HomeMy Public PortalAbout5024 RYLAND AVE_Electrical__ 76A663-C66061P/74 APPLICATION ' R ELEARICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER pDDREss�oZ4 1IiI�•J� AVE;
AND SAFETY DIVISION
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR • nn r p��
FIRM NAME PADS wOv �
RECEPT.� $ $ pDDREss Kl OR o�-J�
LIGHT TOTAL FIRST 20 / 25 CITY �• A . TEL. NO
SWITCH .Z?j�
OVER 20 PLAN CHECK l�A
.10
LIGHTING TOTAL
FIRST 20 .25 / O APPLICANT
FIXTURES •10
w
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT pp �
RANGE DRYER_WTR. HTR. APPLICANT +�Z-
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE OR
REG. NUMBER CLASS.
FAN OTHER1.00 !• I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
. 1 lV 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 AT I AM PROPERLY REGISTERED AND/OR
O - 1 1.00 LICENSED AS REATE OF
OUIR BY LOS ANyGAE C NER YOFNTHET ABOVE
CALIFORNIA OR THAT AM TH �E
1 - 10 3.00 DE CR ED E31 E I.L PgOP TY. V
G v1 %
10 - 50 5.00 SIGNATURE o
50 - 100 10.00 DISTRICT NO. PROCEED E);
y
100 - 500 15.00 ( Q
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS CJ DATE INSPEC 'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOT OVER 600 VOLTSOR 200AMP 3.00 UNDERSLAB WORK
SERVICE OVER 600 VOLTSOR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE,&APPURTENANCES 5.00 - ✓-
WIRING /�r7 ��
TEMP LIGHT OR RECEPT. SYSTEM 3.001 1 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED `
FINAL -Z —7�-
PERMIT FEE (SUB TOTAL) NOTES:
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00 Z3 D v
TOTAL FEE cl
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION
C M.O. CASH
1 8 6r"'-'AUG 25 .2 D 9.25 All
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE