HomeMy Public PortalAbout9157 JAYLEE DR_Electrical_9/15/1978_outlets,lights C
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS I TALC C-
FOR APPLICANT TO FILL IN LOCALITY C P` C C 7`
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
1 &2-Family,Sq.Ft. $ 025 — $ CROSS ST. C''-4 /R
OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME c- (ZR
Residential Swimming Pools 25.00 MAIL
ADDRESS !7/S-7 `/
Outlets: Rec—Light�SW. CITY L� Tel. No.
//� First 20 ' .50 .7! PLAN CHECK
Total No. 111 Additional .30 APPLICANT �' A1*6 Z L(.ti.•A fop—
ADDRESS
ADDRESS 2I C ® N C
0 C- ti
Lighting Fixtures First 20 .50 CITY' C/ 1 C , j T el.No.'24R'7If 913-7
Additional 30 PERMIT 41 4 '�47
Total No. APPLICANT .0v C5
Fixed Appliances Not Over 1 HP ADDRESS 7 1-2A G•,o E v
Range—Heater_D.W.—
CITY 1.6-" (_ C'I T�/ Tel. No.
Oven —Dryer—W.M. LICENSE OR �//
Top —FAU —W.H.— REG. NUMBER 3l0 Z Class. Ib
Hood_Fan _Other_ 1 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 KVARI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM 9•^
Up to 1 Ind. 2.50 THE LEGAL OWNS .OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY, C:)
Over 1 to 1'01ncl. 5.00 v
Over 10 to 50 Ind. 12.50 PERMITTEE
Over 50 to 100 Inc.
25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. S D Y a
y.
Z
Services
0-200 Amp.Under 600 V 12.50 INSPECTOR'S
25.00 APPROVALS DATE SIGNATURE
201-1000 Amp.Under 600 V
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
i- Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
12
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE o c N
PLAN CHECK VALIDATION CK. M.O. CASH PERM"AGDATIOPI o (O CK: M.O. CASH
(n o IV
I' SA S N o �7
�l C71 0 o cn
CD O O
CH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -