HomeMy Public PortalAbout5724 OAK AVE_Electrical_6/18/1976_L
7eA663.`Ee06 ,O,'° APPLICA IO REL
C6UNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M. 0.
FEE
4
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
i
ICAL PERMIT
ADDRESS,
LOCALITY
NEAREST
CROSS ST.
OWNER OR
FIRM NAME
MAIL
ADDRESS r
Cl TY G/%� v TEL. NO,.2r 74- 7,.2�F
PLAN CHECK,,,,,,
APPLICANT
ADDRESS
CITY TEL. NO.
PERMIT N:aei �Z
APPLICA%%
ADDRBt/o _~ Z
CITY % TEL. NQ�d'✓ 31
LICENSE OR
REG. NUMBER Y �Q CLASS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT.I M PROPERLY REGISTERED AND/OR
LICENSED S REQUIRED Y LO ANGELES COUNTY AND STATE OF }.
CALIFORNIA R THAT' I M TN LEGAL OWNER OF THE ABOVE 0
DESCRIBED R IDENTI PROPE Y. �,
PERMITEE w �
SIGNATURE �J
C.�
W
DIS ICT N 0 SSED BY c-
APPROVALS DATE INSPECywdws SI TORE
TEMP. POWER POLE r
UNDERSLAB WORK
ROUGH CONDUIT
WIRING`
FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL ID •-I3`7 _.y
NOTES:
CASH PERMIT VALIDATION M.o. CASH+
FOR APPLICANT TO FILL IN
NO. EACH
7TLETS
$ $
RECEPT,
FIRST 20
466;
LIGHT TOTAL
SWITCH f7` OVER 20
.10
LIGHTINGTOTAL FIRST 20
.25
FIXTURES OVER 20
.10
RESIDENTIAL APPLIANCES
RANGE DRYER WTR. HTR.
STA. COOK DI SP. -J -F. A, U.
SPACE HTR. AIR COND.
CLOTHES WASH. DISHWASH.
FAN OTHER
1.00
MOTORS, TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA.
SIZE & TYPE OVER To
0 - 1
1.00
1 — 10
3.00
10 — 50
5.00
50 — 100
10.00
100 — 500
15.00
SIGN, GAS
SIGN AND ONE CIRCUIT
5.00
TUBE, OR
MARQUEE
ADDITIONAL CIRCUITS
1.00
SERVICE NOTOVER 600 VOLTS OR 200 AMP
3.00
SERVI CEOVER 600 VOLTS OR 200 AMP
10.00
TEMP SERVICE, POLE, & APPURTENANCES
5.00
TEMP LIGHT OR RECEPT. SYSTEM
3.00
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M. 0.
FEE
4
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
i
ICAL PERMIT
ADDRESS,
LOCALITY
NEAREST
CROSS ST.
OWNER OR
FIRM NAME
MAIL
ADDRESS r
Cl TY G/%� v TEL. NO,.2r 74- 7,.2�F
PLAN CHECK,,,,,,
APPLICANT
ADDRESS
CITY TEL. NO.
PERMIT N:aei �Z
APPLICA%%
ADDRBt/o _~ Z
CITY % TEL. NQ�d'✓ 31
LICENSE OR
REG. NUMBER Y �Q CLASS.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
I HEREBY CERTIFY THAT.I M PROPERLY REGISTERED AND/OR
LICENSED S REQUIRED Y LO ANGELES COUNTY AND STATE OF }.
CALIFORNIA R THAT' I M TN LEGAL OWNER OF THE ABOVE 0
DESCRIBED R IDENTI PROPE Y. �,
PERMITEE w �
SIGNATURE �J
C.�
W
DIS ICT N 0 SSED BY c-
APPROVALS DATE INSPECywdws SI TORE
TEMP. POWER POLE r
UNDERSLAB WORK
ROUGH CONDUIT
WIRING`
FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL ID •-I3`7 _.y
NOTES:
CASH PERMIT VALIDATION M.o. CASH+
:1AFw
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lit
ai
IL
lot-
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