HomeMy Public PortalAbout5026ALESSANDRO AVE_Electrical (2) 76A663 CE-806(11 /78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT- 0 FILk}IN JOB ��yy -A
New Residential Bldgs. &Pools
ACH NO. FEE ADDRESS, �J s AjUed
1 &2-Fomily,Sq. Ft. $ .025 — $ LOCALITY7e?r
Multi-family Sq. Ft. .02 — 7. NEAREST
Residential Swimming Pools 25.00 CROSS ST. D
OWNER OR
� -- FIRM NAME
Outlets: Rec might Sw. MAIL
First 20 50 ADDRESS � C�SS�� %'C
Total No: Additional' .30 CITY�G:�m C , ' Tel. Nck�2&_ %Oe
PLAN CHECK !
APPLICANT. _
Lighting Fixtures First 20 .50 ADDRESS
Totcl No. Additional .30
CITY � Tel, No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D.W.
APPLICANT
Oven_Dryer_W.M. ADDRESS W I-d
Top _FAU W.H. _ CITYr Tel No! -
Hood—Fon —Other,
_ �� C7/Z�✓«
2.50 LICENSE OR
Disp.—Room Air Cond. REG.NUMBER d7 ��//� Closso-%
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 d
REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 2.50
5.00 1 HEREBY CERTIFY THAT-1 AM PROPERLY'R€GISTERED AND/OR
Over 1 to 10 Incl. LICENSED AS REQUIRED BY LOS ANGELES perUNTY AND STATE OF
Over_I0-to 50 Inch 12,50 CALIFORNIA OR THATjI'_ M THE R OF_THE ABOVE 0
Over 50 to 100 Inc.
25.00 DESCRIBED RESIDENTI PROPER
Over 100 40:00 PERMITEE114
SIGNATURE
Services
12.50 S DIS ICT � !/ PROCESSYD BY
0- 200 Amp.Under 600 V r � � �X
201-1000 Amp. Under 600 V 25.00 i!
00
Over 1000 Amp.or Over 600 V 50. � Z
O
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00 O
Additional Sign Branch Circuits 2.00
INSPECTION >
� �,
Misc.Conduits&Conductors 10.00 INFORMATION®N REVERSE ',u
ir.a 0.0 o o
Other)See Complete Fee Schedule) ' SIDE 'j o o 2'1,Q Q
a 21
d io 0 021.d0'€i
PERMIT FEE (Sub-Total) I 0 1',-7 9
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE $7.00 (� c
J
TOTAL FEE, cgl G� >
INSPEA4N FINALED' =
W
date: