HomeMy Public PortalAbout9605-9607 LONGDEN AVE_Electrical__ 76A663 C6 806'Ii 10,77 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
o DEPARTMENT OF COUNTY ENGINEER SOB
BUILDING AND SAFETY DIVISION ADDRESS & 0 S —0 7 (; ' 6,7 d
FOR APPLICANTTO FILL IN LOCALITY °
New Residential Bldgs.&Ppo 3 $EACH
25 NO. $ FEE CROSS ST. f1
1 &2-Family,Sq.Ft. oR OWNER OR JAs/
Multi-family Sq.Ft. .02 — FIRM NAME
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 ADDRESS
Range_Heater_D.W._ CITY G Tel.No.
Oven_Dryer_W.M. LICENSE OR
Top —FAU —W.H._ REG.NUMBER Classei.�
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.
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT 1.AM PROPERLY REGISTERED AND/OR LICENSED.AS
2REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
.50
Up to 1 Ind. THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENT L PROPERTY. C
Over 1 to 10 Incl.
5.00 ca
Over 10 to 50 Incl. 12.50 PERMITTEE
99'e! 10
Over 50 to 100 Inc. 25.00 SIGNATURE
ob
Over 100 40:00 DIST O. ROCESS� y
(Services
0-200 Amp.Under 600 V 12.50 IN OR'S
201-1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE
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 V
2.00 WIRING
Additional Sign Branch Circuits
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED �r
FINAL f d a7.9
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
PERMIT ISSUING FEE $7.00 7
,r
TOTAL FEE �O `f'�
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
1 2 TEEJU N 22 2 7 0.4 0 m
r'
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE