HomeMy Public PortalAbout6023 OAK AVE_Electrical__ 76A669C C66166B I1/75 APPLIC ION FOR ELECTRICAL PERMIT `fl
BUILDING SAFETY DIVISI
FOR APPLICANT TO FILL IN JOB
DDRESS (/ Jr
New Residential Bldgs &Pools EACH NO FEE
I &2 Finaily Sq Ft $ — $ LOCALITY
Multifamily Sq Ft NEAREST
ROSB ST Q '
Residential Swimming Pools OWNERAOR
Outlets Light Switch&Receptacle MAILADDRESS 1P.2 ,.ems
First 20 �/
Additional CITY I NoAt
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional CITY Tel No
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ DW _ ADDRESS
Oven _ Dryer _ W M
Top _ FAU _ WH CITY Tel No
Hood Fan LICESE OR
REG NNUMBER Classy
Disp A C c2
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS A PLICATION ag
AND STATE THAT THE ABOVE IS CORRECT AND AGR!! TO COMPLY 01
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Size&Type'HP KW KVA or KVAR ELECTRICAL WIRING iy
a.
Up to 1 Incl I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANO/OR H
Over 1 to 10 InCI LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Z
CALIFORNIA OR THAT I AM THE LEGAL OWNER F THE ABOVE
Over 10 to 50 Incl DESCRIBEDRC8 DE I T AL-tR!7 TY
Over 50 to 100 Incl PERMITEE I
Over 100 SIGNATOR
Services DISTRICT N;05- 6PR7S t B
0 200 Amp Under 600 V
201 1000 Amp Under 600 VAPPROVALS DATE INSP TOR S
Over 1000 Amp or Over 600 V SIGNATURE
I
POWER POLE
Temp Power Pole&Appurtenances RSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits H CONDUIT
(Other) WIRING
RES
R AUTHORIZED
PERMIT FEE (Sub Total) Y CO NOTIFIED 7
PLAN CHECKING FEE (One Fourth Permit Fee) �/PERMIT ISSUING FEE
TOTAL FEE JC
PLAN CHECK VALIDATION CK MO CASH PERMIT VALIDATION CK M O CASH
2 2 2 S:Khy 11 2 0 6 5 Q ♦VSs
V(Jt
76A66S CESOB 4 66 APPLICATION FOR ELECTRICALRMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
DING O2 y
BUILDING AND SAFETY DIVISION ESS J
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPT OF BUILDING LITY
EST '
FOR APPLICANT T 1 IN
CROSS
sT
RECEPTACLE TOTAL NO EACH FEE f
OUTLETS FIRST 20 S 20 S ER
LIGHT
SWITCH ADD L 10 OVER 20TOTAL FIRST 20 20 TEL NO
LIGHTING FIXTURESFIXTURES ADD L 1DTRACTOR
OVER 20
RANGES CLO DRYERS WTR HTRS 100 ADDRESS
CABs DISP BTA COOK CITY TEL NO
DISHWASH Auro wwsN STATE
SPACE HTRS BTA APP (h H P MAX) 50 LICENSE NO
MOTORS OVER NOT OVER HP DIST CTD GFt*11P PR Y
O 1 100 �JJ�� ZfL
1 s ISO INSPECTION RECORD
s a 200 `
s 1S 2 so
1s so 1300 p
so too Soo
V
m
SIGNS NO TRANS p
NO LAMPS ✓ d��j
SERVICE o SOOV NOT OVER 200A i 00 nf H
SERVICE O 600V OVER 200 A 2001
SERVICE OVER SOOV Soo
OTHER (BEE COMPLETE FEE SCHEDULE)
PERMIT ISSUING FEE 2 00
SUPPLEMENTARY PERMIT ISSUING FEE 100
TOTAL FEE APPROVALS DATE INSPECTOR a 91GMATL=
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION UNDERSLAB WORK
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING /
L.RLIESIDE
EREBY CERTIFY THAT I AM PROPERLY REGISTERED AND'lOR FIXTURES
SED AS REQ ED BY LOS ANGELES COUNTY AND STATE OF
ORNIA OR TH T M THE LEGAL OWNER OF AND INTEND TO POWER
IN THE AS D CRIBED RESIDENTIAL RTY �?
ATURE UTILITY CO NOTIFIED
ERMITT
FINAL
VALID JOSEPH C ROOHAN
CK O CASH SUPERVISING ELECTRICAL ENGINEER
6 7, 9 1 t19 2 D 3.20- q