HomeMy Public PortalAbout9222 WOODRUFF AVE_Electrical__ 76A663-CEB06 9-67 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7BUILDINGBUILDING AND SAFETY DIVISION '2 _JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGFOR APPLICANT TO FILL IN7 NEAREST
4/ 2/
NO. AC FE .��+
S $ OWNER r 0 s
RECEPT._ MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS 17
++7��
SWITCH_ OVER 20 .10 CITY TEL. NOTT � - d
LIGHTING ITOTAL FIRST 20 .20 CONTRACTOR
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR.— CITYTEL. NO.
STA.COO K_DISP.—F.A.U._ LICENSE NO.
SPACE HTR. AIR COND. IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWAS H._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN-OTHER 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS RE IRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR . 1 AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, T ABOVE DE CR BED RESIDENTIAL PROPERTY.
SIZE & TYPE OVER TO SIGNATOR
O - 1 1.00 OF PERMI
1 - 10 3.00 DISTRICT NO. GI QUP JhONE I PRPCESSED BY U
10 - 50 5.00 ,d -3 •GSC 0
50 - 100 10.00 NOTES: b
W
100 - 500 15.00 n•
H
TUBE,A SIGN AND ONE CIRCUIT 3.00
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 D(S
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00
014 C APPROVALS DATE INSPECTOR'S SIGNATURE
LL.
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
ISSUING FEE 2.00
FIXTUF.IES
SUPPLEMENTARY ISSUING FEE 1.00
PAWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED Alz
PLAN CHECK FEE (50% PERMIT FEE) FINAL zor • ,
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.0. CASH PERMIT VALIDATION < CK. ) M.O. CASH
00-:EL;O 5 6 5 1 JUL 2 6 2 D 4.00-
EE
BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE .