HomeMy Public PortalAbout5101 SANTA ANITA AVE_Electrical__ 7BA'683-CES06 9-64 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �—
BUILDING AND SAFETY DIVISION ADDRESS lQ1.e2�4&
JOHN A. LAMBIE. COUNTY ENGINEER f
COLEMAN W. JENKINS, SUPT. OF BUILDING LOCALITY9
NEAREST
FOR APPLICANT TO FILL-IN CROSS ST.
RECEPT. TOTALr + NO. EACH FEE
LIGHT OUTLETS FIRST 20 $2O $ OWNER
MAIL
ADD'L .10 ADDRESS.
SWITCH. OVER 20
TOTAL CITY TEL.NO.
LIGHTING i FtiRST 20 .20
FIXTURES = ADD'L1O ELECTRICIAN
OVER 2O
RANG68 CLO.DRYERS WTR.HTRS. 1.00 ADDRESS
GARB.CHIP. STA.COOK
CITY G/ ,ff>® TEL.NO. '
DISH WASH: AUTO.-WASH. STATE J'y
SPACE HTRS. STA.APP.(Vi X.P.MAX.) .50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DISTRICT. GROUP ZO I PR E D BY
O 1 1.00 s'd
15 1.50 INSPECTION RECORD.
S S 2.00 -
S 1s 2.50 U
IS so 5.00 ,v_._ ad
i
50 100 5.00 i s O
NO.TRANS. T ! W
SIGNS: NO.LAMPS t� Z
SERVICE b-SOOV-Nor OVER 200A 1.00 r
SERVICE 0-600V•OVER 200 A. 2.00 /
SERVICE OVER SOOV 5.00
MISC.
/}may(
1�A
PERMIT ISSUING FEE 2.00 , �^' K Y
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 !�� r'j� �-r gT /J I'
TOTAL FEE
1HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECT'OR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. - WIRING
1 HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR FIXTURES
LICENSED AS REQUIRED BY .LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 40 5
R--IN- ` o syr• e - POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTE mumminigiiiiiiii FINAL
S/�lU L-T VALIDATION JOSEPH C. ROOHAN
CK MO CAS SUPERVISING ELECTRICAL ENGINEER
f.IC,o 8 7 8` 9Z. JAI 14. 2 D -5.0 0r-- 9