HomeMy Public PortalAbout6266 HART AVE_Electrical__ 76A663 CE 8060 10/77 APPUCAMN FOR ELEC UMC AL PC RMIr •� `:.
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS
FOR APPLICANT TO FILL IN LOCALITYNew Residential Bldgs.&Pools EACH NO. FEE NEAREST l
AJ
1 &2-Family,Sq. Ft. $ .025 — $ CROSS ST. Z 8 /✓G
OWNER OR
Multi-family Sq. Ft. .02 — FIRM NAME
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets: RecLighty_Sw. 45�_ CITY T`iln'1 L� T Tel.No.
First 20 .50 PLAN CHECK
Total No.J _ Additional 30 APPLICANT
ADDRESS 4 9_')
Lighting Fixtures First 20 .50 CITY-'r�F� Tel.No.
PERIT -L,F� C�7 �n1''''
Total No. Additional 30 7 APPL CANT '� �2 C/ A)S 700 '
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater_D.W.— CITY Tel. No.
Oven —Dryer—W.M. LICENSE OR //
Top —FAU —W.H._ REG.NUMBER ar"/•(o 3 Class.
Hood-Fan _OtherHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. — Room Air Cond. 2.50 iD 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 T I AM PROPERLY E E D AND/OR LICENSED AS
REQUIRED BY LOS ELES OU'N'T,��AND S OF ALIFORNIA OR THAT I AM
WN
Up to l Incl. 2.50 THE LEGAL OOF THE AB VNtSCR SI NTIAL PROPERTY. O�
Over 1 to 1'0 Ind. 5.00 v
Over 10 to 50 Incl. 12.50 PERMITTEE o
'Over 50 to 100 Inc. 25.00 SIGNATURE Gni
Over 100 40.00 . DISTRICT,NO. P CES BY In..s z .
Services
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
Temp. Power Pole&Appurtenances
10.00 UNDERSLAB WORK
Sign with One Branch Circuit 10.00 ROUGH CONDUIT i
2.00WIRING
- Additional Sign Branch Circuits
Misc.Conduits&Conductors 10.00 FIXTURES 1
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE J—
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDAT CK: M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE — •'" "' -
3 0 7AUG '-15 2 A 3 4.5 0