HomeMy Public PortalAbout5832 ALESSANDRO AVE_Electrical__ 76A663�1(E 606y 10,77 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION
ADDRESS
FOR APPLICANTTO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
$ .025 — $ CROSS ST. S TUC AiS
1 &2-Family,Sq. Ft. OWNER OR
Multi-family Sq. Ft. 02 — FIRM NAME ( Y7
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets: Rec Light—Sw. CITYTel.No. _Z '�
First 20 .50 PLAN CHECK
7
Total No. Additional .30 1 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No. APPLICANT IV
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D.W._ CITY T el. No. –�? a
Oven—Dryer—W.M. LICENSE OR
Top —FAU —W.H. REG. NUMBER Class.
Hood-Fan _Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. 2.50 THAT THE ABOVE IS 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
2REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
.50 d
Up to 1 Ind. THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C:)
Over 1 to 10 Incl 5.00 v
Over 10 to 50 Incl. 12.50 PERMITT E o
Over 50 to 100 Inc. 25.00 SIGNAT
Over 100 40.00 tD'ST
RICT NO. PROCESSED BY N
Services
2001
0-- 200 Amp.Under 600 V 12.50 / INSPECTOR'S
201-1000 Amp.Under 600 V25.00 APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 MP. POWER POLE T
UNDERSLAB WORK yJ�
Temp. Power Pole&Appurtenances 10.00
00 ROUGH CONDUIT 1 �,✓ e,,
Sign with One Branch Circuit 10.
Additional Sign Branch Circuits 2'00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWERAUTHORIZED �
UTILITY CO.NOTIFIED
FINAL �y
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel �7
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
70 0 AP`R 4 2 :1: 9.5 0 A�8
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
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