HomeMy Public PortalAbout9161 JAYLEE DR_Electrical_7/22/1971_outlets,fixtures •�'.y�-A663-Cy80;6 11,70 •y QPPUC AMON FOR ELECI'GUCAL pEG°3N .
CQUNT.Y OF LOS•ANGELES
DEPARTMENT-OF COUNTY ENGINEER BUILDING {
BUILDING AND SAFETY DIVISION ADDRESS &1 �Q
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
012
NEAREST /
FOR APPLICANT TO FILL-IN CROSS ST. fe�& - -
OUTLETS NO, EACH FEE -
OWNER -p.
$
RECEPT., $ ML
LIGHT TOT FIRST 20 25, C� ADDAIRESS x -
OVER 20 CITY �Ci''� TEL N0: �
SWITCH .f0 PLAN CHEC `
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 �10 ADDRESS
APPLIANCES
- - -
f APPLIANCE$ CITY TEL. No,
PERMIT .
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. `•F.A.U. - ADDRESS v v'
SPACE HTR. AIR COND. CITY TEL. NO. ,
it
CLOTHES WASH.-—DISH-WASH. - LICENSE NO. 'CLASS.
FAN OTHER 1.001 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING .. I WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE- OVER TO
'I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND'STATE OF
CALIFORNIA OR-THAT I A THE LEGAL OWNER OF, AND INTEND TO
RESIDE IN, THE AB E DESCRIBED RESIDENTIAL PROPERTY. - a
1 — 1 0 3.00 O
SIGNATURE - U
10 — 50, 5.00 - OF PERMITTEE
50 — 100 10.000
DISTRICT NO. CLASS - ONE SSED BY. JV
100 — S00 15.00 / a
SIGN, GAS N
! SIGN ANDONE CIRCUIT 5.00 NOTES:- - Z
TUBE, OR - -
MARQUEE ADDITIONAL.CIRCUITS 1.00
SERVI CENOTOVER 6,00 VOLTS OR 200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
S E RV I C E 0 V ER 600 VO L TS 0 R 20 0 AM P - 10.00 -
TEMP.POWER POLE
TEMP.SERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING - rT 'sL.b✓" ® �i�.asir�,.F-�€J
FIXTURES
POWER AUTHORIZED ,
PERMIT FEE (SUB TOTAL)
UTILITY CO.'NOT.IFIED
PLAN CHECK FEE
FINAL .�'z ,
PERMIT ISSUING FEE 3.00 JOSEPH C. ROOHA
N .
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
`1 5 f 6 JuL 2 2 2 D
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE