HomeMy Public PortalAbout5827 RENO AVE_Electrical__ 76A689-CE80811/70 APPLICATION FOR ELECTRICAL P MIT �J
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS !j F Ei/I
COLEMAN W. JENKINS, SUPELOCALITY SUPERINTENDENT OF BUILDING -n^'-.,• p,�1^i" ��`."7
FOR APPLICANT TO FILL IN CROSS NEAREST
T. E-L A tJ-
OUTLETS NO. EACH I FEE _
OWNER •7rt�ltil / �1 jC" C: G 'C G'
RECEPT._ $ $ MAIL
LIGHT TOTAL
FIRST 20 25 �7 ADDRESS / 10
��
SWITCH OVER 20 10 CITY �)� j TEL. N0.
PLAN CHECK
LIGHTINGFIRST 20 28 APPLICANT
TOTAL
FIXTURES .10
OVER 20 ADDRESS
APPLIANCES CITY TEL. NO,
PERMIT � 7
RANGE c
DRYER_WTR. HTR. APPLICANT r s .L�- vrPC�
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR, AIR COND. CITY 0 U %jJP I TEL. NO.L��" >..`• ,�
CLOTHES WASH.' DISHWASH. LICENSE NO. CLASS. --1
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 LICENSED AS REQUIRED y LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 THE LEGAL OWNER OF, AND INTEND TO
1 - 1O 3.00 RESIDE IN, THE (.OVJ: D CRIBED RESIDENNTT ADL PROPERTY. O
10 - 50 5.00 OF PERMSIGNATURITTEE �� �' U
OC
50 - 100 10.00 O
DIISSTTRRICTNO. CLASS ZONE P Dc/{SS ED F-
100 - 500 15.00 7,�p� 2 � Q a
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 NOTES: Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600 VOLTS OR 100 AMP / 3.00 60
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURE`S
PERMIT FEE (SUB TOTAL) POWER AUTHORIZED I
UTILITY CO..NOTIFIED
PLAN CHECK FEE
FINALIf 4
PERMIT ISSUING FEE 9.00 3 CS JOSEPH C. ROOHAN
TOTAL FEE i�� SUPERVISING ELE CkL ENGINEER.
PLAN CHECK VALIDATION CK. -M:0. CASH PERMIT VALIDATION C M.0. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE