HomeMy Public PortalAbout6125 ROWLAND AVE_Electrical__ r6AGGS CE 806H 10/77 .APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF:LOS ANGELES
Y DEPARTMENT OF COUNTYENGINEER E'ADD /
., BUILDING.AND SAFETY DIVISION ESS
FOR APPLICANT TO FILL IN' LITYNew Residential Bldgs.&Po EACH NO. FEEST
1 &2-Family,Sq.Ft. �D $ :025 — $ ST.ER OR
Multi-farrlilySq.Ft. ,02 — FIRM:NAM .
Residential Swimming Pools 25.00 MAIC
ADDRESS,,;109P3
P3
Outlets:Rec. Light_Sw. CITY Tel.No. 1-71
First 20 •50 PLAN CHEC
Total No. Additional .30 APPLICANT
ADDRESS;?6a'3 .
Lighting Fixtures First 20 .50 CITY Tel.'No. ,957 r
Additional 30 PERMIT
Total No. APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range_:Heoter_D.W.._ CITY Tel.No.
Oven_Dryer—W.IVI._ LICENSE•OR -
Top —FAU —W.H._ REG..NUMBER DD 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.1 AM PROPERLY REGISTERED AND/OR LICENSED AS
Z.50 REQUIRED BY'LOS ANGELES COUNTY AND:STATE OF'CALI NIA ORT T I AM
Up t0 1 Incl. THE LEGAL OWNER OF BOVE D RIBED R NTIAL PERTY. CD
Over 1 to 10 Incl.
5:00 CD
Over,.10 to 50 Incl. 12.50 PERMITTEECD
Over 50 to I OO.Inc. 25:00 SIGNATURE
Over 100 ri 4.0:00• DISTRICT NO. PROCESSED BY y
- z
.Services
0-200 Amp.Under 600 V 1.2.50 INSPECTOR'S
201.1000 Ainp.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 IF
NDERSLAB WORK
Sign with One Branch Circuit 10:00 OUGH CONDUIT _
Additional Sign Branch Circuits 2'00 WIRING. t �Z�- Gam`'►-�e.c
Mist.Conduits&.Conductors 10.00 IXTURES
Other(See Complete Fee Schedule) .OWER'AUTHORIZED
UTILITY CO.NOTIFIED
INAL
PERMIT FEE (Sub-Total) NOTES
x•
PLAN CHECKING FEE (One-Fourth:Permit Fee) r
PERMIT ISSUING FEE $7.00
TOTAL FEE
CASH PERMIT VALIDATIONCK:' M.O. - CASH:
9 3' �,9A ' .p* 5
�. .�
LICY HOLDER: `
I 1tlWiVl! ICY// �a "COMPLETE
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