HomeMy Public PortalAbout9174 JAYLEE DR_Electrical_9/12/1972_outlets,fixtures 76A663-CE806 t/70 APPUCAM11 V FOR EL ECIMUC A PERM v
'COUNTY OF LOS ANGELES lrtlL� I1VU
DEPARTMENT OF COUNTY ENGINEER BUILDING ` n� [
BUILDING AND SAFETY DIVISION ADDRESS JAYd
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY p
•COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING G i
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACHJ FEE
OWNER
RECEPT. I- $ Is MAIL A
O ADDRESS /IT [^,
LIGHT TOTAL FIRST 20 2 CITY C� TEL. N0.
'SWITCH OVER 20 .ip
PLAN CHEC
LIGHTING TOTAL FIRST 20 2 APPLICANT
FIXTURES OVER 20 ADDRESS
ip
APPLIANCES CITY T NO.
PERMIT
RANGE DRYER_WTR. HTR._ A PP L 1 c4pw
STA. COOK DISP. -F.A.U. ADDRESS
SPACE HTR. AIR'COND. CITY j TEL. NO. �(p
CLOTHES WASH. 01SHWASH. LICENSE NO. CLASS. S
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 W ITH ALL COUNTY ORDINANCES AND STATE LAWS -REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIR ING.
5'IZE & TYPE OVER TO -
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS R D BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA O HAT AM THE LEGA ER OF, AND INTEND TO
1 - 10 3.00 ,g V v RESIDE IN, THE B VE OESCR .ED ESI DENTIA 7 PR RT Y.
SIGNATURE -
a
10 - 50 5.00 OF PERMITT
V'
50 - 100 10.00
DISTRICTNO. CLASS GOeTip ZONE PROCESSED BY: O
1 00,- 500 15.00 �� ✓�ppy{� �.✓ r
SIGN, GAS=AND ONE CIRCUIT 3.00 NOTES: Cndfd
TUBE, OR i H
112 'OK A
MARQUEE ADDITIONAL CIRCUITS 1.00 rz
SERVICENOTOVER 600 VOLTS OR 200 AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AM P 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM - 3.00
ROUGH CONDI UT �
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 00 n
FINAL :,
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
JOS PH C. ROOHAN
TOTAL FEE SUPERVISING ELECTJJICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. , M.0. CASH
s
SEP 12 2 0 .7.5 O NCQ
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE