HomeMy Public PortalAbout9257 PENTLAND ST_Electrical__ �• 79AE63.CE806 1I/TO APPLICATION FOR ELECTRICAL PERMIT LJ
II COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADs 9a s
K BUILDING AND SAFETY DIVISION
COLE MAN W JlNKINS QPl1�INTtNE1tNT OP 901LGIN TY
T
FOR APPLICANT TO FILL IN ST
OUTLETS G EACH PEE
l� S $REC EPT,7o LIGHT TOTAL FIRST 20 190 25 S d aSS
SWITCH �_ OVER 20 ID 3 i/ ) CITY A• TEL NO
_317 PLAN CHECK
LIGHTING FIRST 200 25 a APPLICANT
11 TOTAL
FI%TURES L OVER 20 ADDRESS
10
APPLIANCES CITY TEL NO
PERMIT A_
RANGE_ORV ER_WTR HTR APPLICANT
STA COOK_OISP -4o�'F A U ADDRESS
SPACE HTR ✓A R COND CITY /TEL NO a �/
CLOTHES_WASH DISH WASH ✓ LICENSE NO �s8 Y' CLASS L
FAN v OTHER 100qv� HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
(/
AN STATE THATTHE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KYA ELECTRICAL WIRING
SIZE S TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1 OD - LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT AM THE LEGAL OWNER OF AND INTEND TO )..
I - 10 30D RESIDE IN THE ABO VE DESCRIBED RESIDENTIAL PROPERTY C-
10 - 50 y00 SIGNATURE !.r O
OF PERMITTEE V�
d'
50 - 100 1000 fFINAL
ICTNO CLASS iRROCE ED O
100 - 500 1500 U'SIGN GAS SIGN AND ONE CIRCUIT 5DOSTUBE OR z
MARQUEE ADDITIONAL CIRCUITS n 100
SERVI CENOTOVER 600 VOLTS OR 200 AMP 300PPROVALS DATE INSPECTOR 5 SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 1000POWER POLETEMPSERVICE,POLE 5APPURTENANCES 5W
SLAB WORKTEMP LIGHT OR RECEPT SYSTEM 3DO CON DIUTG Z RESR AUTHORIZEDPERMIT FEE (SUB TOTAL) TY CO NOTIFIED PLAN CHECK'FEEPERMIT ISSUING FEE 300J SEPH C ROOHAN
TOTAL FEE '� SUPERVISING ELE L ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH' _ PERMIT VALIDATION cK M 0 CASH
� ar` ca8913' WA30 2 0 290,
y�.SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r / '