HomeMy Public PortalAbout9428 WOODRUFF AVE_Electrical__ 7GA663-CES06 468 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DjFAI6IbENT OF COUNTY ENGINEER BUILDING
BPUILDING AND SAF&TY DIWSION ADDRESS "L1
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST, Ono tl
NO. EACH FEE
S $ OWNER
RECEPT._ MAIL �� G
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING 1TOTAL FIRST 20 .20 APPLICANT
FIXTURES I OVER 20 .10 ADDRESS
RANGE.rL_.DRYER—WTR.HTR.— / CITY TEL. NO.
STA.COOK_DISP.—F.A.U._ ! CONTRAC'T'O�y-
SPACE HTR. AIR COND. ADDRESS ,+S
CLOTHES WASH._DISHWASH._ CITY ! TEL. NO. f
FAN_OTHER 1.00d LICENSE IJ O. Z., CLASS.C` C3
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 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT 1 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.
SIGNATURE ,Or /- CL
50 - 100 10.00 F PERM TTEE - / V
100 - 500 15.00
fNO
T NO. GROUP ZONE PR ESS D BY p
TUBE,A SIGN AND ONE CIRCUIT 3.00
/1 W
MARQUEE ADDITIONAL CIRCUITS 1.00 Axz 6 r- `•"� jSERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.006�TEMP SERVICE, POLE. &APPURTENANCES 3.00OVALS DATE INSPECTOR'S SIGNATURE
WER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 �
UTILITY CO.NOTIFIED a �lfi/( 9/ `✓A�.
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELE CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
L&7 3 7 6% DMV22 2 0 5.40^'
BEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE