HomeMy Public PortalAbout9729 LIVE OAK AVE_Electrical__ 76n663-cE806 1_68 APPLICATI®N�F ELECT�AL PERMITS ° ` `
..
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION AD0RE
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY J
NEAREST t
FOR APPLICANT TO FILL IN CROSS STS J�'
NO EACH FEE
ROWNER (AJ
ECEPT $ $
MAIL
LIGHT 6TOTAL FIRST 20 20 bo ADDRESS
SWITCH—/ OVER 20 10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS '
RANGE_DRYER—WTR HTR.— CITY TEL NO
STA COOK_DISP F A U — CONTRACTOR _
SPACE HTR AIR COND
.ADDRESS , Q (J
CLOTHES WASH —DISHWASH CITY TEL.NO.
FANOTHER 1 00 LICENSE INO CLASS.G 1)
MOTORS,TRANSFORMERS RATING
IND HEATERS, ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF }
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO a
10 - 50 5 00 'RESIDE IN, THE ROESIDENTIAL PROPERTY O
SIGNATURE L)
50 - 100 110 00 1 OF PERMITTEE OC
100 - 500 15 00 I O
DISTRICT , O GR UP 77���'yE P OC ED BY l-
TUBE,GOR SIGN AND ONE CIRCUIT 3 00 G� / _ ( i a
MARQUEE ADDITIONAL CIRCUITS 1 00H
NOTES: Z
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 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED '
PERMIT ISSUING FEE 200 00 UTILITYCC) NOTIFIED,
SUPPLEMENTARY PERMIT ISSUI NG FEE 1 00 FINAL
TOTAL FEE CC JOSEPH C. ROOHAN
SUPERVISING ELECT AL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M 0 CASH
4723 MAx16 2 � 2.60-
- , , _ --
BEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE