HomeMy WebLinkAboutNo Permit Number (164)TR 33069 Lot 55
76A663CE-806(11/78) APPLICATION FOR ELECTRICAL PERMIT -
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
ADDRESS 21240 E. Sunwood Dr.--.___
New Residential Bldgs. & Pools EACH
1 & 2 -Family, Sq, Ft. 1914 $ .025
NO. FEE
S LOCALITY Diamond Bar
NEAREST
CROSS ST Brea Canyon Rd. Multi -family Sq. Ft.
Residential Swimming Pools 2500
r'N RUR . - - - -------- - --
FIRMMAME Arclero &-SOWS
Outlets: Rec light Sw.
First 20 50
MAIL
ADDRESS -20001 'E: --Walnut Dr:---- -
CITY WalnUt Tel. No598-1621TotalNo. Additional .30
PLAN CHECK
APPLICANT
ADDRESSLightingFixturesFirst20 .50
Additional .30
Total No. CITY Tel. No.
Fixed Appliances Not Over 1 HP
Range_ Heater_ D.W. _
Ove n_Dryer _'W.M.—
FERMI I- APPLICANT Frank s Electric "Co.
ADDRESS - rfee AVG.
CITY P1 C0 R1VC r4Top _FAU , W.H. ^
Hood _ Fan —Other—
Disp. —Room Air Cond. 2.50 LICENSE OR
REG. NUMBER 86190 Class C-10
IHEREBY ACKNOV',LEDGE THAT I HAVE READ TH;S APPLICA.
TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TOPowerApparatus & Large Appl ionces
Size & Type HP, K b', KVA, or KVARYP
250Upto1Incl. .
Over 1 to 10 Incl. 5.00
Over 10 to 50 Inc). 12.50
25.00Over50to100Inc.
40.00Over100
Services
0 - 200 Amp. Under 600 V 12.50
201 -1000 Amp. Under 600 V 25.00
COMPLY WITH ALL - COUNTY ORDINANCES -AND -STATE LAWS
REGULATING ELECTRICAL WIRING.
t HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED -AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY.
PERM.IIEE
SIGNATURE / U
U
W.
0
11-
W)
DISTRICT NO.
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PROCESSED BY
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Over 1000 Amp. or Over 600 V 50.00
Temp, Power Pole & Appurtenances 10.00
Sign with One Branch Circuit 10.00
Add it anal Sign Branch Circuits 2'00
1,^ tC
INSPECTION y
Misc. Conduits & Conductors 10.00
Other (See Complete Fee Schedule)
INFORMATION
ON REVERSE s
SIDE
PERMIT FEE (Sub -Tatar
PLAN CHECKING FEE Ione -Fourth Permit Fee, O
PERMIT ISSUING FEE $7,00 '] o
TOTAL FEE Aj
54.85
r
WINSPECTIONFINALED
date:
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