HomeMy Public PortalAbout9502 OLEMA ST_Electrical__ 78A883=L°R9fv1-88 APPLICATION FOR ELECTRICAL PERMIT 7
y\ +COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FNEAREST
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BUILDING AND SAFETY DIVISION 5a� 16,
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY
FOR APPLICANT TO FILL IN' 04X 4
NO. AC FEE . V
RE,CEP
�3 $ $ OWNER -� E
MAIL c
LIGHT 1" TOOT''A7L FIRST 20 �f .20 � ADDRESSJuV.
SWITCH � OVER 20 .10 CIT !� (�(/ TEL. NO. .yw -79Y4
4
PLAN CHECK
LIGHTING 1 TOTAL FIRST 20 .20 APPLICANT
FIXTURES T42 r OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK DIDISP.—F.A.U. CONTRACTOR J5�C�I
SPACE HTR! AIR COND. / /SLE
ADDRESS 5'06 (
CLOTHES WASH._DISHWASH._ CITY dlV TEL. NO. . ^my
FANOTHER 1-001 LICENSE IJO. � 2— CLASS. e_—l0
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. 1 HEREBY'ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE 8: TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
•E'LECTR ICAL WIRING.
0 - 1 1.00
M t - 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
i[ 1 10 3.0.0 LICENSED AS REQUIRED BY L_03 ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM LEGAL OWNER OF, AND INTE O
_ 10 - 50 5.00 RESIDE IN, THE ABOVE 0 C.,
RESIDENTIA .TY O
SIGNATURE V
50 - 100 10.00 IFIXTURES:
F PERMITTEE ' OC
100 — 500 15.00 DISTLI T O R P ZONE PR D 9
TUBof
E, OR GAS IGN AND ONE CIRCUIT 3.00 1
IL
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTORS SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUBTOTAL) ,
PLAN CHECK FEE (50 PERMIT FEE) qq POWER AUTHORIZED
PERMIT ISSUING FEE 2.00. ;L UTILITY CO.NOTIFIED1
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELE ICAL E GINEER/
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION cK.. nn. ,�cASH
L&a 447 %0. APR 2 9 2D 5-.6 Q. �
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��