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,RBw•ss ce BB•R I0117 APPLICATION FOR ELECTRICAL PERMIT
j C COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JQ�
BUILDING AND SAFETY DIVISION A RESS
FOR APPLICANTTO FILL IN LOCALITY
New Residential Bldgs.&Pools EACH NO. FEE N ARE - -
5 .025 — 5 ROSS SL
1&2.F amily,Sq.Ft. OWNE OR
Multi-lomily Sq.Ft. FIRM NAME
Residential Swimming Pools 25.00 MAIL
ADDRESS
Outlets:Rec Light_SW. CITY panftl.No.
First 20 .50 PLAN CHECK -
Total No. Additional .30 APPLICANT
- ADDRESS - -
Lighting Fixtures First 20 - ..50 CITY.. Tel.No.
Total No.
Additional .30 PERM"
APPLICANT & g ,�
I Fixed Appliances Not Over l HP ADDRESS
Range—Heater—D.W._ CITY r 8=ltb3A= BOBJoh.
Oven—Dryer_W.M._ - - LICENSE OR
I Top —FAU —W.H._ REG.NUMBER9gogo Class.
t
HOD FOn -Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
1 Dap._Room Air Cond. 2.50 1HAi THE ABOVE IS CORttECT AND AGREE TO COMPLY WITH ALL COUNTY ORgN"
I ANCES AND STATE LAMS REGULATING ELECTRICAL WINING.
IPower Apparatus&Large Appliances
Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED ASCD
Up to` 2.50 REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
OverI V
o1 THE LEGAL OWNER OF ABOVE DESCRIBED RESIDENTIAL PROPERTY.
Over Ito 10 Incl. 5.00 ,
Over 10 to 50 Incl. 12.50 PERMITTEE 4'
Over 50 to 100 Inc. 25.00 SIGNATURE
I Over 100 40.00 DISTRICT NO. PROCESSED BY p
! Services
I 0•200 Amp.Under 600 V - 12.50 - INggPECTOR'S ~
201-1000 Amp,Under 600 V 25.00 - APPROVALS DATE SIGNAT RE
Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE
UNDERSLAB WORK
Temp.Power Pole&Appurtenarces 10.00
{� Sign with One Branch Circuit 10.00 ROUGH CONDUIT
Additional Sign Branch Circuits 2'00 WIRING
Misc.Conduits&Conductors 10.00 FIXTURES `
I Other(See Complete Fee Schedules POWERAUTHORIZED
I' UTILITY CO.NOTIFIED
FINAL
S
I PERMIT FEE (Sub-Totals NOTES -• '-
i PLAN CHECKING FEE (One-Fourth Permit Feet
r
PERMIT ISSUING FEE $7.00
TOTALFEEPLAN CHECK VAUDAflON CK. M.O. CASH PERMITV .,AJ�ON'_ '� K M.O. "CASH
T7 3.7
-
SEEBACKOFAPPLICATIONFORCOMPLETESCHEDULE h T;¢
ELECTRICAL-PERMIT FEE•SCHEDULE 1
For Issuing Permits,Each - 'r - _ - $7.00
?SYSTEM-E.EE$CHEDULE„r
i.NewResidentiat Buildings and Prrc ls-
For.New Single and Two,(amily.Residential Buildings Inch.ding Accessory Bprldmgs,Per Set Ft. .025
For New Multi-family Residential Buildings IApaItTents'nnd
nd Cooium
mins) Per Scl Ft I .02
For New Residential Swimming Pools,Each i r- - - - 25.00
-for Other Types of_Occuparicies,Swimmin6 Podis and Modifications to Exist rig UNIT FEE SCHEDULE
:Carnivats and Circuses
-
For Electric Generators and Electrically Driven Rides,Eabh'_ _r ' _ _ .10:00
For Mechanically Driven Rides and Watk-through Attractions with Lighting Each 3.00
For Areo-and Booth-Lighting,Each-- ---- -' -- 3.00
_-.For Permanently:Inst<lled.flides,-Upohg,Djsplays,aod.Attractions,Use_UNIT.FEE-SCHEDULE -
-Tem orar-Power Sery Ce'.. -
_For TernPoraryService.Pole or Pedest d and Appurtemnces,Each "` 10.00
For Temporary Po Wer;Distribution System,Each -- -- -!--- --- -3.00
t '
'UNIT FEE.SCHEDULE-.__-._- y
'For Receptacle Switch,UghtingOutlets F{rst 20 Each'
Additional,Each 1. .30
For Lighting Fixtures Sockets,or Other Lamp Hold ng Devices First 20,Each
ra. r,a• .; .�-I Additional Fixtures„Each' .30
p For Pole or Platform Mount,d Lrgliti n9 Fixtures,Each � -- I --,.�, --� '� - - -.50
For Theatrical-type Lighting Fixtures or Assembl ies,.Each>,r- ----- -- r-�' -- ”" .50 £-
- t --
! •--For Fixed-Factory WheH'A'Oplianees Not E'z Ceed'nrd 1'HP,Each - "- " -" "2.50
�Power Apparatus
1 ,Fpr Motors,Generattors,�Transforme'i,Re'ctifi'ers,Converted,Capacitors,Industrial.Heating,
--F\ir-Conditionc"rs and Hcat'Pumps,-CpckrAg'or'8akirig-Equipinent'and Othen Apparawq,Ar'Follows,
l Rating in HP KW,KVA,OR kVAR
1,
�
Up to and mcluUing 1,Ench ,2.50
—-Overt nd Notover 10-Each-
Over-1 0
ach Over_10 aria Nei Qver_50_Eajh t- ._` r'_ ,12.50
I Over 50 and Not Over 100,Each 1.. �_ i _ -. `-_ _ 25.00
40.00'.
•Busways
i For Troileyand Plug-in Type BUSWay$,r Egh 100feet o Fraction Thereof _.-___._. 3.00-_
Signs,Dutlinelighting-and_flarquees
For One Sign and One Branch Circuit,Each ?: 10.00-
-For Additional Branch-Circuits;-Eoch-'— - I----`-J 2.00
„
Services
i---For Services of 600V or-Less and Not Over200Amps-in-Raiing Each-----1 r�'s - -12.50
For Services of 600V or Less and Over 200 Amps,to 1,000 Amps.in Rating,Each .25,00
_ - ....
For Ser`v¢es bJer BOON or OGer 1;000".Ftmos P;RaTng"-E�ch- - ^- " t` - `�'� -.,-. -�50.00" •
For Miscellaneous Conduits and Conductors 10.00
For Special Inspections,Per Hour _ 20.00