HomeMy Public PortalAbout9350 LOWER AZUSA RD_Electrical__ '8A668 CE-80816/78) APPLICATION FOR. ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL,IN JOB
New Residential Bldgs:&Pools EACH' NO. FEE ADDRESS 9350 .Loner Azusa Rd.
1 &2-Family,Sq.Ft. S .025 — $ LOCALITY rte le .city
Multi-family Sq.Ft,, .02 — NEAREST
'
Residential 25..00 CROSS ST. Iiheinita
Swimming,Pools OWNER OR
FIRM NAME Kermeik ToEftgservice
Outlets:Rec Light—Sw. MAIL
First.20 •50 ADDRESS
Total No. Additional -30 CITY Tel:No.
PLAN CHECK -
APPLICANT
Lighting Fixtures First 20 50 ADDRESS
Additional .30
Total No. CITY Tel.No.
Fixed Appliances Not Over l HP PERMIT
Range_Heater_D.W.—
.APPLICANT Morales Electric
Oven=Dryer—W.M:— ADDRESS. -8843 Mission Drive.
Top _FAU —W.H._ CITY Tel.No: 8 e,
Hood_Fan _Other_ LICENSE OR
Disp._Room Air Cond. 2.50 REG.NUMBER 227962 Class. ; 0
IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION ADSTATE.THAT THE ABOVE iS CORRECT AND AGREE TO
Size&Type,HP,KW,KVA,or KVAR COMPLY WITH ALL_COUNTY' ORDINANCES, AND' STATE LAWS
Up yp R.EGULAT.IN.G.ELECTRICAL WIRING:
p .
to 1 Incl. 2.50 I HEREBY CERTIFY THAT LAM PROPERLY REGISTERED AND/OR
2:-I.on_A�C Over 1 to 10 Incl. 5.00 0 LICENSED AS REQUIRED.BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT.I AM TH LEGA//;ITHE ABOVE
Over 50 to 10.0 Inc: 25.00 DESCRIBEDRESIDPER(T40.00 PERMIT.EE fOver 100 SIGNATUR
Services D.ISTRICT NO. rO7CEED BY g
0-200 Amp.Under 600 V 12.50
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 02 7 33,
Sign with One Branch.Circuit 10.00
Additional Sign Branch Circuits ..2.00 INSPECTION >'
INFORMATION
Misc.Conduits&Conductors 10.00 � •n 2 8 5 3 A
ON REVERSE s �
Other(See Complete Fee Schedule) SIDE z
U # 0 0 0 0 0 2
5;
d
2,A o 1 2.00
0
PERMIT FEE - (Sub-Total) o 0 0 12005
z'
PLAN CHECKING FEE (One-Fourth Permit Feel O'
0.221 -79
PERMIT ISSUING FEE. $7.00 7 00 G
TOTAL FEE 12.00 >
INSPECTION NALED W
date: J/ - �•
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