HomeMy Public PortalAbout9036 ACASO DR_Electrical_12/23/1970_outlets,fixtures �y
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APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMB'IE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST.
NO. EACH FEE
$ $ OWNER
RECEIPT. MAIL
�} 4 ADDRESS
LIGHT TOTAL FIRST 20 .20 p�
CITY ^ TEL.N0•
SWITCH _ OVER 20 .10 PLAN CHECK
LIGHTING TOT L FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 .10 ADDRESS
RANGE DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK DISP. F.A.U. CONTRACTOR
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH. DISHWASH. CITY TEL.NO.
FAN OTHER 1.00 LICENSE NO. CLASS.
MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP, KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 I HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
I - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO d
RESIDE IN, THE ABOVE SCRIBED IDENTIAL PROPERTY. O
10 - 50 5.001 U
SIGNATURE i
50 - 100 10.00 OF PERMITTEE Q
F-
100 - SOO 15.00 DISC: NO. GROUP ZON PR CE E u
CL
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 Q� N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 J UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 �l FINAL Y �/
TOTAL FEE O JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
1 2 or DEC 23 2 D 5.40r
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE