HomeMy Public PortalAbout9174 JAYLEE DR_Electrical_5/27/1969_elec panel 76A663-CE606 4-68 (YV/p�PPLOCAMOM FOR �d�C��Q�C�U�1 LieMff
COUNTY OF LOS ANGELES D V .
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
LOCALITY
NEAREST s
FOR APPLICANT TO FILL IN - f
CROSS ST L.(' C 1 '
NO. jEACHi FEE - '
S
RECEPT._ S OW IN E*4ff_ "r • s el +� t
- 1
MAL �.f ,� ... I
LIGHT TOTAL FIRST,20 .20 ADDRESS' _ - _ 10,
- SWITCH_ OVER 20 .10 CITY17
EL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT '
i
FIXTURES. OVER 20 10 ADDRESS
t
RANGE—DRYER—WTR.HTR._ CITY TEL. NO:.
STA.COOK_DISP.,F.A.U._ COINTRAC,rOR
SPACE- HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH._ CITY TEL. NO.
FAN—OTHER 1.00
LICENSE .1,40. CLASS.
MOTORS.TRANSFORMERS RATING t
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
*AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY t
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. E
0 - 1 1:00
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA' OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 'RESIDE IN, THE ABOVE OESCRIFED RESIDENTIAL PROPERTY.
50 - 100 10.00 SIGNATURE d
OF PERMITTEE V
100 - 500 15.00
DISTRICT GRO&O I ZQNZE PR C�ESSE BY
SIGN,GAS - _ •-�
SIGN AND ONE CIRCUIT 3.00 - --p•— �- V
TUBE, OR -
W
MARQUEE ADDITIONAL CIRCUITS 1.00 YNOTES: d
a Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS. DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50q PERMIT FEE) �1 POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 �v. UTILITYCO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1,00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
.SUPERVISING ELECTRICALENGIN
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.. M.O. CASH
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE