HomeMy Public PortalAbout4937 PERSIMMON AVE_Electrical__ 764663-CE806 1 -71 APPLICATION FOR ELECTRICAL PERMIT ILII r
COUNTY OF LOS ANGELES
y DEPARTMENT OF COUNTY ENGINEER BUILDING,
BUILDING AND SAFETY DIVISION ADDRESSANN ozy
LOCALITYFly PL E C !T
NEAREST
FOR APPLICANT TO FILL IN JCROSS ST.
OUTLETS NO. EACH FEE
$ $ OWNER
RECEPT. MAIL
LIGHT TOTAL FIRST 20 4 25 I W ADDRESS 3 7 PXI? 1 `4
Ha tq
:ujOVER 20 CITYMMP Cd TEL. NO. li r
SWITCH .10 PLAN CHECK
LIGHTING FIRST 20 .25 -APPLICANT
TOTAL
OVER 20
FIXTURES .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT C�GU�,cQ
RANGE DRYER_WTR. HTR. APPLICANT �L
STA. COOK DISP. F.A.U. ADDRESS,
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. CLASS. '
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 13 CORRECT AND 'AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL W.IR INS.
SIZE & TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF d
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 1O 9.00 RESIDE IN, THE B VE DES I D AESIDENT'AL PROPERTY. V
SIGNATURE tjr a
10 - 50 5.00 OF PERMITTEE ff#4A4O
50 - 100 10.00 DISTRICT NO. CLASS ZONE
PROCkfjSED BY W
100 - 500 15.00 G7,v0 -211
°-
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
LRE
OTOVER600VOLTS OR200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
VER 600 VOLTS OR200AMP 10.00
TEMP.POWER POLE
VICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
HT OR RECEPT. SYSTEM 3.00
ROUGH CONDI UT
WIRING
FIXTURES
POWER AUTHORIZED
EE (SUB TOTAL)
UTILITY CO. NOTIFIED
CK FEE
FINAL SSUING FEE 3.00ob
FEE -z-,'-
PLAN
z-iPLAN CHECK VALIDATION CK. M.0. CASH PERMITVALI �//�J'0PINCK.. M.O. CASH
-a • N
L&O 4 7 .5 r r. -NOV 13 2 D 425
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76.0663-CE806 10/72
APPLICATION FOR ELECTRICAL PERMIT
�' '-�.yid►
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS 9 75��/ ��
LOCALITY ,[ f,(, Cl//
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. G f OA."j'c
OUTLETS NO. EACH .FEE FOWNERIRM NAOR
ME �� d.G'Z�
$• $
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 25 ADDRESS �� 1
OVER 20 CITY TEL. NO SWITCH_ 10 PLAN CHECK
LIGHTING TOTAL .2S.FIRST 20 APPLICANT
OVER 20 ADDRESS
FIXTURES .f0
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT �� G
STA. COOK DISP. F.A.U. ADDRESS �j t90AJ �J
SPACE HTR, AIR COND. CITY15, 6.0*- TEL. Nq2- S D7
CLOTHES WASH. DISHWASH. LICENSE OR ! ��f 4 f f�
REG. NUMBER CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS, RATING WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR'THAI I AM THE LEGAL OWNER OF THE ABOVE .r
I — 10 3.00y� DESCRIBED RESIDENTIAL PROPERTY. p�
v— C07
PERMITEE
10 - 50 5.00, 12a..
SIGNATURE N��+
O
50 - 100 10.00 DISTRICT NO. PROCESSED•BY
L11
100 - 500 15.00 �r0 Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00.. APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE'
SERVI CENOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVI CEO.VER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING opp
TEMP LIGHT OR RECEPT, SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED �/
FINAL i�D- /
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE �y
PERMIT.ISSUING FEE 3.00. !Y�
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
' 3
? 1 3�.Aus 29 2 D
6.0.0 ®y8
6 ...
SEE BACK OF APPLICATION.FOR COMPLETE SCHEDULE