HomeMy Public PortalAbout5826 MYDA AVE_Electrical__ 78A883 C8 BoeR 1077 APPLICATION FOR ELECTRICAL PERMIT L.I
Y, COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FADDRESS
JJ
BUILDING AND SAFETY DIVISION ZID
FOR APPLICANTTO FILL IN TY cA .
New Residential Bldgs.&Pools EACH NO. FEE. T
$ 025° — $ S1 &2•Family,Sq.Ft. OR (�
Multi-fomily Sq.Ft. 02 — FIRM NAME h�� 1'C�
Residential Swimming Pools 25.00 ADDRESS
Outlets-.Rec Light_Sw. CITY Ci jj Tel.No.
First 20 -50 PLACHEC
Total No. Additional .30 APPL A .
ADDR
Lighting Fixtures First 20 .50 CITf Tel.No.
Additional. .30 PERMIT
Total No. APPLICANT)
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W._ CITY Tel.No.
Oven—Dryer L 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 IAM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED.BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up 10 1 Incl. 2.50 THE LEGAL OWNE OF THE ABOVE DESCRIBED LRESIDENTI PROPERTY. CD
Over 1 to 10 Incl. 5.00 c..1
Over 10 to 50 Incl: 12.50 PERMITTEE e c
SIGNATURE
Over 50 to 100 Inc. 25.00 .
Over 100 .40.00 DISTRI CESS BY
'g y
_Services O Z
0-200 Amp.Under 600'V 12.50 / INgPECTOR'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
Additional Sign Branch Circuits 2.00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED d 011
UTILITY CO.NOTIFIED f ,
FINAL �^
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING.FEE (One-Fourth Permit Fee.)
PERMIT ISSUING FEE $7.00 '7
TOTAL.FEE fA
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT V * IDATICK. M.O. CASH
4 .p .599M D 2 2.0.0-ass
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ^` __