HomeMy Public PortalAbout5233 WILLMONTE AVE_Electrical__ 76A883-CE8063-89 APPLICATION FOR ELECTR L P *MIT
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COUNTY OF LOS ANGELES 355
DEPARTMENT OF COUNTY ENGINEER 7BUILDING /��"
BUILDING AND SAFETY DIVISION �2 3 3 &,11ZW,&V7,JOHN A. LAMBIE, COUNTY ENGINEERCOLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING /",pZl LFOR APPLICANT TO FILL IN /
NO. EACH FEE �•. -
RECEIPT. $ $ OWNER ,&,47 1,40e-,f' �ZZ,-440 {/
MAIL
LIGHT TOTAL FIRST 20 ,20 ADDRESS -SZ
CITY TEL.NO.7
SWITCH OVER 20 .10 PLAN CHECK
LIGHTING TOTAL FIRST 20 ,20 APPLICANT
FIXTURES } OVER 20 •10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP._F.A.U.
CONTRACTOR C/
SPACE HTR. AIR COND. ADDRESS / D L/fY A
CLOTHES WASH._DISHWASH.
CITY �C C, ,�
TEL.N0 3—/r7
FAN_OTHER 1.00 LICENSE NO. , /Jr CLASS.
MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
IND. HEATERS, ETC, HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE & TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATEOF
1 - 10 3.00 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF. AND INTEND TO a
RESIDE IN, THE ABOVE DESCRIBED RESIDENTIAL PROPERTY. C
10 - 50 5.00 L
SIGNATURE pl
50 - 100 10A0 OF PERMITTEE
F-
100 - SOO 1S.00 DISTRICT NO. GROUPE! P SED BY W
TUBE,A SIGN AND ONE CIRCUIT 3.00 0 I Z� Z
MARQUEE ADDITIONAL CIRCUITS 1.00 NOTES:
SERVICE NOT OVER 600 VOLTS OR 200 AMP r 2.00 D
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 CONDUIT !
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 S e)v UTILITY CO.NOTIFIED
A
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 41 FINAL Q
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
4pr 3548cc=—) JIi30 2 D 4.00-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE