HomeMy Public PortalAbout6100 LOMA AVE_Electrical__ I
76A663-CE806 12/75 APP LICATI®U. FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELES k
DEPARTMENT OF COUNTY ENGINEER JOB
ADDRESS ®Q � I'! �•
JOB
BUILDING AND SAFETY DIVISION
FOR APP 1 ANT TO FIL IN LOCALITY
New Residential Bldgs & Pools EACH NO. FEE EST y 1 '
1 & 2-Family, Sq. Ft.' $ .025 — $ CROSS ST. f? .p I!i
OWNER OR
Multi-family Sq. Ft: •02 — FI'RM-NAME
Residential Swimming Pools 20.00 MAIL +
ADDRESS /� k�`� d M
Outlets: Light, Switch & Receptacle CITY r ej_ • -� Tel.No:
First 20 •50 PLAN CHECK
Additional •30 APPLICANT
ADDRESS
Lighting Fixtures
First 20 .50 CITY Tel.No.
Additional .30 PERMIT i
APPLICANT �,(�. Lech' - cvfLtT�A�r
Fixed Appliances Not Over 1.,HP ADDRESS S� 80e1414
Range—Heater_D.W.` CITY Q��IP[ /�( Tei,No. J?-
Oven_Dryer--_W-M._ LICE NSE OR 1 LW
Top _ FAU _W.H.` REG.NUM ERClass.
Hood_ Fan
200 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
.
DISp._A.C. __ AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
Power Apparatus & Large Appliances
-KW, KVA, or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Size & Type HP,
LICENSED,AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF. >_
Up to 1 Incl. 2.00 CALIFORNIA. OR THAI I AM THE LEGAL OWNER OF THE ABOVE 1%
1 to 10 Incl. 5.00 OESCRLr ED RESIDENTIAL OPERTY.
Over n In
Over 10 to 50 Incl. ' 10.00 PERMSIIGNAIVf
TURE �TEEf —'
Over 50 to 100 Incl. 20.00
Over 100 30.00 DISTRICT NO. IM10CES D BY
Services f LLI
0- 200 Amp. Under 600 V 12.50 INSPECTOR'S
201--1000 Amp. Under 600 V 25.00 APPROVALS D E SIGNATURE in
Over 1000 Amp:or Over 600 V 50.00 TEMP.POWER POLE
UNDERSLAB WORK
Temp. Power Pole& Appurtenances 10:00
Sign with One Branch Circuit 10.00 ROUGH CONDUIT .
Additional Sign Branch Circuits 2.00 WIRING
(Other)
FIXTURES
1 R POWER AUTHORIZED
1 y �• UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES.
PLAN CHECKING FEE -(One-Fourth Permit Fee)
PERMIT ISSUING FEE $6.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. MO. CASH
f
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE -