HomeMy Public PortalAbout10018 LA ROSA DR_Electrical_3/9/1977_service amps 76A663-CE8061'2/76 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY -ENGINEER, JOB
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BUILDING AND SAFETY DIVISION ^/
FOR APPLICANT TO FI IN LOCALI TV IC-7117#06C-
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New Residential Bldgs & Pools EACH NO. FEE NEAREST
1 &,2-Family, Sq.Ft $ .025 — $ CROSSST.
OWNER OR ✓.
Multi-family Sq. Ft. .02 — FIRM NAME rJ/�' yYf 'ZiGLp
Residential Swimming Pools ,/ /)
20.00 ADDRESS 0401'
Outlets: Light,.Switch & Receptacle CITY tc/Y7 6C.d/� Tel.No.
First 20 .50 PLAN CHECK -
Additional .30 APPLICANT
ADDRESS '
Lighting Fixtures
First 20 .50 CITY Tel.No.
Additional .30 PERMIT
APPLICANT
Fixed Appliances Not Over 1 HP - ADDRESS .
Range—Heater D.W.— CITY V r Tel.No.
Oven=Dryer—W.M.—
LICENSE OR
Top _ FAU _W.H.— REG.NUMBER Class.
Hood_ Fan
2.00 STATE ACKNOWLEDGE ABOVE IS FAVE PEADAND THIS APPLICATION
DISp._A.Q ANO STATE THAT TXEDIVAN IS CORRECT S TE AGREE TO COMPLY
WITH ALL COUNTY ORO/NANCES AND STATE LAWS REGULATING
ELECTfl/CAL WIRING.
Power Apparatus& Large Appliances
Sae & Type HP, KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1• LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF .>.
Up t0 1 Incl. 2.00 CALIFORNIA OR HAl 1 AM THE LEGAL OWNER 0P THE ABOVE 0.
Over 1 LO lU IOC/. $.00 DESCRIRN RE ENTIAL P OPERT . Q
PERMITEE V
Over 10 to 50 Incl. 10:00
Over 50 to 100 Incl. 20.00 SIGNATURE N
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Over 100 30.00 DISTRICT NO. PROCESSEM BY Q
V
Services LU
0- 200 Amp. Under 600 V 12.50 Z INSPECTOR'S d
201-1000 Amp. Under 600 V 25.00 .APPROVALS DAT SIGNATURE N
Over 1000 Amp. or Over 600 V 50.00 TEMP.POWER POLE
Z
Temp. Power Pole & Appurtenances 10.00 UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
(Other)
FIXTURES
POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel '
PERMIT ISSUING FEE $6.00
TOTAL FEE 9vio -
PLAN CHECK VALIDATION CK. M.O. CASH - PERMIT VALID I ION CK. Mo. fCASH
0 7.-.7 MAR '9 Q :7`I - 9.0 0 AM
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r