HomeMy Public PortalAbout4327TEMPLE CITY BLVD_Electrical (2) """J ICV '"" 10/" APPLICATION R E ICAL PERMIT
COUNTY OF LOS ANGELES ppgg
• • DEPARTMENT OF COUNTY ENGINEER ADDRESS 'LI Z T6M Lr L✓D
BUILbING AND SAFETY DIVISION
FORAPPLICAITTOPILLIN LOCALITY lA—w
New Residential Bldgs &Pools EACH NO FEE NSR SS ST
1 &2 Family Sq Ft S 025 — S
Multi family Sq Ft 02 — WNER OR
FIRMNAME
Residential Swimming Pools 25 00 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
Additional Total No Add30 PERMIT v44 it 19;,4SO
Fixed Appliances Not Over 1 HP ADDRESS /31P Co :�-LrFS
Range—Heoter_D W _ CITY `�, Tel No 14
Oven _Dryer_W M_ LICENSE OR py
Top —FAU —WH —
NUMBER REG X 0 3 —&6/ Closs G—/
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AM"I'lON AND STATE
Dnp _ Room Air Cond 250 THAT THE ABOVE IS COR T AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAM REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
2 50 REOURED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Intl 5 00 THE LEGAL OWNERa THE ABOVE DESCRIBED RESIDENIIAI PROPEBTY 19
Over 1 to IO Incl
Over 10 to 50 Ind 1250 PERM �� o
Over 50 to 100 Inc 2500
Over 100 4000 FROUGH
O P E D
v�
Services v
0 20OAmp Under 600V 1250 OVALS D E INSPECTOR'S
201 1000 Amp Under 600 V 2500 SIGtJAT Kt
Over 1000 Amp or Over 600 V 5000 ER POLE
WORK
Temp Power Pole 8 Appurtenarces 1000
Sign with One Branch Circuit 1000 NDUIT
200 WIRING
Additional Sign Branch CircuitsMisc Conduits&Conductors 10 DO FIXTURES
Other(See Complete Fee Schedules POWERAUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE Sub Total) 2 NOTES
PLAN CHECKING FEE (One Fourth Permit Feet Q .�
PERMIT ISSUING FEE $700 O S-ZS I.DG ��x k' Y RA�7'
TOTAL FEE 0/4D /v6-r sa6 -SCR,�✓/GF.r O-Y`♦.—
PLAN CHECK VALIDATION CK M O CASH PElMIT VALIDATION M O CASH
5 6, 5 F,XAY 22 $ 0 3 2.0 O Am
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE