HomeMy Public PortalAbout9714 LIVE OAK AVE_Electrical__ 1 76A663"C:E80611.71 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
•DEFAITIVIENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST,
OUTLETS NO. EACH I FEE
OWNER
RECEPT._ $ s MAIL
LIGHT TOTAL
FIRST 20 25 ADDRESS
CITY TEL. NO.
SWITCH OVER 20 10
PLAN CHECK
LIGHTINGTOTAL FIRST 20 25 APPLICANT
FIXTURES
OVER 20 .10 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER WTR. HTR._ APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITY TEL. NO.
CLOTHES WASH. DISHWASH. • LICENSE NO. CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
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. ELECTRICAL WIRING. >_SIZE & TYPE OVER TO d
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR O
0 - 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO V
1 - 10 3.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. Lu
J
SIGNATURE LL.
10 - 50 5.00 OF PERMITTEE
}
50 - 100 10.00
DI STRI CT NO. CLASS ZONE PROCESSED BY Q
100 - 500 15.00 O
n.
SIGN, GASSIGN AND ONE CIRCUIT 5.00 NOTES:
TUBE, OR W
H
MARQUEE ADDITIONAL CIRCUITS 1.00
SERVICENOTOVER 600VOLTS OR200AMP 3.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00
TEMP. OWER POLE
TEMPSERVICE,POLE, &APPURTENANCES 5.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO. NOTIFIED �.
PLAN CHECK FEE
FINAL
PERMIT ISSUING FEE 3.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE