HomeMy Public PortalAbout9817 WOODRUFF AVE_Electrical__ 76AGGSC-CgeaeB 18/711 APPLICATION FOR ELEC RICAL PERMIT
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN
New Residential Bldgs.&Pools
EACH NO. FEE ADDRESS
1 &2 Finally Sq. Ft. $ — $ LOCALITY
Multi-family Sq. Ft. CROSS ST. 9
Residential Swimming Pools OWNER OR
FIRM NAME /
Outlets: Light,Switch&Receptacle MAI L
ADDRESS
First 20 nn QQ
Additibnal CITY I TeI. No.o�p�
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY Tel.No.
PEIT
Fixed Appliances Not Over 1 HP APPLICANT
Range_ Heater_ D.W.
Oven _ Dryer _ W.M.
ADDRESS
Top _ FAU _ W.H. CITY Tel. No, r/
Hood Fan LICENSE OR
9-
REG. NUMBER 2' Class. & p
Disp. A.C. r-3
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
Power Apparatus& Large Appliances WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
Size&T ELECTRICAL WIRING,
Type HP, KW,KVA,or KVAR Ed
Up to 1 Incl. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 10 to 50 Incl. DESCRIBED RESIDENTIAL PR
Over 50 to 100 Incl. PERMITEE
Over 100 SIGNATURE
DISTRICT NO. P OCE eD BY
Services
f Q 0 00 Amp. Under 600 V S
201 -1000 Amp. Under 600 V JF
PROVALS ATE INSPECTOR'S
Over 1000 Amp.or Over 600 V
SIGNATURE
OWER POLE
Temp.Power Pole&Appurtenances LAB WORK
Sign with One Branch Circuit CONDUIT
Additional Sign Branch Circuits
(Other)
ES
AUTHORIZED
PERMIT FEE (Sub-Total) CO.NOTIFIEDPLAN CHECKING FEE (One-Fourth Permit Fee) / �PERMIT ISSUING FEE
TOTALFEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS
7 3 7 AAs la 2 09.0 0 aW
t A