HomeMy Public PortalAbout9721 WEDGEWOOD ST_Electrical__ 75AG63-CESOG 8-69 /
. APPLICATION FOR ELECTRICAL PERMIT
? COUNTY OF LOS ANGELES
•. DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 0721 E, Wedgemand
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY Tem le 0 t
FOR APPLICANT TO FILL IN CROSS ST. ��L �AlQi►-. L•�1c ,/-�
NO. EACH FEE
RECEIPT. $ $ OWNER John Youngson
MAIL
LIGHT 15 TOTAL
FIRST 20 20 .20 oo ADDRESS
SWITCH 22 3— OVER 20 57 .10 5, 70
CITY TEL.N0.
PLAN CHECK
LIGHTING �15—
TOTAL FIRST 20 1 .20 00 APPLICANT
FIXTURES OVER 20 ,10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP. I F.A.U.]_ CONTRACTOR l!%rnnk's Electric OmU2n
SPACE HTR. P._AIR COND. ADDRESS 1;623 131irfee Avenue
CLOTHES WASH._DISHWASH. 1 CITY p° 0 Rivera TEL.N0. 699-4173
FAN 2 OTHER 7 1.00 7 00 LICENSE N0. (, q CLASS. (;-10
MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT 1HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA, AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
O - 1 1.00 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
I - 10 3.00 CALIFORNIA OR THAT I AM THE LEG OWNER OF, AND INTEND TO
RESIDE IN, THE ABOVE DESCRIBED IDENT.AL PROPERTY.
10 — 50 15.00
SIGNATURE F
50 — 100 1000 OF PERMITTEE
L
100 — 500 15.00 DISTRICT NO GRG
�jO}i'P ZON P OC 55 BY C
rl/XJ r
SIGN GAS SIGN AND ONE CIRCUIT 3.00 !
TUBS, OR _
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP 1 2.00 2100
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
9M 1
ROUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50% PERMIT FEE)
PERMIT ISSUING FEE 2.00 9-100 UTILITY CO.NOTIFIED
oft
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE 23.70 je%-qwpH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.o. CASH
LAP- 7 2 3 8R OCT 19 2 D 2/3.70- v
SEE BACK OF APPLICATIDN FOR COMPLETE FEE SCHEDULE