HomeMy Public PortalAbout9857 LEMON AVE_Electrical__ `76A663+CE 806T.(0/77 APPLICATION FOR ELECTRICAL PERMIT
' COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB Q b
BUILDING AND SAFETY DIVISION ADDRESS J
FOR APPLICANTTO FILL IN LOCALITY Age—A a
New Residential Bldgs &Pools EACH NO 7FEE 7 CROSS ST
1 &2-Family,Sq Ft $ 025 — $ OWNER T `_
Multi family Sq Ft 02- — FIRM NAME ,C ^ Q
Residential Swimming Pools 2500 ADDRESS
Outlets Rec Light_LSw CITY 4 QC"A Q IFA Tel No 41/I –A Z
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First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
r
Lighting Fixtures First 20 - -.50 CITY Tel No '
Additional ' 30 PERMIT
Total No ! APPLICANT Q u F_
Fixed Appllar ces Not Over 1 HP ADDRESS 9?S,2 jiAQ
Range—'Heoter_,D W _ CITY ARCA6) A Tel No –/6 9s`
Oven_Dryer=W M— LICENSE OR
Top —FAU —W H REG NUMBE Oli JE- OW At F R, • Class
Hood_Fan —Other I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp Room Air Cond -,2 50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING
POWeP Apparatus&.Large Appliances
Size-&Type HP, KW, KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS GRES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl 2 50 THE LEGAL OWNER F THE BOVE DESCRIBED RESIDENTIAL PROPERTY a
Over Ito 10 Incl 500 U
Over 10 to 50 Incl 12 50 PERMITTEE
Over 50 to 100 Inc 2500 SIGNATURE C)
Over 100 4000 tROUGH
T NO PR ESS BY a
n-*J z
Services -
0-200 Amp Under 600 V 1250 INSPECTOR S
201'-1000 Amp Under 600`V 2500 PPROVALS DAT SIGNATURE
Over•1000 Amp or Over 600 V 5000 OWER,POLE
LAB WORK
Temp Power Poie&Appurtenonces 1000 ,
Sign with One Branch Circuit 1000 CONDUIT
Additional Sign Branch Circuits' 200 WIRING
Misc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedules = POWER AUTHORIZED
UTILITY CO NOTIFIED
1 A
FINAL
NOTES
PERMIT FEE (Sub Total)
c !�
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $700
TOTAL FEEA 0 °- U
PLAN CHECK VALIDATION CK M O CASH PERMIT'VALIDATION •o, O CK MO CASH
J CD O o Cm1
'Co CD O N
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE TL .'