HomeMy Public PortalAbout6053 OAK AVE_Electrical__ 76A663-CE806 11-71 APPLICATION FOR ELECTRICAL PERMIT L1
COUNTY OF LOS ANGELES
DEPARTMENT
BUILDING AND SAFETY DIVISION BUILDING
/1140, A 0 K
ADDRESS
LOCALITY e M a e 17-
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO. EACH I FEE
OWNER �g [! K k A l2
RECEPT._ $ $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS . 0 /)/'9+ 13 Ig x
SWITCH OVER 2010 CITY'7'e)M )e C )T)t TEL. NO.,2Q,5- 77,3¢1
PLAN CHECK
LIGHTINGTOTAL FIRST 20 .25 APPLICANT
OVER 20 ADDRESS
FIXTURES .f0
RESIDENTIAL APPLIANCES CITY TEL. NO.PERD
IT
RANGE . DRYER_WTR. HTR. APPILI ANT .6 1 e-G
STA. COOK DISP. F.A.U. ADDRESS,.4,9 4 3 /% 7'
SPACE HTR. AIR COND. CITY 1/ Z:L, TEL. NO. _ -
CLOTHES WASH. DISHWASH. LICENSE NO. 25J Q ' CLASS. 1,4
FAN OTHER 1.00 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 IN TYPE OVER TO
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQU IRED'BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. V
10 - 50 5.00 SIGNATURE flf p.
OF PERMITTEE O
50 - 100 10.00 1-
DISTRICTNO CLAS ZONE PR SS Mrs Y V
100 - 500 15.00 ��'D D
h
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: ?
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOTOVER 600 VOLTS OR 200 AMP 3.00 QQ
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 APPROVALS DATE .INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 300 UNDERSLAB WORK
ROUGH CONDI UT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00
TOTAL FEE B�
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VAL ATION CK. M.O. CAS.
7 9 4ZZ-331 0.26 2 0 6.,00— V
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE