HomeMy Public PortalAbout5708 MUSCATEL AVE_Electrical__ 16A669 CE a°BR ,°/» APPLICATION FOR ELECTRICAL PERAA1,Tf,,,0X,,.
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 108
BUILDING AND SAFETY DIVISION ADDRESS
FOR APPLICANT TO FILL IN LOCALITY ) f
New Residential Bldgs.&Pools EACH NO. FEE CROSS ST. "� 3
1 &2-Family,Sq.Ft. $ •025 — $ OWNER T /
Multi-family Sq.Ft. 02 — FIRM NAME • y
Residential Swimming Pools 25.00MAIL /
ADDRESS Y 3A-
Outlets:Rec9-a Light X__Sw.. �w CITY Tel.No. 3
First 20 50 Y42 O ' PLAN CHECK 41
Total No.— Additional .30. APPLICANT
ADDRESS
Lighting Fixtures .First 20 .50 CITY Tel.No.
!3 AP LICANT
Total No. Additional "30 a ..
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W.— CITY' p Tel.No. 6j
Oven_Dryer—W.M:_ LICENSE OR
Top —FAUW.H. REG.NUMBER Class. Q
Hood—Fan Other- s THEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. 2'50 op THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN.
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Power Apparatus&Large Appl iances
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 THAT I AM
Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE DESCRIBED R TIAL PROP
CD
1!!_' Over 1 to 10 Incl. 5.00 c.
Over 10 to 50 Incl. 12.50 PERMIT
Over 50 to 1.00 Inc. 25..00 SIGNATOR o
Over 100 40.00 DISTRI �} Q� P ED Y y
Services
0-200 Amp.Under 600 V 12.50 .Z... G INSPECT '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
JV
Additional Sign Branch Circuits 2'00 WIRING ��r—
isc.Conduits&Conductors 10.00 FIXTURES 7 Q
Other(See Complete Fee Schedule) :POWER AUTHORIZED S 2 I—TQ
UTILITY CO.NOTIFIED il/E'su 9
FINAL Z'� ✓
PERMIT FEE (Sub-Total) 'NOTES 09.9 9 5 A
PLAN CHECKING FEE (One-Fourth Permit Fee) # 0 0 0 0.0 2
PERMIT ISSUING FEE $7.002 1,0
2 ° ° 93,30
TOTAL FEE ✓ a 3 `° ° ° 9 3 3 0
PLAN C ECK VALJ TJGN K. M.O. CASH, PERMIT VALIDATION CK. Qµ.q. 71—$06SH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
r6AA3 CE4M it)/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. ) ifs ' 7
1 &2•Family,Sq-.Ft.. $ 075 — $ LOCALITY
Multi=family Sq.Ft. ' 02 — NEAREST
25.00 CROSS ST. . �e�' r
Residential Swimming,Pools OWNER OR-• �r -• --
FIRM NAME y Q'
Outlets:Rec '- Ligbf Sw. MAIL
First 20 •50 ADDRESS `!? X 7F
Total No. -Additional .30 CITY A0zA17 1,e,4 ` TeI.•No4 . �/
PLAN CHECK
APPLICANT
.Lighting Fixtures First 20• •50 ADDRESS
; _.. .
Total No.. Additional 30. CITY Tel'..No.
Fixed Appliances Not Over 1 HP PERMIT -
Range—Heater—D..W.—' APPLICANT
amen_Dryer_W.M. ADDRESS..Top _FA —W.H._ CITY el o
Hood_Fan —Other LICENSE OR --//
Dsp._Room Air,Cond. 2 50 REG,NUMBER Class. l_
].HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE'ABOVEIS CORRECT AND AGREE TO
Size&T Y e HP,KW,KVA,or KVAR COMPLY WITH 'ACL C.OLINTY.ORDINANCES AND"STATE 'LAWS.
Yp REGULATING.ELECTRICA..L WIRING.
Up to 1 I:rjcl.
' 2.50
5.00
[.HEREBY CERTIFY'THi4T'1 AM'PROPERLY REGIST'ERED..ANDyOR
O'ver't to 1,0 Incl. LICENSED AS REQUIRED BY LOS ANGELES'COUNTY AND STATE OFIn
Over-10 to 50'Incl. 1.2.50 CALIFORNIA OR THAT,t.AM THE LEGAL QWNE[(•O THE ABOVE _
25.00 DESCRIBED REST
Over 50 to t00 Inc. IAL PROPERTY.
.4.0.00 PERMI.CE , id
128Over-100,•• SIGNAH
Services DIST RI• P E
0-200 Amp.Under 600 V 12.50
201.1,000 Amp. Under.6,00 V 25,00
Over 1.000 Amp.or Over 600 V 50.00 Z
Tem Power Pole&Appurtenances 1.0990.= d bud Q
Sign with One Branch Circuit 10.00 '
Additional Sign Branch Circuits 2.00. INSPECTION T
INFORMATION
Misc,Conduits&Cbaducfors 10-00' W
ON REVERSE• x
Other(See.Complete Fee Schedule) ' SIDE vI o a o o•o
Z
o a
PERMIT FEE (Sub-Totoll
Q
PLAN CHECKING FEE (One-Fourth Permit Feel O 0 Q c�
PERMIT ISSUING FEE .. $7.00. "•: .c
TOTAL FEE >.
I
INSPECTION FINALED - V� �
J�' W
date; BY�^ 14 U �� ®s