HomeMy Public PortalAbout5542 ALESSANDRO AVE_Electrical__ i •
CE 606R 10/77 APPLICATION FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELES
DEF�ARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS ve
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE CROSS ST. e
1 &2-Family,Sq. Ft. $ .025 — $ OWNER OR
e
Multi-family Sq. Ft. 02 — •f+R'/oh-PtlAME r
Residential Swimming Pools 25.00 MAIL
ADDRES�
Outlets: Rec Light_Sw. CITY f Tel. No.
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT ^.
Total No. APPLICA �. . 1
Fixed Appliances Not Over 1 HP ADDRESS
Range Heater_D.W.
CITY Tel.No.
Oven—Dryer—W.M. LICE SE OR r
Top —FAU —W.H._ REG.NUMBER a `� t Class.Com` Q
Hood Fan _Other_ HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. 2.50 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED By LOS A ELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM S•^
Up to 1 Incl. 2.50 THE LEGAL OWNE F THE ABOVE DESCRIBED REST NTIAL P PERTY. C
Over 1 to 10 Incl. 5.00 Jl cD
Over 10 to 50 Incl. 1 2.50 PERMITTEE
Over 50 to 100 Inc. 25.00 SIGNATURE r /
Over 100 40.00 DISTRICT NO. PROCE ED BY d
01)
Services
0-200 Amp.Under 600 V 12.50 INSPECTOR'S
201-1000 Amp.Under 600 V
25.00 APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
A In
Other(See Complete Fee Schedule) POWER AUTHORIZED 14
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00 7
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK: M.O. CASH
2,U U
W�
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE