HomeMy Public PortalAbout5450 PARMERTON AVE_Electrical__ 7eAee3,cE80e 468 I 4�
APPLICATION FOR ELECTRICAL PERMIy
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING p 'rte,/
BUILDING AND SAFETY DIVISION ADDRESS :J 50 G G A
JOHN A LAMBIE COUNTY ENGINEER �L/ P/1ke 1 p T
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY V I I
NEAREST h / et
FTRANSFORMER
OR APPLICANT TO FILL IN CROSS ST f7 1� J If
N A F l -1� �J
T S S OWNER L� N TfRH
MAIL 4E) E'eToAl
_ TOTALEFIRST
20 ADORE55 J
_ 10 CITY TEL NO
PLAN CHECK
ING iTOTAL 20 APPLICANT
RES 1( 10 ADDRESS
RANGE —DRYERHTR _ CITY TEL NO -T- r/
COOK CO.4TRAC roR VT 1 + Ir 4
HTR AIR CONE) ADDRESS 1✓rL' `�
ES WASH _ ASH _ CITY nn TEL NO I
O TITER / 1 00 LICENSE NO L CLASS
TRANSFORMER RATING
EATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE TYPE OVER TO AMD STATE THAT THE ABOVE IS C RRECT AMD AGREE TO COMPLY
BIG
WITH ALL COUNTY OROINAMC 9 •ND STATE tt LAWS REOU LLLfff TI N4
ELECTRICAL WIRING
0 - 00 i{T
I HEREBY CERTIFY TNA I M PROPERLY REG STEREO AND/OR
1 10 B 00 LICENSED AS REDUIRED BY LOS ANGELES COUNTY AND STATE OF
'I /� CALIFORNIA OR THAT I AM THE L AL OWNER OF AND INTEND TO
IV y IQ 10 50 5 00 RESIDE IN THE AB VE 0E5 PED RESIDENTIAL PROPERTY
50 - 100 10 00 pF PERMIGlIT TTEE TEE IL
U
100 - S00 15 00
DIST�I T GR ZO E PR EAS D o
TUBE SIGN GOR SIGN AND ONE CIRCUIT 3 DO U
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MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES
�7 �T C7
SERVICE N01 OVER 600 VOLTS OR 200 AMP 2 00
4 LSO T z
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE & APPURTENANCES 3 00 AP ROVAL DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
!/y✓�T POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 Vim/ UTI LITV CO NOTIFIED ��� �6
SUPPLEMENTARY PERMIT ISSUING FEE I 00 FINAL
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECT AL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
1 Af 0 6 0 3 jUL� S 2 D 5 (/7n/O' g
EE BACK OF APPLICATION FOR COm PLETE FEE SCHEDULE ,// -1 l�/ " -