HomeMy Public PortalAbout5438 PARMERTON AVE_Electrical__ 76A663 C6606 166 APPLICATION FOR ELECTRI AL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING p
BUILDING AND SAFETY DIVISION ADDRESS O f
JOHN A LAMBIE COUNTY ENGINEER
COLEMANW JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO -ACH F
s s OWNER
RECEPT�
MAIL pp
LIGHT TOTAL FIjE2
20 0 ADDRESS �JO p /
SWITCH OV10 CITY & �C. TEL NOPLAN CH K
LIGHTING lTOTAL FI20 APPLICA TFIXTURES 1 / OV10 ADDRESS
RANGE�DRYERLWTR HTR _ 1
CITY TEL NO
STA COOK_DISP F A U _ COnTRAC TOR Ayc.C/tJ
SPACE HTR —AIR COND ADDRESS
CLOTHES WASH LDISHWASH L /yn CITY TEL NO
FAN OTHER 1 00 I/l•r LICENSE NO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AHO/OR
I 10 3 00 LICE N9 E0 AS REOU IFEO 6T LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTENO TO a
10 - 50 5 00 RESIDE IN THE ABOVE DES CPIPED RESIDENTIAL PROPERTY O
SIGNATURE V
50 - 100 10 00 OF PERMITTEE OL
100 - 500 15 00 O
F
C GR P Z E P - IIIULLL
SIGN GAS SIGN AND ONE CIRCUIT 3 00
TUBE OR S
U3
MAflOU EE AODI TIONAL CIRCUITS 1 00 Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE 6: APPURTENANCES 3 00 APPROVALS DATE INSPECTOR 9 SIGNATURE
OWER POLE '
LAB WORKCONDUITPERMIT FEE (SUB TOTAL) ESPLAN CHECK FEE (50% PERMIT FEE) UTHORIZEDPERMIT ISSUING FEE 200 CO NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECT CAL ENGINEER
PLAN CHECK VALIDATION CK M O LASH PERMIT VALIDATION CK M O CASH
LA(;O5-4 7 8% X16 2 0 1 120, 04
IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE