HomeMy Public PortalAbout5608 PERSIMMON AVE_Electrical__ ^/6A663-CE806 10/72 APPLIC ION R ELECT kICAL PERMIT
J. COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER fAB .S � �, j�J�7 � i�
'r BUILDING AND SAFETY DIVISION DDRESS
OCALITY 'r� �r► C
EAREST `� 56
FOR APPLICANT TO FILL IN ROSS ST.
OUTLETS N0. EACH FEE WNER OR - y
$ $ RM NAMEf1 raO
RECEPT._ ADDRESS
LIGHT TOTAL FIRST 20 AIL
25 .� i
CITY TEL. N0.�Y3'4/,�
SWITCH_ OVER 20 10
PLAN CHECK
LIGHTING FIRST 20 25 Z APPLICANT
TOTAL
ADDRESS
FIXTURES � OVER 20 .10
RESIDENTIAL APPLIANCES CITYPER (� TEL./N0.
IT
RANGE DRYER_WTR. HTR. APPLICANT SJ 95- SSI Lia{/S
STA. COOK DISP. F.A.U. ADDRESS ,417 V tI ✓-r
SPACE HTR. AIR COND. CITY yJ'?4? -•hi" TEL.. NO.;��
LICENSE OR
CLOTHES W.ASFi. DISHWASH. REG. NUMBER �1d97Y1d 7 O3 CLASS.('-_S_3
FAN OTHER 1.00 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 & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 o b LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE }
- 1O 3.00 DESCRIBED RESIDEN ALlte PROPS;` O
PERMITE 4 S CD
10 - 50 5.00 SIGNATUR 16-0-v C
50 - 100 10.00 v
DISTRICT NO. PROCE SED B ILI
d
100 - S00 15.00 O 1 a y
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE 1NSPE 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING s y F ✓i�.r\t�'d
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED rq�
FINAL n-.t2"7 1/ 5;/.
PERMIT FEE (SUB TOTAL) \ NOTES:
PLAN CHECK FEE I \
PERMIT ISSUING FEE 3.00
TOTAL FEE !�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION �,�/ M.0. CASH-
8 8 3 JUL 5 2 D 5.0 O &98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 62 V
r
768663-GE80610/72 APPLICATION OR EL ICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB77 -
BUILDING AND SAFETY DIVISION ADDRESS ,�
LOCALITY C A
NEAREST
FOR APPLICANT TO FILL IN CROSS ST,
OUTLETS NO. EACH FEE OWNER OR �yy
FIRM NAME dm
RECEPT. S $ MAIL
ADDRESS
LIGHT- TOTAL FIRST 20 25 b CITY TEL. NO.
SWITCH-:4 G_„3 OVER 20 10 J A PLAN CHECK
LIGHTING TOTALn
OVER .10
FIRST 20 .25 ! �V+ APPLICANT is Old Q (,
20 ADDRESS
FIXTURES A
RESIDENTIAL APPLIANCES CITY TEL. N0.
PERMIT /r
RANGE DRYER_WTR. HTR. APPLICANT A i
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITYTEL. N0.jjj
CLOTHES WASH, DI SHWASH. REG NNUM9ER2j-7g!/.s'— CLASS.
FAN OTHER 1.00 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 & 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 THAI 1 AM THE LEGAL OWNER OF THE ABOVE
1 - 10 3.00 DESCRIIS ED RESIDENTIAL PROPERTY.
O
PERMITEEC.3
10 - 50 5.00 SIGNATURE '._'/f e1iPs o
50 - 100 10.00 v
DISTRICT N0. PROCES D BY yj
100 - 500 15.00 Z
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECT
TUBE, OR I
PA'SIGNATURE
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 3.00 •3- UNDER'SLAB WORK
SERVICEOVER600 VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING y a
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED r
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 3 Ice
TOTAL FEE ! 2_•"
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4.9 41'l-w-AUG 13 2' 0
1 2.8 0 Aw
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE