HomeMy Public PortalAbout9161 JAYLEE DR_Electrical_4/20/1978_fixtures,outlets 76� APPL�CAT H FOR ELEC UMC AL PERWff
COUNTY OF LOS ANGELES
`DEPARTMENT OF COUNTY ENGINEER JOB y
BUILDINGr'AND SAFETY DIVISION ADDRESS �/ !i•
FOP APPLICANTTO FILL IN LOCALITY
New Residential Bldgs.&Fools EACH NO. FEE NEAREST
1 &2-Family,Sq.;t. $ .025 — $ CROSS ST. Q
OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME
Residential Swimming Pools 25.00 ADDRESS _E
Outlets:Rec Light 5 Sw./AM- CITY Tel. No.
First 20 .50 J v 01V PLAN CHECK
Total No. Additional .30 / APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel. No.
Additional .30 PERMIT
Total.No. 6 APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W.— CITY Tel. No.
Oven_Dryer—W.M. LICENSE OR
Top —FAU W.H.— REG.NUMBER Class.
Hood—Fan 7 Other— fI HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — Room'Air Cond. 2.50 V �� 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 LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM }
Up to 1 Incl. 2.50 THE LEGAL OWNER OF T E ABOVE DESCRIBED RESIDENTIAL PROPERTY. 0
Over 1 to 10 Inc]. 5.00 v
Over 10 to 50 Incl. 12.50 PERMITTEE A
Over 50 to 100 Inc. 25.00 SIGNATURE .tt! CD
Over 100 40.00 DISTRICT NO. IV,D BY dCn
Services v 00
0-200 Amp.Under 600 V 12.50 INSPECTOR'S
201-1000'Amp.Under 600 V
25.00 APPROVALS SIGNATURE
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 Schedulei POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTE-
PLAN CHECKING FEE (One-Fourth Permit Feelfs •T/�L: ��/�Cj�6l�`f �
PERMIT ISSUING FEE $7.00 `
TOTAL FEE 3 (J.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIVNK: M.O. CASH
0344APR 20 230.10 �`�'
;f SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE