HomeMy Public PortalAbout8804 HERMOSA DR_Electrical__ ]6A663 CE_806(1 ]8) ,. ` - --' •�.•._—
APPLICATIO FO LECTRIC 1T
COUNTY OF LOS ANGELES - B ILDING AND` AFETY"
FOR APPLICANT TO FILL IN JOB
ADDRESS 880
New Residential Bldgs.&'P of EACH -NO. - FEE...
— S "
1 &2 Family,Sq. FL .025 LOCALITYJ
02 NEAREST - -
ST.
Residen ia25.00_ wimming Pools - CROSSOWNER OR - -
FIRM NAME
Outlets: Rec_Light_Sw.= - _ MAIL . - r
First 20
.50 ADDRESS -. .... . .-. ,<.. - " ... _.
Total No. - Additional .30 CITY --_.. _ -- ,. . Tel„No.
PLAN CHECK ”
. . ._ _ APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional -30' -
Total No. CITY
Fixed Appliances"Not.Over.1.HP- . _ -- PERMIT - - - --- -
Range_Heater_ D.W. APPLICANT
-Oven_Dryei_W.M.— - ADDRESS -- - --
Top _FAU W.H._ CITY Tel. Ndq, y?
Hood—Fan pOther_ LICENSE OR ` ^7 //
Dis .—Roam Air Cand. _2.50 REG. NUMBER v _,-7 _ Cl ass(,i-_/Q
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size BT COMPLY WITH ALL-COUNTY ORDINANCES"AND'STATE-LAWS'
Type HP, KW, I or KVAR 2 50 REGULATING ELECTRICAL WIRING. Q
Up to 1 Incl' - 1 HEREBY CERTIFY THAT'I'AM PROPERLY REGISTERED-AM R' V
Over 1 to 10 lad. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pt
Over 10 to 50 Incl. - 12.50 CALIFORNIA OR THAT AM,THE LEGAL OWNER,OF.THE.ABOVE _
25.00 DESCRIBED RESIDE TIAL PROPERTY. V
Over 50 to 100 Inc. 40.00 - _ PER MITEE
` Over 100 SIGNATURE yl
Services - � -- � - - - - --� --Z
1150 DISTRICT N - _PR ED
0-200 Amp. Under 600 V
201 1000 Amp. Under 600 V -25.00
Over 1000 Amp.or Over 600 V 50.00
Temp. Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00 G_
Additional Sign Branch Circuits 2.00 INSPECTION_..
Misc.Conduits&Conductors "'- 10.00 INFORMATION t-
Other ISee Com Mete Fee Schedule) ON REVERSE' u 9 b Q 5 A
p SIDE. _ ,
_ < # 0 0 o e o '2
po05300
PERMIT FEE (Sub-Total) o oto 5 3 0
PLAN CHECKING FEE (OneFourthPermit Feel O"
04,01 —80
PERMIT ISSUING FEE
TOTAL FEE �� >
INSPECTION FINALED a
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By