HomeMy Public PortalAbout5110TEMPLE CITY BLVD_Electrical - - _ -7T...._p- 'LL_Z
7W. 667CE-806(11 ;78r _A_PPLICATION FOR ELECTRICAL PERMIT_ T
COUNTY OF Ldf ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN - -
ADDR- '
New Residential Bldgi&Pools EACH- NO -- 'FEE --
182 Family Sq FI $ 0 - E
25 LOCALITY
Multi family Sq Ft 02 NEAREST
ST .i
-Reltdential Swimming Pools 25 00
WN
FIRM NAM
Outlets RecLighr�Sw _ MAIL _ /t
First 20 50 ADDRE V
_Total No --Additional- 30 CITY CC - �� Mel
APPILIWC
Lighting Fixtures First 20 50 ADDRESS
- ---Additional - -- 30
Totorr , CITY Tel No
Fixed Apphonces Not Over I HP ._ - - _ _ - MIT -- •- -- ---- -
PP
Range—Heater_D W ALICANT.r �� nq -
—Oven_Dryer— W M— - _ ADDRESS _'. _ , _?I -tr7- --
ToP —FAU — WH — J r CI7Ys �O r' L r c•Tel No '-_„'' 1tL _1-0
r_
HoodFin _Other_ c LICENSEOR 'c
Disp —Room Au Cond 250 REG NUMBER,, n m - __ '_ 'ClassI_
Power A r I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Apparatus G Large Appliances TION AND STATE THAT'"THE ABOVE IS CORRECT AND AGREE,TO
! -- Type HP KW KVA or KVAR COMPLY WITH ACL' -AND-STATE LAWS -^�
2 50 REGULATING ELECTRICAL WIRING , f 1 t , O
Up ro_1 Incl _ -
-„� ' t 1 HEREBY QUIREDIBY'T SAM PROPERLY REGISTERED-AND/OR Fj
0
Over 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY'LOS ANGELESICOUNTY'AND STATE,OF y
-Over 10 to 50 Incl 1250 _ CALIFORNIA OR !H#T AM THE LEGALtOWN OF 4THE ABOVE
25 00 DESCRIBED RESIDE P P ,
Over 50 to 100 Inc 4000 TERMi7EE-r- i h 121o,
' .ry,�e.t- ._..
Over 100 SIGNATURE
_ N
Services - "' 12 50 DISTRICT NO c -
0 200 Amp Under 600 V
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000 _ _
Temp Power Pole 8 Appurtenances -1000
Sign with One Branch Circuit 1000
Additional Sign Branch Circuits _ 2 00i 'INSPECTION ' `
M.sc Cor leas&Conductors '
1000' INFORMATION
Olher(See Complete Fee Schedule) r I ON REVERSE' W
SIDE 2 6 9 51 A
_
` '2.• • 2250
PERMIT FEE - ISub Totoll 1 l 1
• . . 22505
PLAN CHECKING FEE Ione FourrhtPermn Faei 1 Q 0 d ,_7 9
PERMIT ISSUING FEE 1 . _ $700
7 t
TOTAL FEE - >
INSPECTION FINALED
v
date By �s