HomeMy Public PortalAbout5703 OAK AVE_Electrical_10/10/1974_76A663-CE80611/70 APPLICATION FbR ELECTdICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �Z ✓ ^ 7 „ 1t /+t /J� Ab
BUILDING AND SAFETY DIVISION ADDRESS
COLEMAN W
OUTLETS
JENKINS, SUPERINTENDENT OF BUIIl.OING
11
FOR APPLICANT TO FILL IN
NO. EACH F
iECEPTS $
._
LIGHT_ TOTAL FIRST 20
3WITCH_ OVER 20
LIGHTING I FIRST 20
TOTA
FIXTURES OVER 20
APPLIANCES
RANGE_DRYER_WTR. HTR._
STA. COOKDISP._F.A.U._
SPACE HTR. AIR COND.
CLOTHES WASH. DISHWASN._
FAN_OTHER
MOTORS, TRANSFORMERS' RATING
IND. HEATERS, ETC. HP. KW. KVA.
S1ZE 5 TYPE OVER TO
0— 1
I — 10
10 — 50
so — 100
100 — 500
SIGN, GAS (SIGN AND ONE CIRCUIT
TUBE, OR
MARQUEE (ADDITIONAL CIRCUITS
SERVICENOTOVER 600 VOLTS OR 200AMP
SERVI CEOVER 600 VOLTS OR 200 AMP
TEMP SERVICE, POLE, &APPURTENANCES
TEMP LIGHT OR RECEPT. SYSTEM
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
25
.10
.25
LOCALITYNEAREST
CROSS ST.. Z f lb !PJ fD,4hC_
OWNER of
I
ADDRESS F�Jf%J A �
ClffES/lei /oz4_ TEL. NO__:23 / 4',Z J
1 PLA ,&ECK� /
I APPLICANT
ADDRESS
0
I CITY TEL. NO.
PERMIT �}
APPLICANT
ADORESSl/I//il/J�Lls2'1p�lL�ji��LJ,S
�P'�_�/g' �((d,//��/
CITY �1f�A/i,..I TEL. NO.-,
LICENSE N0; CLASS. '—/4
1.00
100
3,00
5.00
10.00
15.00
5.00
1.00
3.00
10.00
5.00
3.00
3.00 � 0 U
CK. M. C'.CASH
0
APPROVALS
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE
1S CORRECT AND AGREE TO COMPLY '
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
UNDERSLAE WORK
ELECTRICAL WIRING.
HEREBY CERT IF I
AM PROPERLY REGISTERED AND/OR
(I
LICENSED AS (RED BY
B ANGELES COUNTY AND STATE OF
CALIFORNIA 'NAT IAM TH
LEGAL OWNER OF, AND INTEND TO }
FIXTURES
RESIDE THE ABOVE D
BCRIBED RESIDE IAL PROPER Y.
POWER AUTHORIZED
Q
SIGNA URE
�4 V
OF PE
FINAL
_
C
'0
Q
DISTRICT NO. CLASS
PROLE BY
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CL
C
ENGINEER
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NOTES:
Z
3.00 � 0 U
CK. M. C'.CASH
0
APPROVALS
DATE
INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAE WORK
ROUGH CONDIUT
WIRING,
FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
q�
JOSEPH C. ROQH
N
SUPERVISING E CT
C
ENGINEER
PERMIT VALIDATION' CK.
M.O. CASH
2 9 7�-Wf 10 2 1) 4 4.00,L�J8