HomeMy Public PortalAbout9186 JAYLEE DR_Electrical_4/14/1971_fixtures,outlets ,76�f63-CE806 1/70 AP AMN/ FOR
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<- COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING s
�t �r BUILDING AND SAFETY DIVISION. -
JOHN A. LAMBIE; COUNTY ENGINEER LOCALITY �� I COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
.. NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS N0. EACH - FEE
OWNER
$ $
RECEPT.� MAIL
' FIRST 20. _2p Q ADDRESS
LIGHT / J TOTAL.
CITY NO.
SWITCH OVER 20. 10 - 90
PLAN CHECK
LIGHTING TOTAL FIRST 20 -13 20 APPLICANT
f� OVER 20 ADDRESS
' FIXTURES 3 A
APPLIANCES CITY. TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR.. APPLICANTVowe
c •_
STA. COOK DISP. / F..A.U.1— ADDRESS SA IV
SPACE HTR. AIR COND. , CITY TEL. NOD- / T
CLOTHES WASH. DISHWASH. ® /J�, LICENSE NO. 1 �•�6, CLASS.
FAN OTHER 1.00 B 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AK AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING - WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP: KW. KVA. E.LECTR ICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
O. — 1 1,001 LICENSED AS• REQUIRED BY LOS ANGELES COUNTY AND STATE OF
_ CALIFORNIA'OR THAT I A LEGAL OWNER OF,.AND INTEND TO
1 —.10 3.00 RESIDE IN, THE ABO p SCRI.P,ED RESIDENTI PROPERTY.
a
SIGNATURE
10 —' 50 5.00 OF•PERMITTEE
V
50 — 100 1 DOD
- - DISTRICTNO. LASS - ZON PR C D cC
100 — 500 15.00 1 C<_`�
V
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: IJi
2
TUBE, OR Z
MARQUEE ADDITIONAL CIRCUITS. 1.00
SERVI CENOT OVER 660 VOLTS OR 200 AMP ( 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICEOVER 600VOLTS OR200AMP 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE, &APPURTENANCES 3.00
UNDERSLAS WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL) C
POWER AUTHORIZED
PLAN.CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 ou /
SUPPLEMENTARY PERMIT ISSUING FEE 1.00FINAL
JOSEPH C. ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATIONCK. " M.D. CASH
I9694_- APR14 -2 D 1 7.40- a
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE