HomeMy Public PortalAbout4959 ROBINHOOD AVE_Electrical__ 76p683-CEB`0610,72 APPLICATION FOR ELECTRICAL PERMIT
~` COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB �y
BUILDING AND SAFETY DIVISION ADDRESS 6/
LOCALITY C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
N0. EACH FEE s
OUTLETS OWNER OR
$ $ FIRM NAME
RECEP,
LIGHT TOTAL
FIRST 20 ' � 25 p" ADDRESS r GJ � or�
ragOVER 20 I J) CITY TEL. NO.
SWITCH .10 4 PLAN CHECK
LIGHTING
FIRST 20 .25 APPLICANT
T T L
FIXTURES
OVER 20 •10 ADDRESS
,j
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. // F.A.U.—/— � ®
ADDRESS e
SPACE HTR. AIR COND. CITY TEL. N . — �
CLOTHES WASH.�DISHWASH� LICREG.ENNUMBER SE 0 j Z' CLASS. '74?
�e s
FAN OTHER 1.00 /r{/ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 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 BY LOS ANGELES COUNTY AND STATE OFr
CALIFORNIA OR THAT 1 AM T111 EGAL OWNER OF THE ABOVE
I — 10 3.00 DESCRIBED RESIDE TIAL PR RTY. C
PERMITEE
10 — 50 5.00 SIGNATURE 0
50 — 100 10.00 W
DISTRICT NO. OC SED BY
100 — 500 15.00 r /1 e ti
V
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPEC 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL 7�
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE 49 4p
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT CK. M.O. CASH
IN050473APR 11 20 23.90AQ
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
76A663-CE 06,10/72 APPLICATION FOR ELECTRICAL PERINT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION 4
LOCALITY 7
NEAREST
FOR APPLICANT TO FILL IN CROSS ST, r/
OUTLETS N0. EACH FEE FIRM NAME f9 S G
RECEPT._ $ $ MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
OVER 20 CITY '� 771E L. N0.
SWITCH_ .10 PLAN C ECK
LIGHTING TOTAL FIRST 20 .25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT146
STA. COOK DISP. F.A.U. ADDRESS 1 o<le4
SPACE HTR. AIR COND. CITY TEL. N0. 6
CLOTHES WASH. DISH WAS H. REG NNUMBER CLASS. Ci7�
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 A5 REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT I ANI THE LEGAL OWNER OF THE ABOVE
I - 10 3.00 �l DESCRIBED RESIDENTIAL PROPERTY. Q
CJC�
10 - 50 5.00 PERMITEE
SIGNATURE C
H
50 - 100 10.00
DISTRICT NO. PROCESQED BY d
100 - 500 15.00 , 2c
SIGN, GAS' SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSP R'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTS OR 200 AMP .3.00 _ UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT 0'R RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 3��
TOTAL FEE 06)
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION CK. M.O. CASH
{ Ar- 322273 SP'I 'T 2 D 6.006 v
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ?