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HomeMy Public PortalAbout5819 OAK AVE_Electrical__ 76A663_CE806 I0"2 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION LOCALITY r '' NEAREST FOR APPLICANT TO FILL IN CROSS ST. // .9'�... ..�. OUTLETS NO. EACH FEE OWNER OR RM NAME It;t,t ?_. $ $ RECEPT._ MAIL LIGHT TOTAL .25 FIRST 20 ADDRESS x' - • CITY Z:.+I,,. ,. �'.+'�.,,,.• TEL. N0. SWITCH_ OVER 20 10 PLAN CHECK FIRST 20 APPLICANT LIGHTING TOTAL .25 OVER 20 ADDRESS FIXTURES .10 RESIDENTIAL APPLIANCES CITY " TEL. NO. RANGEPERMIT DRYER,_WTR'. HTR. j .f,;.0 APPLICANT , d..y �,„. SIA. GOOK ti DI'SP. F.A.U. ADDRESS SPACE HTR. AIR COND. CITY-���-� f ;�.��,�*-4 {�;�, TEL, N0. CLOTHES WASH. DISHWASH. LICENSE OR l REG. NUMBER CLASS. FAN OTHER 1.00 I 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 r ' 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF p CALIFORNIA ORTHAI I AM THE LEGAL OWNER OF THE ABOVE O 1 — 10 3.00 OESCRIP.ED RESIDENTIAL PROPERTY. C.> 'PERM ITEE _ J­ 10 k 10 — 50 5.00 SIGNATURE •� j��t° �� ""�"" u. 50 100 .. � DISTRICTNO. PROCESSED-BY 100 — 500 15.00 ` k Y{ d SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE Lu TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE SERVICENOT OVER 600VOLTS OR200AMP 3.00 UNDERSLAS WORK _ SERVICEOiER600VOtTSOR200AMP10.00 ROUGHiItONOWIT `' •.: TEMP SEF3VICE,POLE,&.APPURTENANCES5.00 '- fi'... .WIRING,- .' ! ` TEMP LIGNfi OR REC5PT. SYSTEM 3.00 . FIXTUf+';.ES 'A POWERyAUT'HORIZEO ` UTILITY CO. NOTIFIED FINAL S PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE r" s PERMIT ISSUING FEE - s TOTAL FEED 1fj PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 76A663-CE80611/70 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS rr i COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST. _ OUTLETS NO. EACH FEE OWNER � i;- RECEPT., $ s MAIL i% i LIGHTADDRESS ,, TOTAL FIRST 20 .25, �D .. CITY TEL. NO. SWITCH OVER 20 10 /../ PLAN CHECK LIGHTING FIRST 20 1`--^ 25 APPLICANT TOTAL OVER 20 ADDRESS FIXTURES - .f0 APPLIANCES CITY TEL. NO. PERMIT r RANGE DRYERWTR. HTR. APPLICANT J' STA. COOK DISP. F.A.U. ADDRESS „! { r SPACE HTR. AIR COND. CITY y }: '� TEL. NO.'•_; CLOTHES WASH. DISHWASH. LICENSE NO. - CLASS.;" FAN OTHER f. I.00 I 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 a O - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO O 1 - 10 300 RESIDE IN. THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. u SIGNATURE y\\ �,, LU 10 - 50 5.00 OF PERMITTEE 50 - 100 1000 } DISTRICT NO. JCLASS- ZONFi PROCESSED BY � 100 - 500 15.00 1. SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: _ 0 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 LU I- SERVICENOTOVER 600VOLTS OR200AMP `�+� 3.00 /± APPROVALS DATE INSPECTOR'S SIGNATURE SERVICE OVER 600 VOLTS OR 200 AMP 10.00 TEMP.POWER POLE TEMPSERVICE, POLE, &APPURTENANCES 5.00 UNDERSLAB WORK TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH CONDIUT WIRING FIXTURES POWER AUTHORIZED PERMIT FEE (SUB TOTAL) UTILITY CO. NOTIFIED PLAN CHECK FEE4141 FINAL -' �� � ©� PERMIT ISSUING FEE 3.00 JOSEPH C. ROOHAN TOTAL FEE - SUPERVISING ELECTRICAL ENGINEER, PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH ♦ rY v.. . .A a; 4 J SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE