HomeMy Public PortalAbout5415 SANTA ANITA AVE_Electrical__ 7&4663CE-806(11/78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FORAPPLICANT FILL IN' JOB
W.
New Residential Bldgs.&P of EACH NO. FEE ADDRESS 1.5-_
I &2-Family,Sq.Ft.,
$ 025 — $ LOCAL" `G `-
Multi•family Sq.Ft. ,02 — NEAREST
2'5`.00 CROSS'ST.Cl
_Residential Swimming Pools OWNER OR �p�
FIRM NAM a : F!�
Outlets:Rec Light Sw. MAIL.
First 20 50 ADDRESS'
Total No. Additional- .30 CI Tel.No r• _
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 .50 ADDRESS
Additional .30 -
Total,No. CITY Tel:No,
Fixed Appliances Not Over 1 HP PERMIT -•
Range—Heater—D.W. APPLICANT
Oven_Dryer'_W.M_ ADDRESS
Top _FAU —W.H.— CIN � - Tel.•No,. 6_'_ .
jr
Hood—.Fan —Other_ LICENSE OR
Disp.—Room Air Cond. 2 50 REG.NUMBER _ Cldss.��fQ
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA•
Power Apparatus&Large Appliances TION AND.STATE THAT THE'ABOVE IS CORRECT.AND AGREE TO
COMPLY WITH COIJIVTY'0 RDINANCES AND STATE LAWS 9�
Size.&Type HP. 2'50,KW,KVA,or KVAR REGULATI.N CTRI WIRING: ®°
Up to 1 Incl. _ - I REBY CERTIFY, HAT•t AM PR ERLY REGISTERED A D%OR
Over t to 10 Incl. 5.00 LICENS AS'REQUIRE B. LOS LES UNTY' D ATE OF g
Over l0 to 50 Incl. 12.50. CALIF RNIA OR TH M.,T E GAL WNER T - ABOVE
Over 50 to l OO.Inc.
25.00. DESCR BED RESIDE L PRO T
4000 _ PERMIT
:
Over 100 SIGNATU #A
Services DIST O'.' " • "-PROCE ED BY.. `
0.200 Amp.Under 600 V 12.50 .
201-1000 Amp.,Under,600 V 25.00- Lj Over 1000 Amp.or Over 600.V 50.00 Z
O
Temp.Power Pole&Appurtenances- 10.00 Q '
Sigr)with One Beonch Circuit 10.00 0
Additional Sign Branch Circuits 2'00 INSPECTION > .981 $6 A
t o:oo INFORMATION W o o a'o a t
Misc.Conduits&Conductors ON REVERSE x
Other(See Complete Fee Schedule) SIDE
t Z 2 0 0 4 tj
g0'oo45.5Ca
PERMIT FEE (Sub-Total) 1 2. 1 17 7 U
Z
PLAN CHECKING FEE (One-Fourth Permit Fee) .O
PERMIT ISSUING FEE $7.00 -D
J
TOTAL FEE,
INSPECTION FINALED W
date: ��° r BY C- d ®s