HomeMy Public PortalAbout9409 OLEMA ST_Electrical__ 7GA663-CES0611/70 APPLICATION FOR ELECTRICAL PERMIT
r COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W. JENKINS SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
$ $ OWNER
RECEPT--to MAIL
LIGHT, TOTAL FIRST 20 '�D 25 /J` (� ADDRESS
SWITCHLOVER 20 10 '2 P� CITY TEL. NO.
t7 7 b PLAN CHECK
LIGHTINGFIRST 20 1 .25 �. APPLICANT
TOTAL
OVER 20 ADDRESS
FIXTURES 1� .f0
APPLIANCES CITY TEL. NO.
RANGE PERMIT
DRYER_gWTR. HTR. APPLICANT
STA. COOK DI SP. j'TRF.A.U. ADDRE((S��S ql &E - pp
SPACE HTR. AIR COND. CITY I TEL. NO.y O
CLOTHES WASH. Ll DISHWASH.� LICENSE NO. f2_5y_j_CY CLASS.e- `SIU
FAN ""'COTHER 1.00 C' I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
�J 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
IHEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 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 RES DE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. IL
SIGNATURE r_ I OU
10 - 50 5.00 OF PERMITTEE
tY
50 - 100 10.00 O
DISTR CTN ASS ZONE PR CE Y
100 - 500 15.00 / LU
AL
SIGN, GAS=SC ONE CIRCUIT 5.00 NOTES: N
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 ( j
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
LAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00 ROUGH
ROUGH CONDIUT
WIRING 'L
FIXTURE'S
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
�� FINAL •Stj
PERMIT ISSUING FEE 3.00
J SE C. RdbliAN
TOTAL FEE S' SUPER ING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALID ON CK. M.0. CASH
Llil� s s 8 N SEP 27 2 D 2 2.15M
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE