HomeMy Public PortalAbout5515 PERSIMMON AVE_Electrical__ 6A669CE-606(6/76) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
Al
FOR APPLICANT TO FILL IN ADDRESS. f O.�
New Residential Bldgs.&Pools EACH NO. FEE
I&2-Family,Sq.Ft. $ .025 — $ LOCALITY
Multi-family Sq..Ft. .02 — NEAREST
Residential Swimming Pools 25.00 CROSS ST. -
OWNER OR yy
FIRM NAME S. L/GCOJUo� .
Outlets:.Reci Light Sw. 50 �- ADDRESS
First 20 C �
Total No. (� . Additional .30 - CITY � Tel.No.
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 •50 ba ADDRESS
Additional .30
Total No. Additi
_� CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT �Q
Range_Heater_D:W.
Oven—Dryer_W.AA.— ADDRESS V /r -�-
Top _FAUW..H._ CITY � [ydQ Tel.NOA.
Hood_Fan Other_ LICENSE OR
Disp._Room Air Cond. 2.50 REG.NUMBER Class.
I HEREBY ACKNOWLEDGE THAT IHAVE READ THIS APPLI A-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE.TO
Size&Type HP,KW,KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE. LAWS
REGULATING ELECTRICAL WIRING.
2.50
Up to 1 Incl. I HEREBY.CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
Over 1 to 10Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
,Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM WE LEGAL OWNER OF THE ABOVE 99
25.00 . DESCRIBED RESIDENTIAL%
Over 50 to 100 Inc. TY. b
Over 100 40.00 PERMI.TEE
SIGNATURE
Services DISTRICT NO.. PR �ESSY0.200 Amp.Under 600 V 12.50 �J
201.1000 Amp. Under 600 V 25.00 p
Over 1000 Amp.or Over 600 V 50.00
Temp.Power Pole&Appurtenances 10.00 `�
Sign with One Branch Circuit 10..00 C 3 6 `A7`
Additional Sign Branch Circuits 2'00 INSPECTION >
T0.00. INFORMATION W -20 2 Z O A
Misc.Conduits&Conductors ON REVERSE x
Other(See Complete Fee Schedule) SIDE u # o o o 0 o 2
Z
0. 2 - - 2950
o o o 29.505
PERMIT FEE (Sub-Total)
PLAN CHECKING FEE (One-Fourth Permit Feel Z 0915-780
PERMIT ISSUING FEE $7:00 70-0
o
TOTAL.FEE �. >
It
INSPECTION FINALED W
date: S"„ 1� / By �1 -�-e..� 6. ®S