HomeMy Public PortalAbout9022 JAYLEE DR_Electrical_6/29/1978_electrical panel 76A663 CE 806R 10,77 APPLICATION FOR ELECTRICAL PERMIT �.
r COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE CNEAREST ly
ROSS ST.
1 &2-Family,Sq. Ft. $ '025 — $ OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME Y 17
Residential Swimming Pools 25.00 MAILr
ADDRESS Od G
Outlets: Rec Light_Sw. CITY (S"rip Tei. No.
First 20 -50 PLAN CHECK
Total No. Additional .30 APPLICANT
e
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No. APPLICANT �.
Fixed Appliances Not Over 1 HP ADDRESS ncl
Range—Heater_D.W.— CITY e 1 Irn Tel. 11o.MC>
Oven_Dryer_W.M.– LICENSE OR
Top —FAU —W.H.— REG.NUMBER Class.
Cj—
Hood-Fan _Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
bisp.-_ 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
REQUIRED BY LO GELES COUNTY ANDS TE OF CALIFORNIA OR THAT I AM Y•
Up to 1 Incl. 2.50 THE LEGAL OW ER O THE ABOVE ESCRIBE L PROPERTY. �
Over 1 to 10 Incl. 5.00 v
Over 10 to 50 Incl. 1 2.50 PERMITTEE o
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. –� OCESS B N
� z
Services
0-200 Amp. Under 600 V 12.50 INSPECTOR'S
201-1000 Amp.Under 600 V
25.00 APPROVALS DATE SI ATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances 10.00 ,
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 Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL / ,`' `e:„� ., ✓ �s^';: ' °
PERMIT FEE (Sub-Total) NOTES ��: li?;a er.lr�
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
-�
23Oru'�JU T�29 2 D 2 4..50 �98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE