SWITCHES V I ITY �1�� C ` l TE NO TOTAL OUTLETS . [ILEC. RANGES_— �� _� _ELECTRICIAN t ELEC. H'c ATERSI -�•_=i `_ ADDRESS TEL: _ KW EA J • CITY NO. Raw I=— F7!XTURES - LICENSE NO. ° NUMBER OF Ls C:i1T CIRCUITS -- DISTPI.T NO i GROUP ZO}NE� I NUMBER OF RECEPTACLE CIRCUITS nuMeea __� L� _H_O_RSFPOWF__R_ FE[ r !_ SPECTI0N RECORD HP ovca I IHc.�� El:- ! Q _ ^ �• ✓ T C _'E" _ --- .L__�_R y�says - -- �-- cT,C s0 S�3 jy+ �✓..G2._ �s 4 m - - �-- _In I ----W NO.SI!-.NS NO.TRANS. ---' '-- — •.',' -i NO. SIGNS NO.LAMPS Cr!o.ru ua_oulT' _FIXTURES ?_CQ TJTAL FEE s ✓ JE — —_—..- DATE— INSPECTC4 S 5 IIIA ITURE 5 I -.ERESY ACKNOWLEDGE THAT 1, HAVE ,Er:_ '.HIS APPL.CAONDUIT All STATE THAT THE ABOVE 15 CORRECT AA: ;REE TO CO - -- ------ tr W11H ALL COUNTY ORDINANCE, AND STATE LAWS RPGELAIRING '�,�'^ `}7)Avt-1� -`• I HEREBY CERTIFY THAT I At! PROPS?L! V2SISIERpppED AtI FIXTURES t LIC; 'NS EC AS AEOUIkeQ BY l09 ANGELS! COa*jY- N S:A:' -:� CALIFUR N;A TYN""I A '7HE LEGLL .co q[n HS AOWER �:Tv r- NflTlilE�f L.SIgGNATURE E F PERMITT E L FINAL1.4 /7' r� {y� �],.y._ __ • WILLIAM J. FOX.COUu' Y EN21III VALIDATION A-C•VEIT.CHIeF ELECT.IxarsCTOR 3 7 Ln IIt rz Gomm J, 4ti,.