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HomeMy Public PortalAbout5025 WILLMONTE AVE_Electrical__ FGA663C CZSQ61312/750 APPLICATION FOR ELECTRICAL PERMIT BUILDING AN AFETY' DIVISION FOR APPLICANT TO FILL IN JOB ADDRESS New Residential Bldgs.&Pools EACH NO. FEE , 1 &2 Finally Sq.'Ft. $ — $ LOCALITY Multi-family Sq. Ft. — NEAREST Residential Swimming Pools CROSS ST. OWNER OR FIRM NAME Outlets: Light;Switch&Receptacle MAI L First 20 ADDRESS Ak 1 Additibnal CITY re;�j ple C Tel. No. PLAN CHECK Lighting Fixtures APPLICANT First 20 ADDRESS Additional CITY Tet.No. PERMIT Fixed Appliances Not Over 1 HP APPLICANT epcn Ai u rpace Range_ Heater_ D.W. _ ADDRESS Oven _ Dryer _ W.M. Top _ FAU _ W.H. CITY Tel. No, Hood Fan LICENSE NUMBER Class. —� In Disp. A.C. � 1 HEREBY ACK.NOWLEDG-E THAT I HAVE READ THIS APPLICATION 0 AND STATE,THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY Power Apparatus& Large Appliances WITH ALL 'COUNTY ORDINANCES AND STATE LAWS REGULATING W Size&Type HP, KW,KVA,or.KVAR ELECTRICAL WIRING. rA Up to 1 Incl. I HEREBY CERTIFY TWAT I AM PROPERLY REGISTERED AND/OR Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES'COUNTY O STATE OF CALIFORNIA OR THAT. 1 AM THE LEGAL OWNER O THE ABOVE Over 10 to 50 Incl. DESCRIBED RESIDE AL PROPERTM Over 50 to 100 Incl. PERMITI Over 100 SIGNATURE Ap O�A Agio, DTRICT NO. C SED BY Services G 0-200 Amp. Under 600 V IS '5'_ 0 O 201 -1000 Amp. Under 600 V APPROVALS DATE INSPECTOR'S R'S SIGNATURE Over 1.000 Amp.or Over 600 V aFINAL POWER POLE Temp.Power Pole&Appurtenances RSLAB WORK Sign with One Branch Circuit Additional Sign Branch Circuits H CONDUIT (Other) WIRING RES R AUTHORIZED PERMIT FEE (Sub-Total) TY CO.NOTIFIED PLAN CHECKING FEE (One-Fourth Permit Fee) PERMIT ISSUING FEE S TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION QLK. M.O. CASH 543.tiMAY 26 2 •© 13-5.0 A P P L I CAT O E L CT R I C PERMI T 1 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING .y-�+ BUILDING AND SAFETY DIVISION ADDRESS �'o �; 1/(� JOHN A. LAMBIE, COUNTY ENGINEER 6 - n AME: WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEaREST PEEMM FEES CROSS sT. ITEM NUMBER I EACH FEE OWNER OUTLETS: E $ E MAIL ADDRESS LIQHTB REcPT. Bw. 10 LIGHTING FIXTURES 10 CITY TEL.NO. ELEC.RANGES CLO.DRYERS ELECTRICIAN W -0 -AZ .0 JTER H A ERS .50 ELEC.SPA 9. DISHWASHERS CITY TEL.NO. GARBAGEDISS -------------- STATE AUTO.- STATE WASHERS STA.COOKING UNITS .25 ,� LICENSE NO. +'� MOTORS: OVER INC. H.P. DISTRICTNO. GROUP I ZONE I PR.O ESSED BY 0— 1/2 25 ✓ V2— 2 .50 INSPECTION RECORD 2— 5 1.00 Is— 15 1.80 IS— 50 2.50 50-200 5.00 SIGNS: NO.TRANS. NO.LAMPS SERVICE 0-600V 1..00 SERVICE OVER 600V 5.00. Misc. WIRING PERMIT 1.00' FIXTURE PERMIT 1.00 Lev- SUPPLEMENTARY PERMIT .50 TOTAL FEE $l a I HEREBY ACKNOWLEDGE THAT i HAVE READ THIS APPLICATION APPROVALS _ DATE INSPECTOR'S SIGNATURE AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT . �J ELECTRICAL WIRING. WIRING 1 I6 4 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES r� CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTI L P PERTY- POWER n SIGNATURE is OF PERMIUTILITY CO.NOTIFIED �f TTE FINAL ggARTHUR C. E!F' /VA/ LIDATION SU ERVISING ELECTRICAL ENGINEER (\ MO CASH L:-:Co 0 7 5 4 1 2.�,;1Id 5 2. D E� .