HomeMy Public PortalAbout6166-6168 ROSEMEAD BLVD_Electrical__ 76A663 Ck%06R 10/77
AP PV R ELEC I PERMIT
V *COUNTY OF LOS ANGELES
'.:,
'DEPARTf4ENT OF COUNTY ENGINEER JOB ,�/ ���l�ty�p
tBUILDING AND SAFETY DIVISION ADDRESS. s
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE CROSS 5T
Rr
1 &2-Family,Sq.Ft. $ .025 — :$
OWNER O�
Multi-family Sq.Ft. •02 — FIRM NAME
Residential Swimming Pools 25.00 MAIL A
ADDRESS �/ ,Ply✓
Outlets:Rec Light—Sw. CITY Tel.No.
First 20 •50 PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No. APPLICANT �I°
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heater_D.W._ CITY Tel.No.
Oven_Dryer—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 TRAT 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 THA PR RLY REGISTERED AN SED AS
REQUIRED BY LOS A COON Y D STATE OF. IA OR AT I AM
Up to 1 Incl. 2.50 THE LEGAL O THE ABO C IAL PROPERTY. G
Over 1 to 101ncl. 5.00 b v
Over-10 to 50 Incl. 12.50 ITTE C
Over 50 to 100 Inc. 25:00 SIGNAT t3
Over 100 40.00 DISTRICT NO. OC ti
z
Services ®
0-200 Amp.Under 600 V 12.50 INSPECTOR'S
201-1000 Amp.Under 600 V 25.00 APPROVALS D SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 ITEMP.POWER POLE .52,10-7
$
Temp.Power Pole&.Appurtenances
10.00 UNDERSLAB WORK
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
UTILITY CO.NOTIFIED
FINAL
PERMIT FEE (Sub-Total) ApNOT
PLAN CHECKING FEE (One-Fourth Permit Feet '�
PERMIT ISSUING FEE $7.00
TOTAL FEE ;
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK.' M.O. CASH
3 6'f MAY 9 0 1 .0 AM
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
18A889 Ci-806H- ";- APPLICATION FOR ELECTRICAL PER IT
COUNTY OF LOS ANGELES
y DEPARTMENT OF COUNTY ENGINEER ADDRESS O 1`V
BUILDING AND SAFETY'DIVISION
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE NEAREST
1 &2-Family,Sq.Ft. Z 3-3 $ :025 — $ CROSS ST.
OWNER OR
Multi-family Sq.Ft. •02 — FIRM NAME
Residential Swimming Pools 25.00 MAIL
ADDRESS Z
Outlets:Ree Light_Sw. CITY Tel.No.
First 20 .50 1PLAN CHECK
Total No. Additional .30 APPLICANT
ADDRESS
Lighting Fixtures First 20 .50 CITY Tel.No.
Additional .30 PERMIT
Total No. APPLICANT A C' ELECTRUAL CONT.
Fixed Appliances Not Over 1 HP ADDRESS 6937 Fernoroft Ave.
Range_Heater_D.W._ CITYSan Gabriel,, CAel.No. 287-495-CL
Oven_Dryer_W.M. LICENSE OR
Top —FAU —W.H. REG.NUMBER 503Class.
Hood_Fan _Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Disp. _ Room Air Cond. 2'50 THATTHE 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 11 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS A GELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl. 2.50 THE LEGAL OWNE THE ABOVE DESCRIB RESIDENTIAL PROPERTY. C
Over 1 to 10 Incl. 5.00 ! ca
Over 10 to 50 Incl. 12.50 PERMITTEE p.
Over 50 to 100 Inc. 25.00 SIGNAT H
V
Over 100 40.00 DISTRICT NO. �j SED BY y
�Services 0" ?
0-200 Amp.Under 600 V 12.50 I CTOR'S
201.1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
Temp.Power Pole&Appurtenances 10.00 UNDERSLAB WORK
Sign wi10.00 ROUGH.CONDUIT
One Branch Circuit 2.00 WIRING g
Additional Sign.Branch Circuits
Misc.Conduits&Conductors 10.00 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED jA
UTILITY CO.NOTIFIED
FINAL _p4
PERMIT FEE (Sub-Total) NOTES
PLAN CHECKING FEE [One-Fourth Permit Fee)
PERMIT ISSUING FEE $7.00
TOTAL FEE „Z
PLAN CMECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
552 30 2 ly 62..83 ®
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE