HomeMy Public PortalAbout9173 JAYLEE DR_Electrical_2/27/1973_outlets,fixtures, elec panel 76A663-CE806 ,/70 QPFUC A700H FOP,
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COUNTY OF LOS ANGELES tea'
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ]
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY /
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING 'J
_. _ .... ..-.._- - NEAREST
FOR APPLICANT TO FILL IN CROSS ST. _
OU LETS NO. EACH FEE
- OWNER
RECEPT. - MAIL
FIRST 20 ADDRESS
LIGHT TO'i L
SWICH OVER 20 .tp
CITY TEL. N -
T
PLAN CHECK
LIGHTING
FIRST 20 } %S• APPLICANT
FIXTURES .10 TO L (/
OVER 20 ADDRESS
APPLIANCES CITY TEL. N0.
RANGE DRYER_WTR. HTR.' PERMITAPPLICANT l
STA. COOK DISP. F.A,U. ADDRESS
SPACE HTR. AIR COND. CITYe TEL. NO
CLOTHES WASH. DISHWASH. LICENSE N0, e 1,13 CLASSC
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING 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 8Y LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
1 - 10 3.00 RESIDE IN, THE ABOVE OESCRIPED RESIDENTIAL OPERTY.
}
10 - '50 5.00 SIGNATURE O
OF PERMITTEE
V
50 — 100 10.00
DISTRICTNNO. CLASS GROUP ZO J Z
100 — 500 15.00 QOE
U
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: LY
a
TUBE, OR I N
MARQUEE ADDITIONAL CIRCUITS 1.00 ,. z
SERVICENOTOVER600VOLTSOR200AMP 00
- APPROVALS DATE INSPECTOR'S SIGNATURE
rSERVICEOVER600VOLTS OR200AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT; SYSTEM 3.00
ROUGH CONDIUT
WIRING B.pV r,
PERMIT FEE (SUB TOTAL) FIXTIURES POWER,
� '
AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE) -
5 UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 30.1 �2
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL / 1�
I� JOSEPH C. ROOHAN
TOTAL FEE �7 SUPERVISING ELECTRICAL ENGINEEP
PLAN CHECK VALIDATION CK. .o. CASH P4RIVALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE .,