HomeMy Public PortalAbout5611 CAMBURY AVE_Electrical__ 76A 63'CEB06 1`68 APPLICATION LICATION FOR ELECTRICAL PER /C
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 'fd✓
:JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY @ C_
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. t(Jip
NO. EACH FEE
RECEPT.-1NFIRST
S S OWNER
MAIL 4
LIGHT_ TOTAL .20 ADDRESS Y / e'az.j. ". ' .✓
SWITCH-LJ—)— .10 CITY / - TEL. NO.
PLAN CHE
LIGHTING lTOTAL ( .20 APPLICANT
FIXTURES I .10 ADDRESS
RANGE_DRYER—WTR.HTR.— CITY TEL. NO.
STA.COOK_DISP.—F.A.U. . CONTRACTOR_ l —/
v
SPACE HTR. AIR COND. ADDRESS/6- 7 O Y
CLOTHES WASH._DISHWASH._
FAN_OTHER 1.00 LICE AE IJ O.,„$-YJ CLASS. 4C— o
MOTORS.TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
O - 1 1.00 ELECTRICAL WIRING.
HRIGUIR EREBY CTHAT AM PROPERLY REGISTERED AND/OR
1 10 3.00 1 Q LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
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CALIPOq NIA Op TNdT 1 AM T LEGAL OWNER OF, AND INTEND TO a •
10 50 5.00 RESIDE IN, THE ABOVE SCPIP. D RESIDENTIAL PROPERTY. 0
SIGNATURE U
SO - 100 10.00 OF PERMITTE K
100- 500 15.00
DISTRICT NO. G OUP nZONE P CESSED BY ti
TUBE,GAS OR SIGN AND ONE CIRCUIT 3.00 R- Q.
MARQUEE ADDITIONAL CIRCUITS 1.00N
NOTES: 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 NSPECTORS SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY 00.NOTI FIE
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL V
TOTAL FEEQ JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.D. CASH
` 11iGo5 2 2 0G2 JUN26 2 D 8.60- OVA
fEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE