HomeMy Public PortalAbout5201-5203 VILLAGE CIRCLE DR_Electrical__ 768663-CE806 ;.� 72 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADORES
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE OWNER OR
FIRM NAME
RECEPT. $ MAIL
LIGHTdd OVER 20
TOTAL
FIRST 20 25 ADDRESS
SWITCHVo 70 10 1,'� 00 CITY00 TEL. N0.
PLAN CHECK'
LIGHTING l OFIRST 20 25 s APPLICANT
FIXTURES w
)} TOTAL
OVER 20 20 .10 Z 00 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER—WTR. HTR._ APPLICANT
STA. CCfOK OISP. " F.A.U. ADDRESS P60,6 Pw 2386
SPACE HTR. AIR COND. CITY Paz= TEL. Nc622-1221
CLOTHES WASH. ;SHWASH. 2LICENSE OR +mss
REG. NUMBER 1337/8 CLASS.0-10
FAN OTHER 1.001� 00 1 HEHEBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING W ITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR r
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES_ COUNTY AND STATE OF CL
CALIFORNIA ORTHAI I AM THE LEGAL; OWNER OF THE ABOVE O
DESCRIFED RES IOENTIAL !PROPERTY. U
1 - lO 300
PERMITEE :,✓^ F �
10 - 50 5.00 SIGNATURE �+-
50 - 100 10.00
DISTRICT NO. ,PROCEED BY Q
100 - 500 15.00 f O
SIGN, GAS
SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'SSIGNATURE LLJ
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOTOVER600VOLTS OR200AMP 2 3.00 Goo UNDERSLAB WORK
SER'VICEOVER600VOLTS OR200AMP 10.00 ROUGH CONDUIT
TEMP SERVICE,POLE, &APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) 1 57100
NOTES:
PLAN CHECK FEE,
PERMIT ISSUING FEE 3.00 3 00
TOTAL FEE •
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE