HomeMy WebLinkAbout1502 (437)""`°' `E a°BR ,°'" APPLICATION
FOR ELECTRICAL PERMIT/,
COUNTY OF LOS ANGELES
0 - 200 Amp. Under 600 V
201 -1000 Amp. Under 600 V
Over 1000 Amp. or Over 600 V
DEPARTMENT OF COUNTY ENGINEER
JOB
BUILDING AND SAFETY DIVISION
25.00
ADDRES
FOR APPLICANT TO FILL IN
LOCALITY .
New Residential Bldgs. & Pools
EACH
I NO.
FEE
1 & 2 -Family, Sq. Ft.
$ '025
—
CNEAREST
$ ROSS ST.
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10.00
PERMIT VALIDATION . CK.
OWNER OR
Multi -family Sq. Ft.
•02
—
FIRM NAME
Residential Swimming Pools
25.00
MAIL
t -
ADDRESS
Outlets: Rec Light_Sw.
CITY Tel. No.
First 20
.50
PLAN CHECK
Total No. Additional
.30
APPLICANT
ADDRESS
Lighting Fixtures First 20
.50
CITY Tel. No.
Total No. Additional
.30
PER
PP
A44,
Fixed Appliances Not Over 1 HP
ADDRE
Range_ Heater._.._ D.W. _
CITY Tel. No.
Oven ___. Dryer _ W.M.`
LICENSE OR
Top ` FAU — W.H. —
H d F Oh
REG. NUMBER
�1J
................. .. i _ _
oo - on _ t er_ 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp. — Room Air Cond. 2'50 THAT THE ABOVE IS CORRECT AND AGREE TO PLY WITH ALL COUNTY ORDIN-
ANCESANDSTATELAWSREGULATINGELECT LWIRING
Power Apparatus & Large Appliances
Size & Type HP, KW, KVA, or KVAR I HEREBY C FY AT I AM P#ANSTA
ISTERED AND/OR LICENSED AS
REQUIRED BY L A LES OUNTY OF CALIFORNIA OR THAT I AMUp to 1 Incl. 2.50 THE LEGAL 0 E F TVE DESDENTI ROPERTY.
Over 1 to 10 Incl. 5.00 C.>.>
Over 10 to 50 Incl. 12.50 PERMITTE40
Over 50 to 100 Inc. 25.00 SIGNATURE o
Over 100 40.00 DISTRICT NO. PR/O�CE�SSED BY nW.
Services
NOTES '
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0 - 200 Amp. Under 600 V
201 -1000 Amp. Under 600 V
Over 1000 Amp. or Over 600 V
12.50
l '
INSPECTOR 5
APPROVALS DATE SIGNATURE
MP. POWER POLE
25.00
50.00
10.00
DERSLAB WORK.
UGH CONDUIT +�; 7
4FIXTURES
Temp. Power Pole & Appurtenances
Sign with One Branch Circuit
Additional Sign Branch Circuits
Misc. Conduits & Conductors
10.00
9Z a
2.00
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! y'
10.00
PERMIT VALIDATION . CK.
M.O. CASH
GO
WERAUTHORIZEDRl7V-i7T—mrmFTFiS--
Other (See Complete Fee Schedule)
t -
PERMIT FEE i5ub-Total)
NOTES '
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PLAN CHECKING FEE (One -Fourth Permit Feel
PERMIT ISSUING FEE $7.00
TOTAL FEE
9Z a
PLAN CHECK VALIDATION CK. M.O.
CASH
PERMIT VALIDATION . CK.
M.O. CASH
GO
150 2 4.2178 2
3 2.00 #
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
1