HomeMy WebLinkAbout1203A76A663 CE 806R 10 /77
APPLICATION
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COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY
ENGINEER
JOB
',fir
BUILDING AND SAFETY
DIVISION
ADDRESS -
TR#31 153 Diamond Bar
7LOCALITY
FOR APPLICANT TO
FILL IN
New Residential Bldgs. & Pools
1 & 2-Family, Sq. Ft.
Multi -family Sq. Ft.
EACH
NO.
FEE
NEAREST
CROSS ST.
$ .025
—
$
•02
—
OWNER OR
FIRM NAME Presley of So. Calif.
25,00
AMAIL
DDRESS 4600 Campus Drive
Residential Swimming Pools
CITY N W ort Beach Tel. No. 540-0500
Outlets: Rec Light Sw. _
First 20
.50
PLAN CHECK
.30
Total No. Additional
APPLICANT
ADDRESS
Lighting Fixtures First 20
.50
CITY Tel. No.
.30
PERMIT n " F,� y
APPLICANT C I'•( (O i�� F'c rr7 C Inc.
Total No. Additional
ADDRESS P .0. !"oX °�1 Q
Fixed Appliances Not Over 1 HP
CITY P01-10i1a Tel. No. Q8-1 2211
Range® Heater— D.W.
Oven _ Dryer — W.M.
Top ® FAU ® W.H.
LICENSE OR
REG. NUMBER 1 f 9M7a class. C10
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN-
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING.
Hood s Fan -Other
Disp. Room Air Cond.
2.50
Power Apparatus & Large Appliances
Size & Type HP, KW, KVA, or KVAR
Up t0 1 Incl.
250
.
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
THE LEGAL OWNER OF THE ABO DESCRIBED R IDETIAL PROPERTY.
5.00
Over 1 to 10 Incl.
12.50
Over 10 to 50 Incl.
Over 50 to 100 Inc.
PERMITTEE
26.00
SIGNATURE
Over 100
40.00
DISTRICT NO.
PROCJSSED ¢Y
Services
APPROVALS
DATE /
INSPECTOR'S
SIGNAT RE
0 - 200 Amp. Under 600 V
201 - 1000 Amp. Under 600 V
Over 1000 Amp. or Over 600 V
Temp. Power Pole & Appurtenances] Ug.
Sign with One Branch Circuit 1 sub
Additional Sign Branch Circuits
12.50
25.00
TEMP. POWER POLE
ZZ
50.00
—
10.00
1
C
UNDERSLAB WORK
10.00
.
ROUGH CONDUIT
2.00
WIRING
Misc. Conduits & Conductors
10.00
FIXTURES
POWER AUTHORIZED
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`
Other (See Complete Fee Schedule)
UTILITY CO. NOTIFIED'
FINAL
i ¢
PERMIT FEE ISub-Total) 10 ® NOTES
PLAN CHECKING FEE (One -Fourth Permit Fee)
PERMIT ISSUING FEE $7.00
TOTAL FEE
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ., � � �CK '-r_ M.O. CASH
,I ) 01
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE r-) RI n
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