HomeMy Public PortalAbout9030 ACASO DR_Electrical_11/25/1969_fixtures 76A663-5E80415 3-69
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER //
BUILDING AND SAFETY DIVISION TNEARES1
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JOHN A. LAMBIE, COUNTY ENGINEER o
COLEMAN W..JENKINS, SUPERINTENDENT OF BUILDINY �yti
FOR APPLICANT TO FILL IN .
NO. EACH FEE
$ $ OWNER ✓
RECEIPT. MAIL
LIGHT TOTAL FIRST 2017 ,20 ADDRESS
CITY TEL.NO.
SWITCH 17 OVER 20 .10 PLAN CHECK
LIGHTING LiL
TAL FIRST 20 ,20 C APPLICANT
FIXTURES OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK DISP. _F.A.U._
CONTRACTOR �/ (✓p�l�
SPACE HTR.—AIR COND. ADDRESS
CLOTHES WASH. [_DISHWASH. CITY - /r-arm✓ TEL.NO.
LICENSE N0. CLASS.
FAN-/—OTHER 1.00
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 I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Q
10 — 50 5.00 U
SIGNATURE �
50 - 100 10,00 OF PERMITTEE O
100 - 500 15.00 DISTRICT NO. GROUP ZONE PROCESSED BY V
c7lF a
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 N
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:/ ►� Pj o , ' a�rt,'�,SC-17 q%
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 6J " f L"jr/c"p
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 �.A UTILIT CO.NOTIFIED y
(� �' y
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
9 SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CAS
I � 6c"70' kX25 2 D 1 1.20{
SEE BACK OF APPLICATION FOR COMPLETF. FEE SCHEDULE