HomeMy Public PortalAbout9162 JAYLEE DR_Electrical_2/20/1969_outlets,fixtures 76A663-C 806 4-68t APPUCAIMN FOP, REC T D OC AL FIRM
COUNTY OF LOS ANGELES
'DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING12
JOHN A. LAMBIE. COUNTY ENGINEER ADDRESS
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECEPT._
$ $ OWNER p i yJ L
MAIL /
LIGHT TOTAL FIRST 20 .20 ADDRESS �/� J✓ ��o JJ.
SWITCH OVER 20 .10 CITY 9� s% _I TEL. NO.
PLAN CH CK
LIGHTING TOTAL FIRST 20. .20 L APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE-DRYER_WTR.HTR.- I CITY TEL. NO.
STA.COOK_DISP._F.A.U._ COi,ITRACTOR - -
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._OISHWASH._ CITY TEL. NO.
FAN-OTHER 1.00 LICENSE 1,40. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS RED IRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, A�,�END TO `.
10 - 50 5.00 RESIDE N, THE ABOVE DES f.R IP•E -R ESIDE NI ERTY.
50 100 10.00 SIGNATURE r O
OF PERMITTEC "�
U
100 - 500 15.00 --
DISTRICT NO-1 GROUP I ZON P O SS.ED BSIGN,GAS
Y p
TUBE, OR SIGN AND ONE CIRCUIT 3.00 C~.7
W
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
N
Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
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 I7 UTILITYCO.NOTIFIED44
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL C
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH
,EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE L�/�