HomeMy Public PortalAbout5919 ROSEMEAD BLVD_Electrical__ °A66a CEC s°°R °'" APPLICATIOM.FOR'ELECTRICAL PER IT = r
COUNTY OF L'OS ANGELES
DEPARTMENT OF COUNTYENGINEfR
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BUILDING AND SAFETY DIVISION ADDRESS . t t > 3 1� `a sSet.�+'�f',
FOR APPLICANT TOFIL.L:IN LOCALITY 'ti„ rt
New Residential Bldgs.&Pools EACH NO. FEE NEAREST ,
1 &2='Fdmil S Ft.. $ `.025 — $ CROSS ST. f
y'' q•' OWNER OR �f� ��
Multi'-fbmilyScI.Ft. .02 — FIRM NAME.Lw F1.�r1 + "
Residential Swimming Pools .25.00 MAIL
ADDRESS•,.,0�+
s f 1 -0$,*I F-A-0
Outlets:Rec Light._Sw. _ CITY T 0—f Tel.No.2-2C�-;6Z.!
First 20 .50 1 PLAN CHECK
Total No. Additional .30• APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No:
Totol.No. Additional '30 PERMITAPPLICANT
Fixed Appliances Not Over 1 HP ADDRESSJf Lj." ,l '
Range_Heater_D.W._ CITY y r Tel:No.
Oyen—Dryer_W.M._ . . 7Cl
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•
• ,, ,^ANCESAND STATE LAWS REGULATING.ELECTRICAL WIRING.
Power Apparatus&Large Appliances
Size&Type HP,KW,KVA,Of KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS CD
2.50 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM V
Up to.1 Ind. THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. ty
Over 1 to 10 Incl. 5.00
PERMITTEE u'
Over 10 to 50 Incl. 12.50 ;+
Over 50 to 100 Inc. 25.00 SIGNATURE e
Over 100 40.00 DISTRICT NO. > P'20CESSED BY o
Services •' ; -�' yl
0-200 Amp.Under 600 V '12.50 INSPECTORS
APPROVALS DATE SIGNATURE
201.1000 Amp.Under b00 V 25.00
Over 1000 Amp.or Over 600 V-
UNDERSLAB WORK
50.00• TEMP.POWER POLE
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 ISee Complete Fee Schedule) POWER AUTHORIZED
UTILITY CO.NOTIFIED ,
I FINAL
P.RMIT FEE (Sub=Total) NOTES
PLAN CHECKING FEE (One-Fourth Permit Feel ,
PERMIT ISSUING FEE $7:00
TOTAL FEE tro �..-.
PLAN CHECK VALIDATION : CK. M.O• CASH PERMIT VALIDATION t" Ml,�. M.O., CASH
SEE BACK OF APPLICATION FOR.COMPLETE SCHEDULE