HomeMy Public PortalAbout8858 ELM AVE_Electrical__ +76A663 CE 60GR 10/77 APPUCAMN FOR ELECU CAL PERM U
COUNTY OF LOS ANGELES
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DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS Z'j O
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
1.&2-Family,Sq. Ft. $ .025 — $ . CROSS ST. CTO
OWNER OR
Multi-family Sq. Ft. •02 — FIRM NAME
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets: Rec Light_Sw. CITY je,.AA 1 Tel. No.
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel. No.
Additional 30 PERMIT /1` �� 45e(E( 2 �
Tocol No. APPLICANT��JJ
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D.W.— CITY �//�/ Tel.No. p
Oven—Dryer_W.M. �G/7�G �T� �7_
LICENSE OR `36--!>
9� Class.0
Top —FAU —W.H.— REG.NUMBER ��3 ® —��
Hood_Fan _Other- HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. 2'50 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 REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Ind. 2'50 THE LEGAL OWNER OF BOVE DESCRIBED RESIDENTIAL PROPERTY. C
Over 1 to 10 incl.- 5.00 �
Over 10 to 50 Incl, 12.50 PERMITTEE
Over 50 to 100 Inc,. 25.00 SIGNATURE ����J
Over 100 40.00 DISTRICT NO. PR CESS BY a
Services Z
0-200 Amp.Under 600 V 12.50 Z INSPECTOR'S
201-1000 Amp.Under 600 V
25.00 APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenarces 10.00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other ISee Complete Fee Schedull I POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Totals ZS 'NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00 �]
p O N :M
TOTAL FEE I /• 0 0 0 n+.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT:/ALoDATI N )CK. M.O. CASH
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J C11 U1 0
CID O O N 7D
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SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE