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HomeMy Public PortalAbout5008 WILLMONTE AVE_Electrical__ pole-cc 76A663,,�E@O6,9,$Z APPLICATION .FOR ELECTRICAL ERMIT - COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS �4 JOHN A. LAMBIE, COUNTY ENGINEER /I COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGLOCALITY CL FOR APPLICANT TO FILL IN NEAREST CROSS ST. �OSICl��2 Z . NO. EACH FEE RECEPT� $ $ OWNER MAIL LIGHT TOTAL FIRST 20 R® 20 (, ADDRESS SWITCH OVER 20 © .10 CITY TEL. NO. LIGHTING TOTAL FIRST 20 .20 g'!7 CONTRACTOR l� ,!L FIXTURES OVER 20 .10 ADDRESS /V (/�+Q RANGE—DRYER—WTR.HTR.— CITYk TEL. No.33 / E STA.COO K—DIS P.4(__F.A.U.#,-- LICENSE NO.//4 Z OC Y SPACE HTR.-A-IR COND. 9� I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION q� AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CLOTHES WASH.l3,_DISHWAS H..I� WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. FAN OTHER 1.00 6U I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF MOTORS,TRANSFORMERSRATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO IND. HEATERS, ETC. HP. KW. KVA. RESIDE IN, THE A OVE DESCRIBED RESI I OPERTY. SIZE & TYPE OVER TO SIGNATURE 0 - 1 1..00 OF PERMIT I- 0 d 1 - 10 3.00 DISTRICT NO. GRO P Z�F- PR CESSE_D BY V 10 - 50 5.00 ,L, r C�' O 50 - 100 10.00 NOTES: G W 100 - w 500 15.00 N GAS z TUBE, OR SIGN AND ONE CIRCUIT 3.00 MARQUEE ADDITIONAL CIRCUITS 1.00 SERVICE.NOT OVER 600 VOLTS OR 200 AMP 2.00 .200 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE VROUGH B WORK DUITISSUING FEE 2..00 SUPPLEMENTARY ISSUING FEE 1.00r' HORIZED PERMIT FEE a .NOTIFIED 1/, PLAN CHECK FEE (50'% PERMIT FEE) FINAL � TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O: CASH Ll.to 2 91 4G DEN 2 6 2 D EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 78.0868 CE80696By APPLICATION FOR - ELEC ELECTRICA PERMIT; !� ' x• .COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING ` BUILDING AND SAFETY DIVISION ADDRESS JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAREST NO. EACH FEE CROSS ST. $ $ OWNER RECEIPT. MAIL ADDRESS LIGHT TOTAL FIRST 20 .20 SWITCH OVER 20 ,10 CITY TEL.N0. PLAN CHECK LIGHTING TOTAL FIRST 20 1 ,20 APPLICANT 1,2 FIXTURES } OVER 20 10 ADDRESS RANGE_DRYER_WTR. HTR. CITY of TEL.NO. STA. COOK_01SP._F.A.U. CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH. CITY TEL.NO. FAN_OTHER1.00 LICENSE NO. CLASS. MOTORS,TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY SIZE IN TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 — 1 1.00 1 HEREBY CERTIFY THAT AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATEOF I — 10 3.00 CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO / RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. 10 — 50 5.00 SIGNATURE 9 50 — 100 10DO OF PERMITTEE 100 - SOp 15.00 DISTRICT NO. GROUP ZON PROC V G SIGN GAS SIGN AND ONE CIRCUIT 3.00 TUBE, OR MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES: 3 Q SERVICE NOT OVER 600 VOLTS O2 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 ROUGH CONDUI f7 WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2.00 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE JOSEPH C. ROOHAN SUPERVISING ELECDCK ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH 18P- 4 2 4 6R NflR2'7 2 D 3.8 0 SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ��