HomeMy Public PortalAbout9157 JAYLEE DR_Electrical_1/3/1976_amp — �- r
76A663 CE-806(6/78) /r—ilU PU\7AMrr V :u FOR EL E`V-TMICAL Il LSRN7 r
COUNTY OF LOS ANGELES BUILDING AND SAFETY
- FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS
1 &2.Family,Sq. Ft.. $ .025 — $ LOCALITY
Multi-family Sq..Ft. ..02 — NEAREST
Residential Swimming Pools 25.00 CROSS ST.
OWNER OR J
FIRM NAMEdaL/
Outlets: Rec Light Sw. MAIL'
First 20 .50 ADDRESS
Total No. Additional 30 CITY Tel.No. � .-
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30
Total No. CITY -- Tel. No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D.W. ---
APPLICANT
Oven—Dryer W.M. ADDRESS
Top _FAU — W.H._ CITY Tel. No.
Hood_Fan —Other LICENSE OR -
Disp._Room Air Cond. 2'50 "REG.NUMBER Class._
I HEREBY ACKNOWLEDGE'THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE'ABOVE IS CORRECT AND AGREE TO
Size&Type HP, KW, KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 2.50
I HEREBY CERTIFY-THAT I AMPROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc.
25.00 DESCRIBED RE IDENTIAL PROPERTY: F
Over 100 40.00 PERMITEE
SIGNATURE at.;�:4
Services _ _ DISTRICT NO. PROC E4 BY
0.200 Amp.Under 600 V 12.50 i
201-1000 Amp. Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00 Z
p
+Temp. Power Pole&Appurtenances 10.00 Q
i Sign with One Branch Circuit 10.00 C
Additional Sign Branch Circuits 2.00 INSPECTION > o o rJ a 9 A
4
Misc.Conduits&Conductors 10.00 INFORMATION u O
ON REVERSE s o o I
1 Other(See Complete Fee Schedule) SIDE Z
Z ��
PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth Permit Fee) Z fi
O
PERMIT ISSUING FEE $7•.00 7 G
J
TOTAL FEE 1191SO >
INSPECTION FINA ED
09
date: 7 By LU W OOs