HomeMy Public PortalAbout10144, 10128 BOGUE ST_Electrical_7/7/1978 176A663 CE 006R:0,77 APPLICATION FOR ELECTRICAL PERMITI -
COUNTY OF LOS ANGELES
DEPARTMENT OF-COUNTY ENGINEER JOB
ADDRESS �/l/ /3
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY � 7 -•`� U �/Q
rResidentioll Bldgs &Pools EACH NO FEE "ASSESTST,Sq. Ft $ .025 — $ OWNER OR _�Sq Ft 02 — FIRM NAME � i 3 Lre /rwimming Pools 25.00 MAIL
ADDRESS �/7 /—LightSw CITY ,:5-, Tel. No '�'� ^�
First 20 50 3 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 Z,O CITY �a Tel No
IT
Total No Additional .30 APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS 'li
Range—Heater_D W CITY GCJ �� Tel. No. - 3
Oven_Dryer—W M_ LICENSE OR
Top —FAU —W H — REG NUMBER cjp Class - J�
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
2.50 REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM a
Up to 1 Incl THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY O
Over 1 to 10 Incl.
5.00 cJ
Over 10 to SO Incl 12.50 PERMITTEE o
Over 50 to 100 Inc 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO S D BY N
Services
o � z
0- 200 Amp.Under 600 V 1250 INSP59TOR'5
201-1000 Amp Under 600 V
25.00 APPROVALS DATE SI ATURE
Over 1000 Amp or Over 600 V 50.00 TEMP POWER POLE
Temp Power Pole&Appurtenances
10.00 UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 ], FIXTURES
Other(See Complete Fee Scheduler POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION 'CK M 0 CASH
SEE
/BACK OF APPLICATION FOR COMPLETE SCHEDULE -
AY/r