HomeMy Public PortalAbout9168 JAYLEE DR_Electrical_7/25/1978_outlets,fixtures 76A663 CE,866R .7077 QppUCAMN FOR ELEC TMICAL PERMW. .
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB B .��:
,BUILDING AND SAFETY DIVISION ADDRESS l� ► ` ��Z
-
FORAPPLICANTTOFILLIN LOCALITY �+t�y._tr`'- �•{[
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
1 &2-Family,Sq. Ft. $ 025 $ CROSS ST. -04`C 1
OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME
Residential SwimmingPools 25.00 MAIL
ADDRESSr
Outlets: Rec�Light.�Sw. CITY C�4sG-� i-{`� Tel.No. .•-�
First 20 .50 PLAN CHECK
Total No. Additional .30 ZW AM APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel. No.
Additional ..30 PERMIT
Total No._ 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 _Other— y� I 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 KVAR I HERB ZHAT I AM ROPERLY REGISTE D AND/OR LICENSED AS
REQUIRE LOS A ES COUNT D STATE OF ALIFORNIA OR THAT I AM 9^"
Up to 1 Incl 2.50 THE LEGAL OWNE T EAB'VE �RESIDEIPROPERTY. C,
Over 1 to 10 Incl. 5.00 v
Over 10 to 50 Incl. 1 2.50 PERMITTEE
Over 50 to 100 Inc. 25.00 SIGNATOR o
Over 100 40.00 DISTRICT NO. P CSS ti
Services 0
0-200.Amp.Under 600 V 12.50 NSP ORS
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 i POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CAH PERMIT VALIDATION CK: M.O. CASH
0 _L
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE