HomeMy Public PortalAbout4327TEMPLE CITY BLVD_Electrical t r
I ;. ••2ae ee•lenet r APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING D SAFETY
FOR APPLICANT TO FILL IN _ (�DDRE55 3 7
New Residential Bldgs &Pools EACH NO FEE
1 &2 Family Sq Ft E 025 — S LOCALITY
Multi family Sq Ft 02 — NEAREST -
Residential Swimming Pools 75 00 T
_ WN _
FI NAM
Outlets Rec_Light_Sw _ MAIL
First 20 50 ADDRESS —
Total No Additional 30 CITY _ Tel No
PLAN CHECK
APPLICANT _
Lighting Futures First 20 50 1 ADDRESS
Total No Additional 30
CITY Tel No
Fixed Appliances Not Over I HP PERMIT
Range_Hearer_D W
APPLICANT
Oven—Dryer—W M_ ADDRESSA 1 s
Top —FAU —WH _ CITY t A _Tel_N_o
Hood_Fan —Other— LICENSE OR
Disp —Room Air Cond 250 REG NUMBER ' Class a-p
HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
$rze&Type HP KW KVA or KVAR COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
2 50 REGULATING ELECTRICAL WIRING
Up to 1 Incl HEREBY CE AT I AM PROPERLY REGISTERED AND/OR O
Over 1 to 10 Incl 5 00 LICENSED ASR IRED OS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl 1250 CALIFORNIA THAT T LEGAL OtyN THE ABOVE 0
25 00 DESCRIBED R 1 l P 7 ?O/ kyr/
Over 50 to 100 Inc PERMITEE _
Over 100 40 001 140
SIGNATURE 6
Services _ DISTRICT NO - P ED - - SGS
0 20O Amp Under 600 V 12 50
201 1000 Amp Under 600 V 2500 B _
Over 1000 Amp or Over 600 V 5000
n4
Temp Power Pole&Appurtenances 1000
Sign with One Branch Circuit 1000 3`4 iq u
Additional Sgn Branch Circuits 200 INSPECTION '
Mnc Conduits&Conductors 10 00 INFORMATION r t
x r
Ocher(See Complete Fee Schedule)_ ON REVERSESIDE U
2 Q 0 A
/ e 0
r ' #x • 1'• • 2
PERMIT FEE [Sub Total) 2 • 1 8450-
PLAN CHECKING FEE
(One Fourth Permit Feel C • • 1 84.505
PERMIT ISSUING FEE $700 l 0O
- 09. 1 2-78
TOTAL FEE r - - j
INSPECTION FINALED
date By r ms