HomeMy Public PortalAbout6433 TRELAWNEY AVE_Electrical__ Tawua-c�Ge IG,>. APPLICA ION R ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
z DEPARTMENT OF COUNTY ENGINEER �0�3
BUILDING AND SAFETY DIVISION ♦� � r
LOCALITY ��iJlh'�LG 1f
NEAREST �.•lnV� n/
FOR APPLICANT TO FILL IN CROSS ST MM � rtE A
OUTLETS NO EACH ! OWNER OR ^' '
FIRM NAME�(JY 7- THl�d 41MAIL
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RECEPT_ $
S AGGRESS 3 1 ILG[.MW�e+ AVC
LIGHT_ TOTAL FIRST 20 y.
OVER 20 CITY TE' („ TEL NO ga_ �]
SWITCH_ 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 25 APP (CANT
FI%T10
OVER 20 AOORESS
URES
RESIDENTIAL APPLIANCES CITY TEL NO
RANGE_ORY ER_WTR PERMIT
HTR_ APPLICANT
STA COOK_DISP _F A U ADDRESS
SPACE HTR AIR GOND CITY TEL NO
CLOTHES WASH DISHWASH_ LICENSE OR
REG NUMBER CLASS
FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AHD STATE THAT THE ABOVE 13 CORRECT AND AOR[[ TO COMPLY
MOTORS TRANSFORM ERB RATI NO WITH ALL COUNTY ORDINANCE[ AND STAT! LAWS REGULATING
IND HEATERS, !TC HP KW KVA ELECTRICAL WIRING
aIze & TYPE OVER To
I NS D A REQUIRED
THAT AM PROPERLY REGISTERED AND/DR
0 - 1 PDO LICE NBED AS . THAILD BY LOS ANGELES COUNTY AND [Are VE y
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE R
J.,� I - 1D app pIaCRIEHD RESIDENTIAL NTIAL PROPERTY U
PERMITEE ./,/1
10 - SO EGO SIGNATURE O
SO - 100 IODO W
DISTRICT NO SED BY y
100 — 600 1500 Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DAT[ INY[C Sl01MTV11[
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 300 UNOERSLAB WORK
SERVECEOVER600VOLTS0R200AMP 10W ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 q s-z)
TOTAL FEE Q
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
679uPSEP 16 2 04 1 0-50 &yw
SC[ SACK 01 APPLICATION FOR COMPLETE SCHEDULE
7BA663-CESOB 10/72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF
BUILDING AND SAFE YrDIVISIONER nCOOREss (9433 IJ.TQe
LOCALITY Lxmv
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
OUTLETS NO EACAI FEE OWNER OR
S $ FIRM NAME 1
LLIIGHT- TOTAL FIRST 20 2. ADDRESS �� (ICF�IaLUM
SWITCH OVER 20 CITY "r TEL NO o9Ba-170
10 PLAN CHECK
LIGHTING TOTAL FIRST 20 29 APPLICANT
FI%i10
OVER 20 ADDRESS
U RES
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT
STA COOK_DISP _F A U _ ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH_ k GENNUMRBER CLASS
FAN_OTHER 100 1 HERCBI ACMNONLEDOE THAT I HAVE READ TMI3 APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORSTRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HE
ETC MF aW KVA ELECTRICAL WIRING
SIZE 6 TYPE OVER TO
HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O — 1 lOO LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAI IAm THE LEGAL OWNER OF THE ABOVE
1 — 10 300 OE Sf PIf ED ]UIOE NTIAL PR OPCRTT 1 O
PERMITEE
I1
10 — 50 900 SIGNATURE iiiVVV O
O
50 — 100 1000
OISTRIC PR SSEO BV
100 — 500 1300 �$ y
SIGN GAS SIGN AND ONE CIRCUIT' 900 APPROVALS DATE ONSPECTOR's SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOTOVER600 VOLTS OR 200 AMP 300 UNDERSLAB WORK
SERVICEOVER600 VOLTS OR200AMP ION ROUGH CONDUIT
TEMPSERVICE POLE &APPURTENANCES 5OO WIRING 1
'r
TEMP LIGHT OR RECEPT SYSTEM 300 FI%TURES
POWER AUTHORIZED
UTILITY CO NOT,FIFO
FINAL ism T
r
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300
TOTAL FEE
PLAN CHECK VALIDATION CK M o CASH V') PERMIT VALIDATION CK M o CASH/
9 714 2 2 0 6.0 0 •,jo
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE I
DCB OA2 EE APPLICATION FOR ELECTRIC PERMIT Z
DIVISION OF BU=ING AND SAFETY
Department of County EBgteen
' County of Loa Angeles BUILDING
WM J FOX COUNTY ENGINEER ADDRESS
CABOATT D GRIFFIN SUP T Of BUILDING
LOCALITY
F
OR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS Sr 0
NUMBER EACH FEE
OWNER US
LIGHT OUTLETS
ACLES MAIL '
ADDRESS
SWITCHES
AL OUTLETS D ! cl� TEL NO
ANGES 26 ELECTRICIA
HEATERS 2D ADDRESS ��/
CITY � T ��
ES 5 CENSE NO
R OF LIGHT CIRCUITS DISTRICT NO GROUP IE n xap ro[I[�P¢RIDN
R OF RECEPTACLE CIRCUITS T
MOTORS
HORSEPOWER FEE INSPECTION RECORD
NVo HP OVER INc EACH
B LEON 8 25
2 50
2 D 100
5 ID 1 SO
1550
2DO
DO 200 5 00
M18C
NO SIGNS NO TRANS
O SIGNS N LAMPS
OR EACH PERMIT
WIRING $100
FIXTURES $100
SUPPLEMENTARY DO APPROVALS
TOTAL FEE ! DATE INSPECTOR S SIGNATURE
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS PPLICATION CONDUIT 1
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY � �:�:f
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING ✓'1
ELECTRICAL WIRING
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AMD/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 A THE LEGAL OW OF WER
DESCRIBED RESIDENTIAL P ERTY
SIGNATURE UTILITYCO NOTIFIED 7
OFPERMITTEE FINAL
WILLIAM J FOX. LINTY ENGINlIOI VALIDATION A C VEIT.CNI�ELECT INSPECTOR
LAC03595�R M29 2 1 .25 tB
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