HomeMy Public PortalAbout5813 MYDA AVE_Electrical__ 76A663-CE60611/70 APPLICATION FOR ELECTRICAL�PERMIT
COUNTY OF LOS ANGELES �,fp /�` �/1 A
DEPARTMENT OF COUNTY ENGINEER BUILDING
cep N' 6 /"�y�/�C! F� ��-�BUILDING AND SAFETY DIVISIONCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING TA ��
FOR APPLICANT TO FILL IN e1
OUTLETS NO. EACH FEE OWNER
RECEPT._ �+�
$ $ ADDRESS S'gI.3 �'�� 0 AC!
LIGHT TOTAL FIRST 20 25
SWITCH_ OVER 20 10CITY f'C07JV� TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
APPLIANCES CITY TEL. NO.PER ,�
IT
RANGE DRYER_WTR. HTR. APPLICANT S/`C�Q� F� PY#1'�'�I:r�CC
STA. COOK DISP. F.A.U. ADDRESS � A� ri :'"J V' -:)4 �;,.; b
SPACE HTR. AIR COND. CI TY—1EF9�'J� TEL. N0.c-4,' F l [-C,?1 l�eC'
11�� �s
CLOTHES WASH. DISHWASH. LICENSE NO. 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 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 - 11pp LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO }
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. a
SIGNATURE ' !'i• ` OU
10 - 50 5.00 OF PERMITTEE
50 - 100 10.00 0
D.IS.3AICTN ASS ZONE I P CESS Y
100 - 500 15.00 r uLu
SIGN, GASS
TUBE, OR IGN AND ONE CIRCUIT 5.00 NOTES: h
Z
—
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 ClY
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORI7ED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE y
PERMIT ISSUING FEE 3.00 (j(f FINAL
JO PH C. ROOHgfN '
TOTAL FEE SUPERVISING ELECTRI L NG)NEEP
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION Cki0o,
C .H
uiLc) � 4 G a� AFF 13 2 D 5
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE