HomeMy Public PortalAbout5826 TREE ROSE TER_Electrical__ 76A563 CES05 10,72 APPLICATION FOR ELECTRICAL PERMIT CO
COUNTY OF LOS ANGELES n
DEPARTMENT OF COUNTY ENGINEER M ss 5ga6 �QEE Rose TE �
BUILDING AND SAFETY DIVISION
LOCALITY S C
FOR APPLICANT TO FILL IN NEAREST
CROSS ST 11ERM QrS
OUTLETS o EACH FEE OWNER
FIRM NAME OR
n.$
6.41Z M. 0AZES
RECEPT A S S A"At LDO LESS /C EE OSE
LIGHT TOTAL FIRST 20 25 p
SWITCH OVER 20 10 CITU SEL TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APPLICANT
FI%TURES 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL NO
gymRANGE_ORYER_WT0. HTR_ PERMIT
APPLICANT �p�Y S
STA COOK_DISP_F A U _ ADDRESS 1!5
SPACE HTR AIR GOND CITY E TEL NO
CLOTHES WASH DISHWASH_ LICENSE OR
REG NUMBER CLASS
FAN_OTHER 100 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATI NO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW RVA ELECTRICAL WIRING
SIZE S TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — I IDO LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THM I AM TqE LEGAL OWNER OF THE ABOVE
I — 10 app DESCRIFED REST TIAL Pfl ERTY
PERMITEE O
10 — 50 500 SIGNATURE
HO.
50 - 100 1000 DISTRICT NO PROCE ED BY W
I . H
100 - 500 5OD
SIGN GAS SIGN AND ONE CIRCUIT 0 APPROVALS DATE INSPEC SSIGNATURE
TUBE, ORMARQUEE ADDITIONAL CIRCUITS o TEMP POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 300 UNDERSLAS WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 10 ROUGH CONDUIT
TEMPSERVICE,POLE 6 APPURTENANCES 5Do WIRING
TEMP LIGHT OR RECEPT SYSTEM 3DO FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE app
TOTAL FEE
PLAN CHECK VALIDATION CR M O CASH PERMIT VALIDAj1Of4. ' cK M 0 cAeH
1 6 2 673 AN 1 1 2 5.0 0- Q
SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE
7GA663-CESO6 967 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE COUNTY EN-.NZER
Lot
5
ED
COLEMAN W JENKINS, SUPIRRINTNRNT OP BUILDIND LOCALITY
NEAREST TTPrmnRA St
FOR APPLICANT TO FILL IN CROSS ST
No EAc.
FEEP S S OWNER B ober ConstrudTOCOMPLY
CSO.MAIL
T-7,p+ TO(j�AI FIRST 20 20 20 ADDRESSCHIL �" OVER 20 10 CITY TEL NO
TING iTOTAL FIRST 20 20 Q CONTRACTOR
FIXTURES /!� OVER 20 10 ADDRESS
RANGE_DRYER1—WTR HTR _ CITY TEL NO
STA COOK�DISP I—F A U L LICENSE NO
SPACE HTR 2— AIR GOND I XLRl BY
ACN HOWL A I HAVE REAPLICATION
AND STATE THAT THE ABOVE 13 CORRECT ANDO COMPLYCLOTHES WASH ' DISHWASH WITH ALL COUNTY ORDINANCES AND STATEEGULATINGELECTRICAL WIRING
FAN_OTHER O100 Qt 1 HEREBY CERTIFY THAT I AM PROPERLY ED AND/ORLICENSED AS REQUIRED BY LOS ANGELES COSTATE OFMOTORSTRANSFORMERS RATING CALIFORNIA ON TXAi •M TXL AL OW XfRINT TOIND HEATERS ETC NP KW KVA RESIDEIN3I0 E TY
SIZE h TYPE OVER TO SIGNATURE
0 - I 1 DO OF PERMITTE
1 - 10 1 30o UROUGHCONDUIT
GR P N P SFo BY V
10 - SD S Do of
O
50 - 100 10 00
100 - Soo 15 00 L
TUBSIGOAS SIGN AND ONE CIRCUIT 3 00
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 OC•
SERVICE OVER 600 VOLTS OR 200 AMP E 00
TEMP SERVICE POLE & APPURTENANCES 3 00
S DAT! INSPLCTW`3 SIGNATURE
POLE
RK
ITiGISSUING FEE 2 00 tFIXTURES
rPERMIT
ENTARY ISSUING FEE I Go! POWER AUTHORIZED
EE UTILITY CO NOTIFIED —/ 2v 2,zECK FEE (50% PERMIT FEE) FINAL EE 10 JOSEPH C ROOHAN
SUPERVISING ELE L ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o GASH
;( 6 3 9 4�Z SEPI 32 A 2 5.1 0— e
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IEE BACK OF APPLICATION FOR COMPLETE FEE SCHEOULE