HomeMy Public PortalAbout5725 OAK AVE_Electrical_6/20/1972_J
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APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
APPROVALS
DEPARTMENT OF COUNTY ENGINEER
TEMP. POWER POLE
BUILDING AND SAFETY DIVISION
r��5N„cAk AuP
`JOHN A. LAMBIE. COUNTY ENGINEER
FADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGTTemAle
CityNEAREST_
FOR APPLICANT TO FILL IN
CROSS ST.Llive Oak
OUTLETS NO. EACH FEE
$
OWNER R pLklnazi
$
RECEPT
MAIL
LIGHT_ TOTAL FIRST 20 20 � 5 00
~
ADDRESS $fie
CITY TEL. NO2 $6- 5166
SWITCaL-4--41 OVER 20 29 .10 2 10
LIGHTING FIRST 20 9 1� 2 25
PLAN CHECK
APPLICANT
TOTAL
(� .10
FIXTURES 7 OVER 20
ADDRESS
APPLIANCES
CITY TEL. N0.
RANGE DRYER WTR. HTR.
PERMIT �,r
APPLICANIl+arr. Electric
STA. COOK DI SP. F.A.U.
ADDRESS 1 5 83 4 Workman
orkman Sti
SPACE HTR. AIR COND.
CITla, Puente TEL. NO. 333..591
CLOTHES WASH. DISHWASH.
LICENSE N0250843 CLASS. 0_
FAN OTHER 1.00
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA.
ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I A THE L AL 0 NER OF, AND INTEND TO
1 - 10 3.00
RESIDE IN, THE ABOV D` ,.EDRESIDENTI PROPERTY.
10 - 50 5.00
SIGNATURE
OF PE13W,i i tET
50 - 100
100 - 500
SIGN, GAS SIGN AND ONE CIRCUIT
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS
SERVICE NOT OV ER 600 VOLTS OR 200 AMP
SERVI CE OVER 600 VOLTS OR 200 AMP
TEMP SERVICE, POLE, & APPURTENANCES
TEMP LIGHT OR RECEPT. SYSTEM
PERMIT FEE (SUB TOTAL)
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE
SUPPLEMENTARY PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION
10.00
15.00
3.00
1.00
2.00
5.00
3.00
3.00
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NOTES:
APPROVALS
DATE
TEMP. POWER POLE
PR CE E Y
INSPECTOR'S SIGNATURE
UNDERSLAB WORK
ROUGH CONDIUT
WIRING
FIXTURES
9 �5 POWER AUTHORIZED
UTILITY CO. NOTIFIED
00 3 00
1 FINAL
0o JpiS H C. ROOHAN
SUP ISING ELE qAL ENGINEER
CK. M. 0. CASH PERMIT VAL IO CK. .0. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,
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