HomeMy Public PortalAbout4962 PERSIMMON AVE_Electrical__ 76A6d3-0606 fiL7Q :APPLICATION 'FOR ELECTRICAL PERMIT
+" OUNTY QF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS Z jy�j
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. ,v
OUT ETS NO. EACH FEE
OWNER
RECEPT.� $ $ MAIL
fir] ADDRESS (p
LIGHT TOTAL FIRST 20 (/ •25 CITY TEL. NOs-�lwdq ;rlf
SWITCH 7 OVER 20 .10 O PLAN CHECK
LIGHTING FIRST 20 �+ .Z5 APPLICANT
TOTAL
7
FIXTURES — OVER 20 10 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER�WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. n LICENSE NO. CLASS.
FAN—/OTHER 1.00I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
VVVV AND STATE THAT THE,ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING i 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 THAT I AM THE LEGAL OWNER OF, AND INTEND TO }.
1 - 10 3,00 RESIDE IN, THE ABOVE SCRIBED RESIDENTIAL PRO ERTY. O
SIGNATURE � 11000" U
10 - 50 5.00 OF PERMITTEE
50 - 100 10.000
DISTRICT NO LASS ZOII P 0 S BY
100 - 500 15.00 QUJI
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: h
TUBE, OR ?
MARQUEEADDITIONAL CIRCUITS 1.00
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEM P SERVI CE,POLE,&APPURTENANCES 5.00
TEMP LIGHT OR RECEPT. SYSTEM 3.00 UNDERSLAB WORK
ROUGH CONDI UT
WIRING
FIXTURO
POWER AUTHORI7ED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
v v FINAL
PERMIT ISSUING FEE 9.00 JOSEPH OQHAN
TOTAL FEE SUPERVISIN LECK. .
ENGINEER.
e
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIO 0. CASH
� i;o 7 2 v APR 2 8 2 D 1 1.5 5 N b
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
i
781
889-CEBdB 1/70 APPLICATION FOR ELECTRICAL PERMIT
y COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
.. BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENIGINEER
COLEMAN W. JENKINS SUPERINTENDENT OR UILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER
RECEP� $ $ MAIL
or
LIGHT TOTAL,
FIRST 20 ADDRESS
OVER 20 j7 CITY TEL. NO.
SWITCV.Zl .10 (� PLAN CHECK
FIRST 20 APPLICANT
LIGHTING i TOTAL
1( OVER 20ADDRESS
FIXTURES f0
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR. // APPLICANT
STA. COOK DISP.�F.A.U..(_ ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO
CLOTHES WASH../_DISHWASH. LICENSE NO. CLASS.
FAN OTHER 1.00 0 1 HEREBY ACKNOWLEDGE THAT I 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 B& TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OW OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOV D CRI E IDENTIAL PROPERTY.
a
SIGNATURE O
10 - 50 5.00 OF PERMITTE / V
50 - 100 10.00 O:
DISTRICT NO. ICLAS GROUP NE PRO SEED BY O
100 - 500 15.00 V/�� e b
W
SIGN, GAS=SIGN ONE CIRCUIT 9.00 NOTES: CL
TUBE, OR U)
MARQUEE ADDITIONAL CIRCUITS 1.00 ?
SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00 O
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 9.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDI UT
WIRING A9AJiC1 �' yef_71
PERMIT FEE (SUB TO FIXTURES /
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
JOSEPH C. ROOHAN
TOTAL FEE 19`. `J SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
•.,
2. 0 5 39 AUG 2 3 2. D 2 '02 5',
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE