HomeMy Public PortalAbout4911ALESSANDRO AVE_Electrical (2) 76A&,3 CE 806(11 /78)
_ APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES -7 y BUILDING AND SAFETY
FOR APPLICANTTO FILL IN JOB r
New Residential Bldgs 88 Pools' EACH NO FEE --7 ADDRESS -
1 &2 Family Sq Ft $ 025 — $ LOCALITY
Multi fomily Sq Ft _ - 02 NEAREST
CROSS ST G
Residential Swimming Pools 25 00 OWNER OR
'� FKY -N"E A
Outlets R c Light�Sw Ib,L t MAIL �, _
First 20 50 0 ADDRESS - N fes'1'�
Total No - -Additional- 30 i CITY -7—,C-,—� _Tel No
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 50 ADDRESS _ e�,�R�/ w
_ - 30 r-- -
Total No� Addalonol CITY � � � Tel No�
Fixed Appliances Not Over 1 HP - PERMIT- - -- -
Range_Heater_ D W APPLICANT a
Oven—Dryer—W A4*-- ADDRESS , nsx
Top —FAU — W H CITY 72 _ Tel No A ,
Hood_Fan _Other_ LICENSE OR
Disp _Room Air Cond 2'50 REG NUMBER_
Class _
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT,AND AGREE TO
Size&T+ COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
ype HP KW KVA or KVAR 2 50 REGULATING ELECTRICAL WIRING 0
Up to 1 Incl - I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR "O
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF cc
Over 10 to 50 Incl 12 50. CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE _0
Over 50 to 100 Inc
25 00 DESCRIBED RESIDE L PROPERTY
-40 00 a PERMIT EE- a - _ "
Over 100 W
SIGNATURE
Services -- - - ^^ DISTRICT NO JPROCE ED BY
0 200 Amp Under 600V 1250 25 00 -t - Ua !
201 1000 Amp Under 600 V
Over 1000 Amp or Over 600 V 5000 Z
_ { O
Temp Power Pole&Appurtenances 1000
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits t 2 00 INSPECTION > 8 4 a 8 A
INFORMATION u # o o o o o 2
Misc Conduits&Conductors 1000 r ON REVERSE z
Other(See Complete Fee Schedule) SIDE v 1 2 — 3270
Z
o — 327Q5
PERMIT FEE (Sub Total) a fi ,,-7^ t 0 1, 7`8
Z
PLAN CHECKING FEE (One Fourth Permit`Feel O
PERMIT ISSUING FEE^ $700 - - s� G i
� J
Q
TOTAL FEE 3 / 7O >
� r
INSPECTION FINALEDcc
oe t W
date ��'/��s�/By- 'L + ^ Os