HomeMy Public PortalAbout9601-9603 LONGDEN AVE_Electrical__ _/T
i6A663 CE-806(6/78) APPLICATION FOR ELECTRICAL PERZIT
IT
COUNTY OF LOS ANGELES BUILDING . D SAFETY
FOR APPLICANT TO FILL IN JOB C
New Residential Bldgs.&Pools EACH NO. FEE ADDRESS 0f .wig
1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY
Multi-family Sq.Ft. 02 — NEAREST
25.00 CROSS Sl�of.
Residential Swimming Pools OWNER O
FIRM NAME l .v n/ D 6 io
Outlets:Rec Light4llSw. MAIL
First 20 .50 SaADDRESS '
Total No. Addifional •30 CITY Tel.No.
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 •50 - ADDRESS
Additional .30
Total No. /A CITY Tel.No.
Fixed Appliances Not Over HP PERMITANI�
Range_Heater_D.W.—
Oven—Dryer_W.M. ADDRESS' v
Top _FAU —W.H._ CITYDIZ Tel.No..
Hood_Fan —Other LICENSE OR.
Disp.—Room Air Cond. 2.50 REG.NUMBER CIasS�
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Size&Type HP,KW,KVA,or KVAR
REGULATING ELECTRICAL WIRING.
Up to 1 Incl.. 2.50 �
I.HERESY CERTIFY THAT I AM.PROPERLY REGISTERED AND/OR
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY.AND STATE OF
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE 09
25.00 DESCRIBED ENTIAL PROPERTY.
Over 100 40.00
100 Inc. 40.00 PERMITEE
Over 100 SIGNATPA
-�
Services DIST NO P SED BY
0-200 Amp.Under 600 V 12.50D
201.1000 Amp.Under 600 V 25.00 ��`
Over 1000 Amp,or Over 600 V 50.00 Z
O
Temp.Power Pole&Appurtenances 10.00.
Sign with One Branch Circuit' 10.00 0
Additional Sign Branch Circuits 2'00 44
INSPECTION
10.00.. INFORMATION W
Misc.Conduits:&Conductors ON REVERSE x
Other(See Complete Fee Schedule). SIDE u ;10 6 3.4 R
S # 0 0 0 0 0 2
2 . 03250
PERMIT FEE (Sub-Total) 0 0 0 3 2 5 t7 c=i
PLAN CHECKING FEE (One-Fourth Permit Feel _O
X005-78
PERMIT ISSUING FEE $7.00 ( D
J
TOTAL FEE g� >
INSPECTION FINALED ode
date: /rld—,7/ BY //,v CTS '/l r � ®s
76A68S CB 8Pj6R 18/77
APPLICATION FOR. ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER' JOB.
BUILDING AND SAFETY DIVISION ADDRESS l��D O
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&'Pools EACH NO. TFEE NEAREST
1 &2-Family,Sq.Ft. $ •025. — CROSS ST.
OWNER OR
Multi-family Sq.Ft.. .02 FIRM NAME ¢!?'
ky—
Residential Swimming-Pools 25.00 MAIL
ADDRESS
Outlets:.Rec Light_Sw. '_ CITY Tel.No.
First 20 .50 PLAN CHECK ?
Total No. Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel..No.
Additional .30 PERMIT
Total No. APPLICANT .
Fixed Appliances Not Over'1.HP ADDRESSaJ
Range_Heater_D.W.— CITY
Oven—Dryer_W.M._ LICENSE.OR.
Top —FAU —W.H. REG.NUMBER Closst
Hood—Fan _Other— I HEREBY A&NOWLEDGE THAT 1 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:
Power Apparatus&Large Appliances
Size.B Type HP,KW,KVA,or KVAR I HEREBY CERTIFY.THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl. 2.50 THE LEGAL OW OF THE ABOVE DESCRIBED REST ENTIAL PROPERTY. C
Over 1 to 10 Incl. 5.00 v
Over 10 to 50 Incl. 12.50 PERMITTEE IIX
o
Over 50 to 100 Inc. 25.00 SIGNATU
Over 100 40.00 DIS NO: j� P ESSE BY V
Services t
0.200 Amp.Under 600 V 12.50 1 CTOR'S
201-1000 Amp.Under 600 V 25.00 APPROVALS DATE. GNATURE
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 u foc4
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) - POWER AUTHORIZED
UTILITY CO.NOTIFIED
]FINAL
PERMITTEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00 +-� _
TOTAL FEE / Q
PLAN CHECK VALIDATION , CK, M.O. CASH PERMIT VALIDATION CK. M.O. CASH
'8 2>AN 22 2 0 7 0.4 a A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE