HomeMy WebLinkAbout0 �•74ee67 Ce BRBIR IR/Y] APPLICATION.FOR ELECTRICAL PERMIT.- .��.
3: COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER J
BUILDING ANO SAFETY DIVISION ADDRESS -
rResiFOR APPLICANTTO FILLIN LOCALITY
dential
l Bldgs.&Pools EACH NO. FEE NEARE T
S R. E .025 — E SST.
Family, q' OWNER R
y Sq.Ft.—�ma��'�syw�— ''02 — FIRM NAME'
Swimming Pools 25.00 MAIL Birth #104
Light_Sw. ICITY el.No.
l First 20 -50 PLAN CHECK - -
1 •Total No. Additional :30 APPLICANT
ADDRESS -
j Lighting Fixtures First 20 .50 CITY Tel.No.
ttt Additional .30 PERMIT
Total Na. - APP I ANT
Fixed Appliances Not Over 1 HP ADDRESS 11M 6409
Range—Heater_D.W._ CITY amUnIftm
I Oven_Dryer._W.M._ LICENSE OR
Top -FAU -W.H.- REG.NUMBER 298= Class. 0.10Hood-Fon _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
._
DlspRoom Air Cond. 2.50 THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY GROIN .
I ANCES ANDSTATE LAWS REGULATING ELECTRICAL WIRING
� Power Apparatus&Large Appliances
Size&Type HP.KW,KVA,or KVARI HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS V
Up t0 1 Incl. 2.50
REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
THE LEGAL OW NER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY.
W
Over 1 to 10 Ind. r25.00
-
Over 10 to 50 Incl. PERMITTEE
Over 50 to 100 Inc.
SIGNATURE }'
F Over 100 DISTRICT NO. P ESSED BY g
t �
Services I/!r l
0.200 Amp.Under600 V - INSPECTOR'S
0 201-1000 Amp.Under 600 V APPROVALS DATE SIGNATURE
Over 1000Amp.or Over600 V TEMP.POWER POLE
UNDERSLAB WORK -
Temp.Power Pole&Appunenorces
1 ROUGH CONDUIT
Sign with One Branch Circuit 10.00
2.00 WIRING
J Additional Sign Branch Circuits .
' Misc.Conduits&Conductors 10.00 FIXTURES ! -
'i Other ISee1Complete Fee Schedulei POWER AUTHORIZED
UTILITY CO.NOTIFIED
i
� FINAL
PERMIT FEE (5ub-TotollNOTES "
r PLAN CHECKING FEE (One-Fourth Permit Feel AM%
PERMIT ISSUING FEE $7.00TOTALFEE -
IF PLAN CHECK VALIDATION "CK. M.O. CASH PERMITY TI _ - M.
} .� � CK. O. CASH;s::fT.
E - :-7
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE .7"' T-- T-�' T•", ,�-+"` -
7L. r
a.ELECTRICAL PERMIT FEE-SCHEDULE
For lssuing Permits,Each - c .. ..- �. - $7.00
iSYSTEM EEE.SCHEPULE.__ 7 7 i
NewResidential-Ottitdings and Swimming Pools
_For New_Single end Twolarttdy.Besident al Build ngs,Includi n3 Accessory Omldings;Pe Sq.Ft.
C For New Multi-family Residential Buildings,(Apa tments and Condominiums),Pcr Sq.Ft. —� X02
-.-For New Residential-Swlmmn Pools Each - - --
P q . _._ .. --.
For Other Types of;Ocau a cies;SiSwi min
Pools,and Modifications to Existing Old- Use '- , 25.00
° - E
w...-.. _ g.., a UNIT FEE SCHEDULE
'C3i-nivals and'Ci reuses--"'- _
_For Electric Generators and Electrlcglly Dnven.Ridis Ea'ph_._ � _ _ --;•:10.00 y
For Mechanically Driven Rides and Walk-through Attrautions with Lighting,.Each3.00_
j r:
;J--For Area and Booth-Lighting,-Each _--- ----- -;-'i 3.00 i
r--For.Permanently Installed Rides_Booths.Displays,and Alt[actions,.Use UNIT FEE-SCHEDULE - -,
,Temporary Power Service
For Temporary.Service.Pole or.Pedestal-and Appurtena ii
