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HomeMy Public PortalAbout5325 1/2 SANTA ANITA AVE_Electrical__ -1 76A669 C6 668R 16,77 APPLICATION FOR ELECTRICAL�PERAIT/�R' COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB — BUILDING AND:SAFETY DIVISION ADDRESS FOR APPLICANT TO FILL IN LOCAELITY New Residential Bldgs.&Pools EACH NO. FIEECROSS ST. 1 &.2•Family,Sq.Ft. $ 025 — $ OWNER ORi�- Multi-family Sq.Ft. ,02 — FIRM NAME Residential Swimming Pools 25.00 ADDRESS v C ' J ten-✓T Outlets:Rec Light_Sw. CITY L-r orl Tel.No. First 2Q .50 PLAN CHECK Total No. Additional .30 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional 30 PERMIT Total No.: APPLICANT YaS Fixed Appliances Not Over 1 HP ADDRESS Range_Heater_D.W.— CITY Tel.No. Oven_Dryer_W.M. LICENSE OR r Top —.FAU —W.H.= REG.NUMBER 4 p ClaI Hood—Fan _Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE bisp. —ROOm Alf 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 Siie&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. CD Over 1 to 10 Incl. 5.00 c.3 Over 10 to 50 Incl. 12:50 PERMITTEE Over 50 to 100 Inc: 25.00 SIGNATURE V�1 Over 100 40.00 DISTRICT NO. PROC EDBY a Z .Services - 0.200 Amp.Under 600 V� 12.50 Z• I ECTOR'S 201.1000 Amp.Under 600 V 25.00 APPROVALS DATE GNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE Temp.Power Pole:&Appurtenan A�W. 10.00 UNDERSLAB WORK Sign with One Branch Circuit �r 10.00 ROUGH CONDUIT 2.00 . WIRING o" r Additional Sign Branch Circuits .Mist.Conduits&Conductors 10..00 FIXTURES r Other(See Complete Fee Schedule). POWER AUTHORIZED UTILITY CO.NOTIFIED f a— FINAL PERMIT FEE (Sub-Total) NOTES �@ PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 TOTAL FEE j q.M PLAN CHECK VALIDATION CK. M.O.. CASH PERMIT VALIDATION. CK. M.O. CASH r - SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 7aA663-CEB0612/7SAPPLICATION FOR ELECTRICAL PER 1 °- COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER FNEARES BUILDING AND SAFETY DIVISION ESS ti FOR PP AN F LOCALITY • .� ��Aj PIP C I New Residential Bldgs& Pools EACH NO. FEE T 1 &2-Family,Sq. Ft. $ .025 — $ OWNSST. D-Multi-famil Sq. Ft. ,02 — FIRMN_ ME , y FIRM NAME LJ�D , diO Residential Swimming Pools 20.00 MAIL ADDRESS Outlets: LO4 /O ight,Switch & Receptacle L�A +� :A2, PLAN CHECK Tet.No. ' — Additional :30' •7 APPLICANT ADDRESS Lighting Fixtures First 20 .50 CITY Tel.No. Additional .30 PERMIT APPLICANT Fixed Appliances Not Over 1 HP ADDRESS Range_HeaterD.W._ CITY Tel.No. Oven_Dryer_W.M._ LICENSE OR Top—.FAU _W.H._ REG.NUMBER Class. . Hood_ Fan ___ 2.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION DIS p4_A.C. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING • Power Apparatus& Large Appliances ELECTRICAL WIRING. 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 Up to 1 Incl. 590 CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE ABOVE Over 1 to 10 Incl. 5.00 OESCRME.D RESIDENTIAL PROP � Ovei 10 to.50 ICI. 10.00 PERMITEE � 77R Over 50 to 100 Incl. 20.00 SIGNATURE. 1>�7 I gD Over 100 30.00 DISTRICT NO. P ESS Y Services 0- 200 Amp. Under 600 V 12:50 INSPECTOR'S 11051 201-1000 Amp. Under 600 V 25.00 APPROVALS DA SIGNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE s� UNDERSLAB WORK �' rt•` Temp.Power Pole&Appurtenances .10.00 Sign with One Branch Circuit 10.00 ]ROUGH CONDUIT Additional Sign Branch Circuits 2.00 WIRING (Other) s1"FIXTURES POWER AUTHORIZED UTILITY CO.NOTIFIE FINAL PERMIT FEE (Sub-Total) NOTE PLAN CHECKING FEE (One-Fourth Permit'Fee) PERMIT ISSUING FEE $6.00 TOTAL FEE (p .2• PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M. CASH 02 5-0367 .29 2 D ' 6 2 Q ,&,'x,. SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE - 16A663-GEBO610./72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB BUILDING AND SAFETY DIVISION ADDRESS 53a3 -.53� J19/11rF) /911/ g► LOCALITY NEAREST FOR .APPLICANT TO FILL IN CROSS ST. OUTLETS NO. EACH. FEE OWNER OR WI-LI-1#177 �//Q„�J FRO �• ' $ $ FIRM NAME r /r��/ J RECEPT._ _ MAIL FIRST 20 25 ADDRESS , LIGHT TOTAL CITY LQJ TEL. NO.. SWITCH_ OVER 20 .10 - PLAN. CHECK LIGHTING TOTAL FIRST 20 .25 APPLICANT FIXTURES •10 OVER 20 ADDRESS , RESIDENTIAL APPLIANCES CITY TEL. NO.. RANGEDRYER_WTR. HT-R. APPLICANT STA. STA. COOK DISP. F.A.U. ADDRESS �) SPACE HTR.—AIR COND. CITY A fiq TEL. N0. O/• / / /1 CLOTHES .WASH. DISHWASH. LICENSE OR REG. NUMBER !O (O CLASS. /O FAN OTHER .. 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS 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 — I 100 LICENSED AS REQUIRED' BY LOS ANGELES COUNTY AND STA TE.OF CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE } 1 — 10 3.00 DESCRIBED RESIDENTIAL PRO RTY 3. O PERMITEE C.2 10 —'50 5.00 SIGNATURE c - w O 50 — 100 10.00 v DISTRICT NO. PROICESSE01Y y� 100 — 500 15.00 SIGN, GAS =SIGN ONE CIRCUIT 5.00 APPROVALS DAT INSPECTOR'S SIGNATURE TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP.: POWER POLE SERVICENOTOVER 600VOLTS-OR 200AMP 3.00 UNDERS.LAB WORK SERVI CEOVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT TEMPSERVICE,POLE, &APPURTENANCES 5.00 WIRING. TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES POWER AUTHORIZED c UTILITY CO. NOTIFI FINAL AA-- PERMIT FEE (SUB TOTAL) NOTES: PLAN CHECK FEE PERMIT ISSUING FEE 3.00 TOTAL FEE 1 PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK. M.O. CASH 1 1 ti s t!no - 2 U 2.t) JJ SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ..