HomeMy Public PortalAbout9040 ACASO DR_Electrical_12/22/1967 7GA663-CE806 9-67 APPLICATION FOR ELECTRICALERMIT
COUNTY OF LOS ANGELES I . 7
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS C
JOHN A LAMBIE, COUNTY ENGINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY 7-1,1
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
NO EACH FEE
RECEPT_ $ $ OWNERS
MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH_ OVER 20 10 CIT _ TEpL,, NO
LIGHTING TOTAL FIRST 20 20 CONTRACTOR
FIXTURES OVER 20 10 ADDRESS
RANGE -WTR HTR _ CITY TEL NO
STA COOK_DISP _F A U '
LICENSE NO
SPACE HTR AIR COND I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH -DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FA N_0THER 1 00 0 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND HEATERS, ETC HP KW KVA RESIDE IN, THE ABOVE DE RIBEO RESI N AL PROPERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1 00 OF P-ERMITTEE
1 - 10 3 00 DI ST, lTf IS ZONE P O • f D U
10 - 50 5 00 Im
50 - 100 10 00 NOTES G
W
100 - 500 15 00 N
TUBE, A SIGN AND ONE CIRCUIT 3 00
MARQUEE ADDITIONAL CIRCUITS 1 00 qR
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 V
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
ISSUING FEE 2 00 8 (�'� WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00 POWER AUTHORIZED
PERMIT FEE UTILITYCONOTIFIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
TOTAL FEE 1.6 JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M 0 CASH
LAUD 3 0 �o OEC22 2 D 5.00-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ffen�