HomeMy Public PortalAbout4902 FIESTA AVE_Electrical__ 76A663 CE 606R roi» _ APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS �^
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY'—'' r
New Residential Bldgs.&Pools EACH NO. FEE CROSS ST. '
1 &2-Family,Sq. Ft. $ '025 — $ OWNER OR
rl
Multi-family Sq. Ft. OZ — FIRM NAME ) /C!
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets:Rec LightSw. CITY Tel.No.
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel. No.
IT
Total No. Additional 30 APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS , j-j_'15,A L
Range—Heater_D.W.—yr CITY W, (V IL, Tel. No.
Oven —Dryer_V W.M. LICENSE OR
Top —FAU —W.H._ REG.NUMBER (Icl Clas
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 ISTERED AND/OR LICENSED AS
S 3-
Up to 1 Incl. 2.50 REQUIRED BY LOS ANGELES COUNTY AND ATE OF CALIFORNIA OR THAT I AM
THE LEGAL OWNER OF THE ABOVE DESCRIBE RE DENTIAL PROPERTY. �O
Over 1 to 10 Ind. 5.00 v
Over 10 to 50 Incl. 12.50 PERMITTEE
Over 50 to 100 Inc. 25.00 SIGNATURE 0
Over 100 40.00 DISTRICT NO. PROCESSE Y y
Services
0-200 Amp.Under 600 V 12.50 rj� INSPECTOR'S
201-1000 Amp.Under 600 V
25.00 APPROVALS DAT SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP. POWER POLE
UNDERSLAB WORK
Temp. Power Pole&Appurtenances
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(See Complete Fee Schedulei POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00 d�
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.0, CASH
6 2 3 DEG 12 2 D1 23 C)
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE