HomeMy Public PortalAbout10764 FREER ST_Electrical__ i � T
76A653'C 806.9-67, . APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDIN
BUILDING AND SAFETY DIVISION IN
D KESS
JOHN A. LAMBIE, COUNTY ENGINEER
COLIEMAN Vt. JENKINS, SUPERINTENDENT OF BUILDINGOCALITY EP�IJ�LG GT /
EAREST /� n
FOR APPLICANT TO FILL IN CROSS ST. E'IPSJ,c/t M d.U�
NO. EACHI FEE
RECEPT._
$ $ OWNER Cl—) j
MAIL (
LIGHT TOTAL FIRST 20 .20C' ADDRESS J'�A/�
SWITCH_ / OVER 20 .10 CITY 4,tA c,L" TEL. NO.
LIGHTING �TOTAL FIRST 20 .20 �� CONTRACT/OR
FIXTURES OVER 20 .10 ADDR��E''f1S/S���nnC' /� ? �)L
RANGE—DRYER — CITAL RA940
)V /P /� EL. NOGG' 7J
STA.COOK_DISP. F.A.U. LICENSE NO. +G
SPACE HTR. AIR COND. • IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH._DISHWASH._ WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
FAN OTHER 1.00 .1. co I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS,TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE A �ZgRESIDEN L PROPERTY.
SIZE & TYPE OVER TO SIGNATURE 0 - 11.00 F PERMITTE `^' '
1 - 10 3.00 DISTF LCT GR Z E PR E, b B 0
10 - 50 5.00 17<0_
50 - 100 10.00 NOTES:
Lld
100 - 500 15.00 d
N
TUBE,SIGN,GA SIGN AND ONE CIRCUIT 3.00 z
MARQUEE ADDITIONAL CIRCUITS 1.00
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 INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNOERSLAB WORK
ROUGH CONDUIT
ISSUING FEE 2.0012. , WIRING
.00WIRING
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00
POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTIFIED r
PLAN CHECK FEE (50% PERMIT FEE) ]FINAL 17Z C
TOTAL FEE G' JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L AL0 3 3 8 VS F'E8 2 9 2 D 4.4'0~ Q
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE