HomeMy Public PortalAbout9156 JAYLEE DR_Electrical_8/8/1978_outlets,fixtures 76A663 CE 806R 10,77 APPUCAMN FOP, ELEC UMC AL PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS S J C r
FOR APPLICANT TO FILL IN LOCALITY `/-I P t C' j 7-
New
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
1 &2-Family,Sq. Ft. $ .025 — $' CROSS ST. LC3 •-9 A
OWNER OR
Multi-family Sq. Ft. 02 — FIRM NAME o u 'T<-- C!Z
Residential Swimming Pools 25.00 MAIL.
ADDRESS
Outlets: RecLight 411�Sw. CITY Tel No.
First 20 50 l PLAN CHEeK
Total No. Additional .30 APPLIC T
AD ESS
Lighting Fixturesg-, First 20 50 ITY Tel. No.
Total No. J Additional 30 PERMIT
6,1 •l> c� L rc ITZ�G
Fixed Appliances Not Over 1 HP ADDRESS q P' LGN G O 6 v
Range—Heater_D.W.— - CITY p r Tel.No. e� '7
Oven —Dryer_W.M. O /1/2C ` rY oL '
Top —FAU —W.H.— REG..NUMBER 3 6 l3 27 Class. Q
Hood_Fan _Other_ 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 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED'AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM }�
Up to 1 Incl. 2.50 THE LEGAL OWNE F THE ABOVE DESCRIBED RESIDENT I AL PROPERTY. Q
Over 1 to 10 Ind. 5.00 0lJ C.?
Over 10 to 50 Incl. 1.2.50 PERMITTEE /-/�
Over 50 to 100 Inc. 25.00 SIGNATURE E3
Over 100. 40.00 DISTRICT NO. �j SEDBY d
Services z
0-200 Amp.Under 600 V 12.50 c IECTOR'S .
201-1000 Amp.Under 600 V
25.00 APPROVALS DATE IGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances
10.00
10.00 ROUGH CONDUIT
Sign with One Branch Circuit
2.00 WIRING
Additional Sign Branch Circuits
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedulei POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Torah NOTES
PLAN CHECKING FEE IOne-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE
VVk,)P,LAW,CHECXIVALIDATIOtA -:,^_- CK,. +MDA � ID B CAH PERMIT VALIDATION . CK. M.O. CASH
POLIO MOLDER: 9 U 8 2 `7. U %;
Y S'EE BACK OF APPLICATION FOR COMPLETE SCHEDULE