HomeMy Public PortalAbout9672 OLIVE ST_Electrical__ 76A669C-CE8061B 1E/75 APPLICATION FOR ELECTRICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools ,c
EACH NO. FEE ADDRESS l./.1c, / ve S
1 &2 Finally Sq. Ft. - $ — $ LOCALITY 7_/r 44 .
�1
'
Multi-family Sq, Ft. NEAREST
CROSS ST. � JC 6
Residential Swimming Pools OWNER OR / Nda f
FIRM NAME - F
Outlets: Light,Switch&Receptacle MAI L !' , O
First 20 ADDRESS
Additibnal r� CITY ( .No. 7��/
7O 7
PLAN CHECK
Lighting Fixtures APPLICANT
First'20 ADDRESS
Additional CITY Tel.N1.
PERMIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ .Heater_ D.W. 1 ADDRESS
Agh-
Oven _ Dryer — W.M.
Top _ FAU W.H. CITY Tel. No. >-
Hood Fan LICENSE OR CL.
REG. NUMBER Class.
CD
Disp. A.C. �
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION Q
AND STATB THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY V
Power Apparatus& Large Appliances WITH ALL. 'COUNTY ORDINANCES AND STATE LAWS REGULATING LL!
Size&.Type HP,.KW,KVA,or KVAR ELECTRICAL WIRING.
y
Up to 1 Incl. 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND�OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
Over 1O to 5O InCI. DESCRIBED.RISSIIDEN IAL PROPERTY.
Over 50 to 1.00..Incl. PERMIITEE �� Si L�l /YI- �
Over 100
QBEEN
Services. DISTRI,CT'NO. CESS D Y
0-200 Amp. Under 600 V ��
201 -1000.Amp. Under.600 V APPROVALS E INSPECTOR'S
SIGNATURE
Over 1000 Amp.or Over 600 V '
TEMP.POWER POLE
Temp.Power'Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch.Circuit
Additional Sign.Branch Circuits ROUGH CONDUIT /a
(Other) WIRING � •a� �"�"'
FIXTURES
APOWER AUTHORIZED
PERMIT FEE (Sub-Total) UTILITY CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) JFINAL -77
PERMIT ISSUING FEE
NOTES
TOTAL FEE.
LAN CHECK VALIDATION CK. M.O. CASH PERMIT AIL DATION CK. M.O. CASH
262rJAN 21 2 0 1 4.2OAW