HomeMy Public PortalAbout6021 IVAR AVE_Electrical__ •
76A663—CE806 9 67
APPLOCATOON FOR EIMPUC
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER p BUILDING UIL D'
BUILDING AND SAFETY DIVISION DIRE
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING_s LOCALITY
NEAREST
�FOR APPLICANT TO FILL IN SS ST.
NO. EACH FEE
S S OWNER
�Lf
RECEPT
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS'CITY TEL. NO-
SWITCH OVER 20 .10
LIGHTING �TOTAL FIRST 20 .20 CONTRACTOF�__;eve�
F XTURES _I OVER 20 .101 1 ADDRESS/,�oo
RANGE—DRYER—WTR.HTR.— CITY TEL. NO.#l.-7V7aP
STA.COOK—DISR.—F.A.U.— LICENSE'NO.Z/_-2f2�r
SPACE HTR. AIR CONE). IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE'THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
CLOTHES WASH.—D ISHWASH.— ELECTRICAL WIRING
FAN—OTHER 1,001 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
HP. KW. KVA. THE PROPERTY.
IND. HEATERS, ETC. RESIDE IN, ABOVE DESCRIBED R SIDENTIAL
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1.00 OF PERMITTE >
•
l•� - 10 3.00 -DISTRIQ_T )CESSED BY U
10 - 50
50 100 10.00 NOTES: 0
_7_IoO 500 15.00
�S I GIN,EGAS SIGN AND ONE CIRCUIT 3.00 z
TUBE, R
MARQUEE SIGN
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
IG APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
WIRING o-I li kri
ISSUING FEE 2.001
FIXTURES
SUPPLEMENTARY ISSUING FEE 1.00 16
1 POWER AUTHORIZED
PERMIT FEE UTILITY CO.NOTI FIED
PLAN CHECK FEE (50% PERMIT FEE) FINAL
ITOTAL FEE
JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.0.
100
('13 1 D
i 5 0 CPU
L
3EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE