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HomeMy Public PortalAbout5331 PERSIMMON AVE_Electrical__ DEPARTMENT•OF BUILDING AND -SAFE'PY ELECTRIC + srv� rrui�r _ COUNTY OF LOS ANGELES . jiLL1 CIC' _ WM. J. OX CHIEF ENGINEER NAME+c�lryy. {e _ ) :. '/)oT¢.�'� s*`• r f'j y, DISTCT RI —NO. -GROUP ZONE P ITNO.{- - ADDRESS✓a._ i TEL.NO ! t Clem.'t RVCF4V BY READY FOR DA' 1. UED CITY. FIRST INSPECTION 5 COUNTY !/ . CERT.NO. � •a� EXPIRES " APPLICANT FILL IN HEAVMY OUTLINED PORTION ONLY. si ._DESCRIPTION OF WORK —ADDRESSfA 71 NUMBER OF OUTLETS ON CIRCUITS. LITY SOV LOCATION BY ROOMS z EST LIGHT OUTLETS• SW. PLUGS 6. r�����' • CIRCUIT A .B CID E F G . HNAME _ �'' /14&7 MAIL DRESS 5I6.1'�i ITY � TEL.NM THE LEGAL•POSSESSOR' OF TH6ABOVE LOS LES COUNTY CAT$ QIIALIFICAa'IO� r_��ecrRlTw .owNER OF 7mic PRO=D' . . ti�€✓ I L ABOVX OWNER. • ' •- - - . CORRECTIONS - •_ . , — z TOTAL TT NO. OF OUTLETS - I APPROVALS NO. OF FIXTURES ;_ ffi � !`DATgE� IN R'S NAME NO,OF MOTORS H.P. G CONDUIT {� r� Ii JI� ' NO.'OFSIGNS TRANS. r :'.'WIRING NO. OF RANGES OR HEATERS FIXTURES MISCELLANEOUS S yy POWER PERMIT FEE $ l As". UTILITYCO.NOTIFIED .TOTAL FEE FINAL ✓% U 76A663 CE-e06R 9/7e: APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ADDRESS BUILDING AND SAFETY DIVISION FOR APPLICANT TO FILL IN LOCALITY New Residential Bldgs.&Pools EACH NO. FEE CROSS ST. 1 &2-Family,Sq.Fr. $ 025 — $ OWNER OR Multi-family Sq.Ft. .02 — FIRM NAME !`(! Residential Swimming Pools MAIL ®/ �9 fy,r4�� ADDRESS tea/ C�sc.7V Outlets:Rec Light—Sw. CITY iCTel.No. First 20 .50 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Total No. Additional 30 PERMIT CAN Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D.W._ CITY Tel.No Oven_Dryer W.M._ A 21W LICENSE OR Top —FAU XW.H._ REG.NUMBER CAY W ZZ Class Hood_Fan _Other_ 7-SO I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Disp. _ Room Air Cond. '� THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN. jw ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR 2� I HEREBY CERTIFY TH I M PROPERLY GI ERE D/ LICENSED AS REflUIRED BY LOS ANG UNTY AND TE I RN R THAT I AM Up to 1 Incl. THE LEGAL OWNER 0 OVE DESCRIB REST R Over 1 to 10 Ind. 5.0016 Over 10 to 50 Incl. 10.00 PERMITTEE eel 0 Over 50 to 100 Inc. 20.00 SIGNATURE IN Over 100 30.00 DISTRICT NO. PROrze,�Pl 0 Services i 0.200 Amp.Under 600 V 12'50 ® APPROVALS DATE ISS ATOURE 96 201-1000 Amp.Under 600 V 25.00 0 Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE Temp.Power Pole&Appurtenances enarces 10.00 UNDERSLAB WORK Sign with One Branch Circuit 10.00 ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING Misc.Conduits&Conductors 15.00 FIXTURES 7. Other ISee Complete Fee Schedule) POWER AUTHORIZED J, UTILITY CO.NOTIFIED 1 C FINAL ®, J PERMIT FEE (Sub-Total)- NOTES ,,:1 ZKERS C.OIi�V'E PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE 7.00 @6OL9CY MOLDER: TOTAL FEE 7.00 POLICY Nf1M13d d -0/,y PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH 3 5 1 JUL 5 .2 D .2 7.0 0 ©t�+ SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �� IDS / 1/l 111