HomeMy Public PortalAbout4846TEMPLE CITY BLVD_Electrical " a` .10/74' 1APPLICATION FO TRIC PERAPT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER 7
BUILDING AN SAFETY DIVISION ADDRESS e e
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs d Pools EACH NO FEENEAREST
1 &2 Family Sq Ft $ 025 — $ ST t ---
WNER OR
Multl family Sq Ft 02 — OFIRM NAME h tt lPIY�
Residential Swimming Pools 25 MAIL
ADDRESS �sL ltL r V
Outlets RecLight_Sw CITY ! s 6 Tel No — J
4—
�
First 20 50 PLAN HECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Additional 30 PERMIT
Total NoAPPLICANTCi' Roe ''h
Fixed Appliances Not Over 1 HP ADDRESS
Range_Heoter_D W — CITY Tel No 9- 9
Oven_Dryer_W M_ L �7
Top —FAU —WH — REGNNUMBER dzv? Goss
Hood_FOn —Other_ HEREBY ACKNOWLEDPPLI
GE THAT I HAVE READ THIS ACATION AND STATE
Dnp _ Roam Air COnd 2 THAT THE ABOVE S CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN
ANCES AND STATE LAMS REGLAATING ELECTRICAL WIRING
Power Apparatus 6 Large Appliances
Size S Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REC STERED AND/OR LICENI AS
2 50 REOUi RED BY lC$ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to 1 Incl THE LEGAL OWNER OF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
Over 1 to 101Act 500
Over 10 to 50 In1 250 PERMITTEE
cl C
2500 SIGNATURE
Over 50 to 100 Inc C1
Over 100 4000 DISTRICT NO ED
Services [{7 5 Z
0 200 Amp Under 600V 1250
APPROVALS DATE NATOR?
201 1000 Amp Under 600 V 25 DD
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pale&Appurtenarces 1000
Sign with One Branch Circuit 10 O0 ROUGH CONDUIT
2 GOAdditional Sign Branch Circuits WIRING
Mat Conduits&Conductors 10 00 FIXTURES
Other(See Complete Fee Sthedulei POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL D
PERMIT FEE Sub Totol) NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE $70
TOTAL FEE J s�
PLAN CHECK VALIDATION CK M O CASH FEiALIT VALIDATIONCrrk� MCI �CASH
7 2 1 =AUG 28 2 D _�T_ _ 0
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULEQ"