HomeMy Public PortalAbout10114 RANDWICK DR_Electrical__ 76AG63-CE80610/74 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS Q W/ C
LOCALITY L
NEAREST (> .
FOR APPLICANT TO FILL IN CROSS ST. J
OUyyT,�LETS NO. EACH FEE OWNER OR
RECEPT V S $ FIRM NAME
AAL
DDRESS �Q,IS U O
LIGHT T TAL FIRST 20 0 25 IV � __,}�
SWITCH OVER 20 7 CITY CHECK �� CJy TEL. NO.
.f0 PLAN CHECK
LIGHTINGTOTAL FIRST 20 1 .25 APPLICANT
/ 0 OVER 2ADDRESS
-FIXTURES �L7 .10
RESIDENTIAL APPLIANCES CITY TEL. NO.
PERMIT IG
RANGE DRYER_WTR. HTR. APPLICANTyy��
STA. COOK DISP. F.A.U.,Z_ ADDRESS AV. ,, ,,&X 3
SPACE HTR. AIR COND. CITY 17R TEL. N0. ��
CLOTHES WASH.�DISHWASHLLICENSE B a! CLASS.Cjl�
// REG. NUMBER
FAN�OTHER S 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
L AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY 'ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF },
CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE C7
1 — 10 9.00 DESCRIBED RESIDENTIAL F$POPEPTY. 6i
r_A
10 — 50 5:00 SIE NAI URE TEE e", 2
�
V
50 — 100 10.00DISTRICT NO. PROCESSED BY y
100 — S00 15.00 ✓ d y ?
SIGN, GASSIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 9.00 �/� UNDERSLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT
TEMPSERVICE,POLE,&APPURTENANCES 5.00 WIRING JArrAli.I v17,, r
+f� r � ,I y
.
TEMP LIGHT OR RECEPT. SYSTEM 9.00 FIXTURES
POWER AUTHORIZED
UTILITY CO. NOTIFIED
FINAL
PERMIT FEE (SUB TO TALI NOTES;
PLAN CHECK FEE
PERMIT ISSUING FEE 9.00 .3
TOTAL FEE
a
PLAN CHECK VALIDATION CK. M.O. AS PERMIT VALIDATION CK. M.O. CASH
4 1712 J1t�4 2 0 2 4.4 OA-98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
,e"6='Cr_ 806R ,°'" APPLICATION OR EL RICAL PE IT �1J
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOBDR.BUILDING AND SAFETY DIVISION ADDRESSMWCK'
FOR APPLICANT TO FILL IN LOCALITY Xam TDRE CITY
New Residential Bldgs.&Pools EACH NO.. FEE NEAREST
CROSS ST.
$ .025 - $ _
1 &2-Fomily,.Sq.Ft. OWNER OR
Multi-family Sq.Ft.. .02 — FIRM NAME Co, SDE'
Residential Swimming Pools 25.00. MAIL
ADDRESS
Outlets:Rec . Light_Sw. CITY 'ISLE. CITY Tel.No. 575-0741
First 20 .50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Total.No. Additional 30 APPLICANT IT TFRE CC'
Fixed AppliQnces Not Over 1 HP ADDRESS 2034.N. PECK P0,
Range_Heater—D.W._ CITY Tel. No. _
7982
Oven_Dryer—W.M._ LICENSE OR
Top _•FAU -A-W.H. REG.NUMBER 265094 Class. C-10
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 ALLCOUNTY ORDIN-
ANCES AND STATE LAWS REGULATINGrELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,of 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 THE ABOVE DESCRIBED RWM.WIAL PROPERTY. CD
I HP Over 1 to 10 Incl.
5.00
Over 10 to:.50 Incl. 12.50 PERMITTEE
CD
Over 50 to 100 Inc. 25.00 SIGNATURE
Over 100 40.00 DISTRICT NO. —.:4OCESSE Y y
7
O
Services
0-200 Amp.Under 600 V 12.50 INS TOR'S
201.1000 Amp.Under 600 V 25.00 APPROVALS DATE &I§NATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
Tem Power Pole&A 10.00 UNDERSLAB WORK
Temp. Appurtenances
Sign with One Branch Circuit 10.00 ROUGH CONDUIT
2.00 WIRING
Additional Sign Branch Circuits .
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Totall 5 00 NOTES
PLAN CHECKING FEE (One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00 7 00
TOTAL F 12..00
H PERMIT VALIDATION M.O. CASH
POLICY HOLDER:QRS' (es? 3, AFR- 29 �.0 0 aVa
SEE R//�� ����►► . .
A kYF)/PNj(..JW@@:Fl COMPLETE SCHEDULE