HomeMy Public PortalAbout5417 SANTA ANITA AVE_Electrical__ %MWCE•8X 11/78) APPLICATION FOR ELECTRICAL .PERMIT
COUNTY OF LOS ANGELES . BUILDING,AND SAFETY
FOR APPLICANT TO FILL IN •JOB
New Residential Bldgs:&Po EACH NO. FEE ADDRESS.-,- ••
1 &2-Family,Sq.Ft. . $ .025 — $ LOCALITY
• �.
Multi family Sq.Ft. .02 CROSS ST. t
Residential Swimming Pools 25.00
OWNER OR
FIRM NAME
Outlets:Rec Light . Sw._ MAIL _..
First 20 •50 'ADDRESS
Total No. Additional .30. CITY -.Tel..No. �_ !.
PLAN CHECK
APPLICANT.
Lighting.Fixtures First 20 •50 ADDRESS
Additional •30 ..
Total No. CITY - 1 Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
Range_Heater_D.W.—
APPLICAN
_
Oven_Dryer_W,M.— ADDRESS Q • - ;2,
Top. _FAU —W.H._ CITY Tel.No,
Hood—Fan '_Other_
2.50 LICENSE OR'�. �+
Class.. r-
• Dis.p._Room Air Cond: - REG.NUMBER , O„5 .
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
NTY ORDINANCES AND STATE'LAWS
Size&Type.HP,KW,KVA,or KVAR REGULATING ELIRING.
Up to 1 Incl. 2'50 I HERE THAT I-AM-P PERLY'REGISrERE AND/OR V
Over.1 to 10 Ind. 5..00' LICENSED REOIJIR BY LO A ELES OUNTY N ATE OF In
Over 10 to 50 Incl. 12.50 CALIFOR A OR T AM _E EPA WNE. F HE_ABOVE
Over SO to.100 Inc.
25.00 D.ESCRI D RESIDE PR R 0
Over 100 40.00 PER EEIL
SIGN rA
Services • - •• -
DISTR O. PROCESSED BY''
0-200 Amp.Under 600 V 12:50
201-'1000 Amp. Under 600 V - '25.00 •,.d a . •. -
Over`1000 Amp.or Over 600 V' 50.00 : Z
O
Temp.Power Pole&Appurtenances 1.0.00 •-
Sign with One Branch Circuit 10.00
Additional Sign Branch Circuits 2•00 INSPECTION r.
INFORMATION' u
Misc.Conduits&Conductors 10.00 . ' ON REVERSE z
Other(See Complete Fee Schedule) v, 8 } 8 7.A
SIDE - Z
Z 0 0 a 0 o 2
2001550
PERMIT FEE ISub-Total! _,• 0 0 0•
PLAN CHECKING FEE (One-Fourth Permit Feel O 1 2 1 1 _7 f;
PERMIT ISSUING FEE $7.00 - c
TOTAL FEE.
INSPECTION FINALED Y W
date: . C 10. By 6 ®s