HomeMy Public PortalAbout4935 HALLOWELL AVE_Electrical__ 76A663{E806 2,75 APPLICATION FOR ELECTRICAL PERMIT - -
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB fiYS' ``Q �^�
BUILDING AND SAFETY DIVISION ADDRESS `
F P F LOCALITY -tC
�ZG
New Residential Bldgs& Pools EACH NO. FEE NEAREST a
1 & 2-Family, Sq. Ft. $ -025 — $ CROSS ST.
WNER OR g?
Multi-family Sq. Ft. •02 — FO RM NAME
,OL- Gut
Residential Swimming Pools 20.00 1 MAIL 1 C , n
ADDRESS // 1.
Outlets: Light,Switch & Receptacle CITYjr1 , Tel.No,
First 20 •50 enro PLAN CHECK
Additional .30 / 2 APPLICANT
ADDRESS
Lighting Fixtures
First 20 .50 510 CITY Tel.No.
Additional 30 PERMIT
APPLICANT.
Fixed Appliances Not Over 1 HPADDRESS ;49. /lo X
r
Range_HeateD.W.— CITY "�� Tel.No.
Oven_Qryer_W,M. l � LICENSE OR /r^„
Top FAU W.H.— REG.NUMBER A q % Class.4 �P
Hood Fan
I HEREBY ACKNOWLEDGE THAT I NA VE-REAO THIS APPLICATION
Disp.�A.C. 2.00 O 0� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
` WITH ALL COUNTY ORDINANCES AND STATE- LAWS REGULATING
Power Apparatus.& Large Appliances ELECTRICAL WIRING.
;
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
Up to 1 Incl. 2.00 _ CALIFORNIA OR THAI I AM THE LEGAL OWNER, OF THE ABOVE O
Over 1 t0 10 Incl., 5.00 DESFRIr.ED RESIDENTIAL OPERTY '
Over 10 to 50 Incl. 10.00 SIGMAPERMT e
Over 50 to 100 Incl. 20.00 SGNATURR E
Over 100 30.00 DISTRICT NO. PR C SSED B�
Services- � V
/ W
0- 200 Amp. Under 600 V 12.50• - L �.' INSPECTOR'S
201-1000 Amp. Under 600 V 25.00 APPROVALS DA E SIGNATURE V)
Over 1000 Amp. or Over 600•V 50.00 TEMP.POWER POLE
Temp. Power Pole & Appurtenances 10.00 - UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
(Other) 1
FIXTURES
POWER AUTHORIZED
UTILITY CO.NOTIFIED _
FINAL
PERMIT FEE (Sub-Total) 53 < NOTES
1
PLAN CHECKING FEE (One-Fourth'Permit Fee)
PERMIT ISSUING FEE $6.00 6
TOTAL FEE , X20
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION- jt�CK. MO: CASH'
0.�.? R t 4 5' 9.20 A98
EE BACK OF APPLICATION FOR COMPLETE SCHEDULE