HomeMy Public PortalAbout6208 AVON AVE_Electrical__ 76A663 CE 8068 10,77
APPLICATION VOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB 7 �/ ' ,!(,7
BUILDING AND SAFETY DIVISION ADDRESS C f/
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE CN EAR—EST
ROSS ST
1 &2 Family Sq Ft $ 025 — $ OWNER OR y�
Multi family Sq Ft 02 — FIRM NAME
Residential Swimming Pools 2500 AMA IL
DDRESS
Outlets Rec Light_Sw CITY 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 APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D W CITY Tel No
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
Dlsp _ Room Air Cond 250 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
REQUIRED BY LOS ANGE OUNTY ND STATE OF CALIF9RN IA OR THAT I AM
Up 10 1 Incl 2 5O THE LEGAL OWNER OF BOV SCRIBED RESIDENTIA4AROPERTY O_
Over 1 to 10 Incl 5 00 f v
Over 10 to 50 In1 2 50 PERMITTEE O
Over 50 to 100 Inc 2500
SIGNATURE
G.)
Over 100 4000 DISTRICT NO P E CW..
h
Services
0 200 Amp Under 600V 1250 INSPECTOR S
2500 APPROVALS SIGNATURE
201 1000 Amp Under 600 V
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole&Appurtenarces 1000
Sign with One Branch Circuit
1000 ROUGH CONDUIT 1
Additional Sign Branch Circuits 200 WIRING
Misc Conduits&Conductors 1000
FIXTURES
Other(See Complete Fee Scheduler POWER AUTHORIZED
UTILITY CO NOTIFIED 01 /
FINAL
PERMIT FEE (Sub Total) NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE $700
TOTAL FEE )
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION ` CK M O CASH
LZ 5t""APR d5 1 9.5 0 A%
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE --