HomeMy Public PortalAbout9950 DAINES DR_Electrical__ 76A663 CE-8061(11%78) .�'APPLICATIO OR EL' EC IC PERMITS
m -COUNTY OF'LOS ANGELES'. y BUILDING AND SAFETY_
r FOR'APPLICANT_TO FILL IN JOB '
New Residential'Bldgs`&'Pools 'EACH NO FEE-,� ADDRESS• .Q �z:U'
1 &2'Family;Sq Ft 'i $ 025 — $ LOCALITY- 0`r G�'� w
4Multi-family Sq Ft = 02• — NEAREST `� H,
—Residential Swimming Pools •25 00 CROSSST le yL;L/J 'W.w _ -y-••+ h
- OWNER`OR- V/
FIIW NAME.
Outlets Rec 'Light�5w,�, °• _ MAIL
Fut 50y ADDRESS"
First,26' !i 7.
Total No Additional - 30 _ .CITY ,
PLAN CHECK ' : 1� ; s ; a, �• '
Lighting Fixtures First 20 50 ADDRESS
'Ad`ditio'ndl '30
Total No CITY Y.:TeI Nom t i -
Fized Appl iances Not Over-.I.HP. _ .4•- °, = •- •PER ?
' � APPLICANT .(J� • •� °" " ,'
Range'_Heater_D W'_ .
"Ov'e _Dryer—W'M'— •ADDRESS
Top _FAU•
..Hood_Fan _'Other_
-2 50+ '•LICENSE O
D_isp —Room_Ai;Cond _ - REG N ER _ _ _ _Class
+ w� ++ I HEREBY ACKNOWLEDGE THAT I'HAVE READ THIS APPLICA, }
Power Apparatus•&Large Appliances, t TION AND STATE THAT THE ABOVEiIS CORRECT.,AND AGREE TO' "
�. COMPLY WITH AL'L-ALL AN D`;STATE',CAWS,
Size&Type HP;KW, KVA,or KVAR REGULATING ELECTRICAL WIRING d
�•
up to,l Incl 2'50
_- '" ? Q
I HEREBY'CERTIFY`THAT I AM PROPERLY'REGISTFRED`AND%OR`
+
Over'] to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELESrCOUNTY AND STATE OF' agel
Over•lO.toSO.Ind•-- -- 1250,_ CALIFORNIA,OR THAT,I9M THE_LEG'!�L O OF•bTHE-QBOME_ ,�T®
25 00 DESCRIBED RESIDENTI "PROPERTY
`Over 50 to 100 Inc ;r,i
O'ver'100 40 00 - PERMITEE.-
SIGNATURE .. .
Services �=���; -_�f p� f� - DISTRICT NO PROCE ETD—BY ;'
0;- 200 Amp Under 600'V` 2 50
20'1 '1000 Amp Under 600 V 25 00.
-. •r' ' "mob"d'
Over 1000 Ariip''or Over 600t,V 5000 Z �z ;
011
Temp-Power,Pole&•Appurtenances` .10 00 .- - - - Q �i • •r
Sigh;with One Branch G�cuit, _10 00 .
Additional SigrrBronch`CGrcuits s_• i 2 00' INSPECTION > '
r _ INFORMATION
Mist Conduits&Conductors' , '10 00 _ _ Y ,W eta; ,_ Y 1'
"ON,REVERSE'" x ,.�, �>.,•• `". 4
Other•ISee Complete Fee,Schedulel U
- SIDE_t ,
a � �_3-fO _`
PERMIT FEE �•�' fSLj T
PLAN CHECKING FEE. t (One FourthTPermit F`ee)� - :k.. .O ., ' 4 *"• w,.
PERMIT ISSUING FEE $7,'00,- F_�. 1•_:.}'.G "
TOTAL FEE e >
�t �• e- > T�
'INSPECTION FINALED '" %,3•,. '
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-date�� � j�gy