HomeMy Public PortalAbout5530 ROBINHOOD AVE_Electrical__ I
7GAM�,C-`�.. Ii/,. APPLICAT OR ELECTRICA. PERMIT
3 �.
BUILDING AND SAFETY DIVISION
FOR AFFLICAN7 TO FILL IN JOB
O New Residential Bldfle-&Pools
EACH NO. FEE ADDRESS
Ile ekn(
1 &2 FmeiIy Sq. Ft $ — $ LOCALITY E
Multi-famlly Sq. Ft — NEAREST
Residential Swimming Pools CFR OSS ST.OWNER OR
FIRM NAME
Outlets: Light, Switch & Receptacle MAI L
First 20 ADDRE
Additlbnel CITY � � T.I. No.
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY T4. N
PERMI 0
Fixed Appliances Not Over 1 HP APPLICA
Range Heater_ D.W.
A D D R E
Oven Dryer W.M.
Top I=AU W.H. No.
x
Hood Fan REO. N E BE CIeM
D Isp. A.C.
1 HMRMIY ACRNO1LMDOi THAT 1 HAVM RMAO TH 15^"PLICATION Q
AMD ■TAT■ THAT THM AMOVM If COR MMCT AMO AORMM TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCM■ AND ■TAT■ LAWS RMOULAT'INa Ld
Sim&Type HP, KYV, KVA,or KVAR, MLMCTRICAL WIRING.
Up to 1 Incl. I HMRMMY CMRTI" THAVAM orwRLY 1MTMRMD AND/OR
Over 1 to 10 Incl. LICKNSKD A■ RMOUIRMD ■YMLM• C Y ATM OF
/I �!I CALIFORNIA OR THAT 1 AOAL N OF T AMOVM
Over 1Q to EO Incl, DM■CRIMMP
Over 60 to 100 Incl. PERMIT[[
Over 100 HIGNATU RE
1 TRICT NO. PROCESSED BY
Services (}�
0-200 Amp. Under 600 V2--
201 - 1000 Amp. Under 600 V LNOTES
PROVALS DATE E
SIGNATURE
Over 1000 Amp.or Over 800 V
WER POLE
Temp. Power Pole&Appurtenances LAB WORK
Sign with One Branch Circuit
Additlonal5lgn Breach Circuit:
CONDUIT
(Other) WIRING
ES
UTHORIZED
PEHMIT FEE (Su>Total) CO.NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) p1(,
PERMIT ISSUING FEE
TOTKERS CO
PLAN CHECK VALIDATION CK. A3H RMI-r VALIDATION M.O. CASH
POLICY HOLDER;
iz(w
POLICY NUMBER: Q b ,
7eweea-clLe0e 4-ee APPLICATION FOR ELEGTRICAZ E If &P"
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ■UILDIN13
BUILDING AND SAFETY DMSION ADDRps d
JOHN A.. LAMBIE..COUNTY ENGINR[R
COLEMAN-W. JENKINS. SUPT. OF BUILDING LOCALITY
N��}},REtT
POR APPUCANT TO FILL IN CT20SS ST.
R[CEPTACL¢1 TO
TA NO xAcn
JI}
,till" FIRST :o •10 s f OWNER
LIGHT MAIL i
4WPS,CH ADD'L f0 ADDMEW Zt%2-10W
OV[R Y
TOTAL FI**T YO .10 CITY T� Nb.
LIOHTIN44 1 FIXTURE!
FtxTURis Jr VKR 1 to CONTRA OR T
ov[R :o
RAN=s CLO.DRY-j" W'm trr". 1.00 ADDRKIM
GAM PIMP. BTA.COOK CI'F'YV &AVID Ta NO.'
DIEI{WASH. AUTO,-MAAH•
aPAC=HTRS, *TA.APP.(%H.P,bLAX.) ,so
MoTom. OVEM NOTOvxx H.P. -DIdT CT NO. GROUP Z E' PRO SdED
b + 1.00i.
+ s 1.eo INSPECTION IRECORD
s e 2.00
D 16 *.60
lit 60 3.00
so 100 Ob
SIGNS NO.TRAM.
NO.L.AMM
SERy1CK 0-6009-NOT CVWX 100A 1.00
saevic,x 0.6QOV-OVg1 100AL 1.00
SSRVIC[OVER 6009 6.00 -
OTPIYR (SEE Coy PLrrt FIE OCH[DULK)
I
PERMIT 1"U1NG F'[[ 1.90
SUPPLEMKNTAgY PERMIT IMUING FXX 1,00
TOTAL FEE � '1 DAT[ 1
1 HKRIIY ACKNOWLEDa[THAT f HAV[RVAD THE■APPLICATION UNDEROLAD WORK
AND CTAT[TNAT THE ArOV[ 1E CORRECT AND AQR=TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCII AND STATE LAW REGULATING
[LKCTRICAL WIRING. WIRING
1 HRRIIY CERTIFY THAT 1 AM PROPERLY Ri41fTZAND AND-/OR- 'F(XTU
LI CEHftED.AR REQUIRED BY LOS ANa[LE/COUNTY AND CTAT[ OF
CALIFORNIA OR THAT I AM THR LEGAL OWNER OF,AND WTEND TO
R[EID[IN.THE ABOIVIXJE D<iCJ11OK3 UIDEHTIAL PR PqWKFt
**IGNATURE UTILLTY CO- IF
6P P�Rlll
FINAL r
VALIDATE io P G 000HAN
CX O CAfH SUP[RVISING ELACTRICAL ENGm
INI
LAEa 1 19 4�8 N"R1 2 2 D 7.60~ v