HomeMy Public PortalAbout4942 WILLMONTE AVE_Electrical__ 'g^6§ ;EBIO°6;,-68 ; APPLICATION FOR ELECTRIC L PERMIT �.
1p COUNTY OF;.LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING ya
A BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST. /
NO. EAC FEE
RECEPTti2 $ $ OWNER
MAIL
LI G1.T''..�� TO�jTAL FIRST 20 .20 �8 ADDRESS
SWITCH v OVER 20 .10 j.70 CITY TEL. NO.
PLAN CHECK
LIGHTINCs TOTAL FIRST 20 .20 APPLICANT
FIXTURES �� OVER 20 .10 ADDRESS•
RANGE—DRYER'—.�WTT HTR.— CITY TEL. NO.
STA.'COOK�DISP.;�", 'u._ CONTRACTOR
SPACE HTR. 'AIR COND. ADDRESS
CLOTHES WAS'ii.v=/DISHWASH. CITY46 - TEL. NO. i �Qo/I:z_
FAN '!OTHER 1.00 SSS CLASS. C-J d
LICENSE WO.
MOTORS.TRANSFORMERS RATING ,
IND. HEATERS, •ETC. .HP. KW. KVA. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.00 LICENSED .AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF., AND INTEND TO
10 - 50 5.00 RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. O
'50 - 100 10.00 SIGNATURE V
OF PERMITTEE �
loo.- Soo 15.00 DISTRICT O. G , P Z E R C E V
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 W
.TUBE, OR
O.
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: Z
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2..00
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 kw 'E jr1f
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50%. PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED ,,oOf/.
�Ap
SUPPLEMENTARY PERMIT ISSUING FEE 1.00. FINAL V
TOTAL FEE ID JOS PH C. ROOHAN
SUPERVISING ELECT AL ENGINEER
PLAN CHECK VALIDATION CK.. M.O. CASH PERMIT VALIDATION CK. M.O. cnsH
[ p „ 6 0� i �tR19 2 D 2 1'.10u4
.
:E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE