HomeMy Public PortalAbout5834 PRIMROSE AVE_Electrical__ CE80611/70 APPLICATION FOR ELECTRICAL PERMIT
• COUNTY OF 'LOS ANGELES
I DEPARTMENT OF COUNTY ENGINEER FBUILDINGQQ, 1�OrBUILDING AND SAFETY DIVISION S / /, „ JCOLEMAN W. JENKINS, SUPERINTENDENT OF BUIL ING TY �-B // ' 1l CFOR APPLICANT TO FILL IN CROSST. LAv 70,j A J
OUTLETS NO. EACH FEE
�] OWNER ��vIUO
RECEPT./! $ S MAIL y
J' FI RST 20 C ADDRESS %5-1 ,e
3 q pf" I M lk as
LIGHT fes`` TOTAL �a .25 00 CITY N L,@ C(I TEL. NO.
SWITCH// OVER 20 a0 .10 "— PLAN CHECK
APPLICANT
LIGHTING TOTAL FIRST 20 Y .25
FIXTURES 12-- 1 OVER 20 10 ADDRESS
APPLIANCES CITY S , TEL. NO.
PERIT
RANGE DRYER_WTR, HTR. APPLII CANT �N X j P C L.e-a Tek+ I e
STA. COOK DISP. / •F.A.U. ADDRESS P13- ,4 O� �� J�C°4a-4 ®*,
SPACE HTR./AIR COND. / CITY IL/Io/v It 0 Il/A TEL. NO.3Sj^36l'I6
CLOTHES WASH..z_DISHWASH. f ®� LICENSE NO.Q 3 ,/ 4S' CLASS. dl G
FAN OTHER 1.00 _S-�� I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
V 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 IN TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 100 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 DESCRIBED RESIDENTIAL PROPERTY. O
SIGNATURE N U
10 - 50 5.00 OF PERMITTEE C gm
50 - 100 10.00 O
DISTRI TN�OO. CLASS Z/O1NNfE,' P/R'(�,�yE��SS{ED BY Q 1-
100 - S00 15.00 �l�O !• 3 l��J� ly a
SIGN, GAS ND ONE CIRCUIT 5.00 NOTES: N
SIGN A
Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 200 AMP I 3.00 3 OO
APPROVALS DATE INSPECTOR'S SIGNATURE
S ERVI CE OVER 600 VOLTS OR 200 AM P 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAS WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT 17
WIRING I
FIXTUR
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED
PLAN CHECK FEE
FINAL L
PERMIT ISSUING FEE 3.00 3 .�
JOSEPH P. Ft00F1AN
TOTAL FEE �� SUPERVISI EL CSR, AL ENGINEER,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATI Al CK. M.0. CASH
Lko 4 g 0 S N HAR 14 2 D 2 . .0 ON v
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE