HomeMy Public PortalAbout9503 WEDGEWOOD ST_Electrical__ 16A668GE•80616/78) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB �m e�''I��� DQE
EACH NO. FEE ADDRESS Pe f4 4
New Residential Bldgs.&Pools — e
1 5W
I&2-Family,Sq.Ft. $ 025 $ LOCALITY �/e
Multi-family Sq.Ft. .� /
.02 CROSS ST .0
Residential Swimming Pools 25.00 OWN)_R �9
FIRM NAME
Outlets:Rec Light Sw. MAIL d y
First 20 .50 ADDRESS o Q
Total No. Additional .30 CITY° . �' 1p k ,
'
P' HECK "
PLICANT
Lighting Fixtures First 20 •50 DDRESS
Additional 30
Total No. TY Tel.No.
Fixed Appliances Not Over 1 HP IRII
Range_Heater_D.W. APPL T
Oven_Dryer_W.M. ADDRESS
Top _FAU —W.H._ CITY Tel.No.
Hood_Fan —Other
Disp.—Room Air Cond. 250 NClass. l
lR
_REG. �
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA.
Power Apparatus&Large.Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP,KW;KVA,or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2:50 REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0
Over 1 to 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF W
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I Aft THE LEGAL OWNER OF THE ABOVE 0
25.00 DESCRIBED Xfmae. ,
NTIAL P ER1Y. 0
Over 50 to 100'Inc. _
Over 100 40:00 PERMITE.E ,.
SIGNATUR �% -r�-►�t y
Services 12.50 DISTRICT NO. PR SS Y Z
0.-200 Amp.Under 600 V
201-1000 Amp. Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp.Power Po(e.&Appurtenances 10.00
Sign with One Branch Circuit 10.00 0
Additional Sign Branch Circuits 2.00 INSPECTION .4
10.00 INFORMATION W
Misc.Conduits&Conductors ON REVERSE x 2']rj b A
Other(See Complete Fee Schedule) SIDE u
5
# 000ao2
6
2099,50
PERMIT FEE .(Sub-Total) 0 a 0 1 9 .4r 0 C
PLAN CHECKING FEE (One-Fourth Permit Feel O
PERMIT ISSUING FEE 095-79
$7.00 D
TOTAL FEE >
P_
INSPECTION FINALED a
d '
date: !�Z� f By
° ®s