HomeMy Public PortalAbout9615-9617 LONGDEN AVE_Electrical__ APPLICATION FOWELECTRICAL PERMIT
"It COUNTY OF LOS ANGELES...
DEPARTMENT OF COUI ITY ENGINEER ADDRESS I S'17 r rcJ
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY r
New Residential Bldgs.&Pools EACH NO. 7FEE NEAREST
1 &2-Family,Sq.Ft.A 9 -� � $ .025 — CROSS ST:
OWNER OR
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 / r
Total No. APPLICANT /✓
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W.— CITY Tel.No.
Oven—Dryer—W.M. LICENSE OR
Top —FAU —W.H._ REG.NUMBER Class
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 IHEREBY 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 NTIAL PROPERTY.
0
Over 1 to 10 Incl.
5.00 e.3
Over 10 to 50 Incl. 12.50 PERMITTEE W
Over 50 to 100 Inc. 25.00 . SIGNATU ICCf���///
Over 100 40.00 DIST NO. CESS BY y
�g Z
Services ' �✓
0.200 Amp.Under 600 V 12.50 IN SP OR'S
201.1000 Amp.Under 600 V 25.00 APPROVALS DATE SIG ATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
Temp.Power Pole&Appurtenances
10.00 UNDERSLAB WORK -
Sign with One Brunch Circuit 10.00 ROUGH CONDUIT
2.00 WIRING
Additional Sign Branch Circuits
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWERAUTHORIZED
UTILITY CO,NOTIFIED
FINAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel
(PERMIT ISSUING FEE $7.00
TOTAL FEE 70 (1 d
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
129 2:2 2 70.40A
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �)
iBA683`E eo6R t°/7'1 APPLICATION MR ELECTRICAL PERMIT �
COUNTY OF LOS.ANGELES –7 _
DEPARTMENT OF COUNTY ENGINEER TADDRESS / Ld,,, a•�/ LJ
BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN TY – I A
New Residential Bldgs.&Pools EACH. NO. FEE T
$ .025 — $ ST.1 &2-Family,Sq.Ft. OR
Multi-family Sq.Ft. •02 — AME , f¢
Residential Swimming Pools 25.00 DRESS A C.
Cg
Outlets:Rec Light—Sw. CITY S� Tel.No.
First 20 ' .50 PLAN CHECK
Total No. Additional .30 APPLICANT ,,,,:,,;,o �ri9/YC/
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional ..30 PERMIT
Total No. APPLICANT
Fixed Appliances Nbt Over 1HP' ADDRESS
Range_Heater—D.W.— CITY Tel.No.4'0 863
Oven—Dryer—W.M. LICENSE OR
Top —FAU —W.H.— REG.NUMBER Class.
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 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 OWNER OF T E ABOVE D�RIDEPROPERTY. COver 1 to 101nc1. 5.00
Over 10 to 50 Incl.. 12.50 PERMITTEE c
Over 50 to 100 Inc. 25.00 SIGNAT C)
Over 100 40.00 DISTRICT NO. ON CESDIED E6Y ti
Services
tae
0-200 Amp.Under.600 V 12.50 INSPRCTOTS
2'01-1000 Amp.Under 600 V 25.00 APPROVALS DATE •S ATURE
Over 1000 Amp.or Over 600 V 50.00 IFIXTURES
EMP.POWER POLE
Temp.Power Pole&Appurtenances
10.00 NDERSLAB WORK
Sign with One Branch Circuit 10.00 OUGH CONDUIT
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00
Other[See Complete Fee Schedule) OWER AUTHORIZED
TILITY CO.NOTIFIED
I NAL
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00
TOTAL FE M� r. 7
PLAN CHECK VALID PERMIT VALIDATION M.O. CASH
E'OI.ICX HOLDER: �'� } ,�, �8 5:ri°-JUR 8 0 2 7.0 0
SEE.EIACOK OF A�PLICATIOTYF&-cOM LETE SCH�DULE