HomeMy Public PortalAbout6362 TRELAWNEY AVE_Electrical__ 77s3-00
APPLICATION FOR ELECTRIC FERMIT
ti . COUNTY OF LOS AUGELES
DEPARTMENT OF COUNTRY ENGINEER BUILDING /^���
BUILDING AND SAFETY DIVISION ADDRESS Y /VE 4VE
JOHN A LAMBIE COUNTY ENGINEER //I� ��
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY T CAIL_
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
no [wcN rte Al
RECEIPT OWNER [ (,�/AI
LIGHT_ TOTAL FIRST 20 20
ADDRESS/,3 AIeY F
SWITCH_ OVER 20 10 CITY — TEL NO 7410130
PLAN CHECK
LIGHTING l TOTAL FIRST 20 20 APPLICANT
FI%TURES 1} OVER 20 10 ADDRESS
RANGE_DRYER WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR
SPACE HTR —AIR COND ADDRESS
CLOTHES WASH _DISHWASH CITY tyv TEL NO
FAN_OTHER 1 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STATE THAT THE ABOVE Ie CORRECT AND AGREE TO COMPLY
SIZE d TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIPING
D — 1 1 DD I HERESY CERTIFY THA PROPERLY REGISTERED ./M
-ICENSED AS RIO RED • ANGELE[ COUNTY AND STATE OR
I — 10 3 00 CACI RORMII OR T T 1 A E LEGAL OWNER OF ANO INTEND To
RESIDE IN THE A OVC SCRISEO RESIDENTIAL PROPERTY O
10 — SO 5 00 V
SIGNATURE OC
50 — IOO 10DO OF PERMITTE 10-
100 — 500 1500 DIS CT D ano zaN PR C G
w
CIL
TUBE,GOARS SIGN AND ONE CIRCUIT 3 00 Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES// Z (p _
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 ^�
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE 9 APPURTENANCES 3 OO APPROVALS DAT[ INePtcTaRa elGnwTlw[
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
VFIXTURESPERMIT FEE (SUB TOTAL)PLAN CHECK FEE (SOA PERMIT FEE)
PERMIT ISSUING FEE 2 00 SUPPLEMENTARY PERMIT ISSUING FEE 1 00 TOTAL FEE OSEPH C ROOHAN
UPERVISING ELECT L ENGINEER
PLAN CHECK VALIDATION CN M D CASH PERMIT VALIDATION CA ^ M 0 CA,.
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SEE BACK Or APPLICATION FOR COMPLETE FEE SCHEDULE
70A683 CE806 11/70 I I \
APPLICATION FOR ELECTRICAL PERMIT LLLJJJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER OU
uIDRE5LDI"S 3LZ /G�Q
BUILDING AND SAFETY DIVISION AD
COLEMAN W JENKINS Su NT DIP BUILDINGLOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS " FE
OWNER
RECEPT L S S MAIL '/
FIRST 20 ADDRESS —v2 /t ^^yy
LIGHT_ TOTAL CITY TEL NOdp� Q
SWITCH_ OVER 20 ip `
PLAN CHECK
LIGHTINGTOTAL FIRST 20 APPLICANT
FIXTURES 10
OVER 20 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT
STA COOK DISP_F A U _ ADDRESS
SPACE HTR AIR COND CITY NO
CLOTHES WASH DISHWASH_ LICENSE NO CLASS
FAN_OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND !TATE THAT THE Aa OVE Ia CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMER! RATING WITH ALL COUNTY ORGI NANCE! AND !TATE LAW! REGULATING
IND HEATER! ETC HP KW KVA ELECTRICAL WIRING
I IZC 6 TYPE OVER TO I HEREBY CERTIFY AT I ♦ PERLY RE01l TERED AND/OR
0 — 1 I pp LICE CO A! RCOUIR aY LES COUNTY AND STATE OF
CALIFORNIA OR THAT AM E LEGAL OWNER OP AND INTEND TO
I — 10 300 RESIDE IN THE A OVE DE! RIBED RESIDENTIAL PROPERTY O
10 — 50 Epp SIGNATUR 11
OF PERMITTE
60 — 100 1000 DISTRICTNO CLAS! ZONE P USED O
100 — 500 1500 0 IUL
a
cy
SIGN GAS SIGN AND ONE CIRCUIT a00 NOTES
Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200AMP 300
SERVICEOVER 600 VOLTS OR 200 AMP 1000 APPROVALS DATE WPEcIOIPa BIGMATURe
TEMP POWER POLE
TEMP SERVICE POLE, &APPURTENANCES Sop
UNDERSLAS WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CON DIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
FINAL ` Z
PERMIT ISSUING FEE 300
JOSEPH C ROOHAN
TOTAL FEE A SUPERVISING EL ICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M o CASH
LACO2909: LAW 19 2 D 55C
SEE SAM OF APPLICATION FOR COMPLETE SCPEOULE
TeAee^•ceeoa.-ef APPLICATION FOR ELECTRI AL PERM�V
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BU IL,,NG LOCALITY G
FRECEIPT
APPLICANT TO PILL IN NEAREST
CROSS ST
No EACH ree
$ f OWNER
MAIL
FIRST 20 20 ADDRESSOVER 20 10CITYG TEPLAN CHECK
FIRST 20 20 APPLICANT
OVER 20 10 ADDRESS
RANGE_ORVER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR ,
SPACE HTR —AIR COKD ADDRESS
11A gA&g
CLOTHES WASH _DISHWASH CITY TEL N
FAN_OTHER 1 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS, ETC HP KW KVA AND STATE THAT THE ABOVE If CORRECT AND AGREE To COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
D — I 1 DD 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED N0/OR
�ICLMSiO
AS REQUIRED BY LOS AMG[LCS COUNTY AND STITL OI
1 — ID 3 DD CALF IORNIA OR THAT 1 AM THE LEGAL OWNER 01 AND INTEND TO
RESIDE IN THE AS [ ESCRIL[O R[f ID[NTIAL PROPERTY O
10 — 50 500 V
SIGNATURE
$0 — 100 10D0 OF PER MITTE lM�/1r
100 — 500 1500 PPOWER
P'''' zone vn L[ V
SIGN,GAS SIGN AND ONE CIRCUIT 3 00 1Y6LJ1
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP ISA 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, &APPURTENANCES 3 GO DAT[ BIBP[ctDIFS SIGNATURE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (SOA PERMIT FEE)
PERMIT ISSUING FEE ]2WL UTILITYCONOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE FINAL
TOTAL FEE JOSEPH C ROOHAN
�' SUPERVISING ELECT L ENGINEER
DATION
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIM o CASH
U(.„2 2 5 3 FS OCT 15 2 D 4.0 0- v
l SEE LACK OF APPLICATION FOP COMPLFTE Ir[ SCNEDULF
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