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HomeMy Public PortalAbout5005 SANTA ANITA AVE_Electrical__ MA883 CK 80GR 10'77 APPLICATION FOR ELECTRICAL PERMIT 6OUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER ,� JOB BUILDING AND SAFETY DIVISION v 4 , ADDRESS ©/O�� N. FOR APPLICANT TO FILL IN LOCALITY leL _ X0 New Residential Bldgs.&Pools EACH NO. FEE CROSS ST. 1 &2-Family;Sq.Ft. $ •025 — $ OWNER T. �+'! Multi=family Sq.Ft. 02 — FIRM NAME / !70/'h/�'S / �a— Residential Swimming Pools 25.00 MAIL ` ADDRESS Outlets:Rec Light_Sw. _ CITY• Tel.No. sQ—193 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 S0 O S 4A 40 T Range_Heater_D.W._ CITI� ,&_,Tel.No,3 S-0—16 3 Oven_Dryer_W.M. LICENSE OR If Top —FAU —W.H. % REG.NUMBE 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 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 RESIDENTIAL PROPERTY. Over 1 to 101ncl. 5.00 1! v Over 10 to 50.Incl. 12.50 PERMITTEE 25.00 SIGNATURE �r-arY 1 Over 5'0 to 100 Inc. v Over 100 40.00 DISTRICT NO. or PROCESS BY ti Services 0.200 Amp.Under 600 V f> 12.50 INSPECTOR'S 201.1000 Amp.Under 600 V 25.00 APPROVALS DATE SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE ` UNDERSLAB WORK - Temp.Power Pole&Appurtenances 10.00 Sign with One Branch Circuit 10.00 ROUGH CONDUIT u v n Additional Sign Branch Circuits 2.00 WIRING 17 o 0 0 0 0 Misc.Conduits&Conductors 10.00 FIXTURES _ Other(See Complete Fee Scheduled POWER AUTHORIZEDry 2 ' 0 UTILITY CO.NOTIFIED 0-0 o 9 J FINAL n F ,, PERMIT FEE (Sub-Total) NOTES r PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 Q TOTAL FEE PLAN CHECK VALIDATION CK. M.O.. CASH PERMIT VALIDATION CK. M.O. CASH as SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE