HomeMy Public PortalAbout5008ALESSANDRO AVE_Electrical 76AG63 CE 806`R 10e77
APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE NEAREST V Q
1 &2 Family Sq Ft $ 025 — $ CROSSST
^
Multi family Sq Ft 02 — OWNER OR FIRM NAME �1
Residential Swimming Pools 2500 MAIL
ADDRESS
Outlets Rec Light_Sw CITY Tel No
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Additional 30 PERMIT
Total No APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D W CITY Tel No
Oven —Dryer—W M_ LICENSE OR
Top —FAU —W H REG NUM Class
Hood_Fan _Other- i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp _ Room Air Cond 250 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 REG ED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNT D ST CALIFORNIA OR THAT I AM 9�
Up to 1 Ind 2 50 THE LEGAL OWNER OF THE ABO V SIDENTIAL PROPERTY
CD
Over 1 to 10 Incl 500 v
Over 10 to 50 Incl 12 50 1 PERMITTEE
Over 50 to 100 Inc 2500 ISIGNATOR C
Over 100
4000 TRICT NO OCES D BY a
^4
Services Z
0 200 Amp Under 600V 1250 ' 1 NS.KCTOR S
201 1000 Amp Under 600 V 2500 APPROVALS DATE 5IGNATURE
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
Temp Power Pole&Appurtenarces
1000 UNDERSLAB WORK
Sign with One Branch Circuit 1000 ROUGH CONDUIT
Additional Sign Branch Circuits
2 00 WIRING
Misc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedulei POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (Sub Total) NOTES®���� 460 Nap7'
PLAN CHECKING FEE (One Fourth Permit Fee) T' ��4 �(,� SLA;
PERMIT ISSUING FEE $7 00 ��/nn�9/ (�C.�3�l 7 9
/�Of//G
TOTAL FEE S� /efJa L
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH
4 7 4r'f-'JUL 5 2 U 1 9.5 0 ®�
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE