HomeMy Public PortalAbout5419 SANTA ANITA AVE_Electrical__ - -�_L �1V y r ,�S �-_arm L•L� •_ .. _ _ � _
16AM310E-W6(11'78' APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY-
FOR APPLICANT TO FILL IN JOB.
New Residentiol Bldgs.&P o EACH NO--I FEE ADDRESS ..,/
1 &2-Family,Sq.Ft.-�� $ 025 — $ LOCALITY i
Nlulti•familySq.Ft. .02 — NEAREST. /
Residential2:5.00 CROSS ST..Swimming Pools OWNER OR -
FIRM NAM
Outlets:Rec •Light' Sw.. • MAIL.
First.20 50 ADDRESS J
Total No. Additional .30.. CIT Tel..No.
PLAN C�IECK
APPLIC NT,
Lighting.Fixtures First 20 •50 ADDRESS ,>
Additional .30
Total Na. CITY Tel.No.
Fixed•Applionces Not.Over 1 HP PERMIT
Range_Heater_D.W._ AP.PLICAN L'O
Oven_Dryer—W.M. ADDRESS
Top _FAU _W.H._ CITY, Tel,No., r /�
Hood_,Fan _Other_ LICENSE OR �.
DisP• Room Air Cond. 2.50 REG..NUMBER _ Class
I.HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power.Apporatus&Large.Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND.AGREE TO
Size&Type HP,KW,KVA,or KVAR 'COMPLY-WITH UNITY'ORDINANCES-'AND STATE LAWS
250 REGULATING EL RICA WIRING.
Up So 1 incl. .
• _ - I TREE, CERTIFY THAT I AM P PERLY REGISTER AND/OR-. W
Over 1 to 10 Incl. 5.00 LICENSED AS EQUIRE BY LOS N ELES COUNT A STATE OF
Over 10 to 50 Incl, -12.50 CALIFORNIA . R TH.. .M T G. OWN .O 11{E/ABOVE
Over.50 to 100 Inc.
25.00 DESCRIBED SIDEN L PROP T
40.00 P-ERMIT.EE
Over 10.0'' SIGNATUR
Services "
12.50 DISTRICT .: - PROCES BY
0.200 Amp;Under 600 V ,r
201 1.000 Amp'. Under 600 V 25.00 �7•�Q ?'�'"0.�/• - -
Over 1000 Amp.or Over 600 V 50.00
Temp.Power Pale&Appurtenances 10.00 - - a
Sign with One Branch Circuit' 10.00 C
Additional Sign Branch Circuits. 2'.00 INSPECTION >
u
Misc.Conduits&Conductors .. J0.00 INFORMATION
ON REVERS_E � '
Other(See Complete.Fee Schedule) SIDE u
o o o o c 2
PERMIT FEE (Su.b-T6ra6) 2 0 o !:
PLAN CHECKING FEE I:One-Fourth Permit Fee) O o 0 o q r,n:3
PERMIT ISSUING FEE : ' $7..00 0 1 2. 1 1• 7 9
TOTAL FEE K 1-50
INSPECTION FINALED W
dote:_9 I �y BY ®s.