HomeMy Public PortalAbout5110TEMPLE CITY BLVD_Electrical (2) ^ �_ �I �. ♦_r �..�/!/ ///�._ .r._....--r may..-..�..�' r�--_
7&""3cE-06(11 '761 _ NAPPLICA_TIOWFOR ELECTRI✓CA�\lL PER_ MIT
~COUNTY OF LOS AGELES BUILDING"AND SAFETY
FOR APPLICANT TO FILL IN JAOB /
New Resideniial Bldgs &Padls - EACH NO -- FEE ---
'I &2 Fcmdy Sq Ft E 025 - E LOCALITU.
Multi family Sq Ft - 02 - RE r In
.Residential Swimming Pooh _ 2500 OWNEROR
FI M NAME
Outlets Rec_Light A==Sw - - - MAIL
First 20 50
_Total No - - Additional 30 CITY_-7—
_Q,
PLAN CHK
APPLICANT >- -
Lighting Futures First 20 50 ADDRESS
Additional 30
Tocol No CITY Tel hk
Fired Appliances Nor Over l•HP PERMIT-- -- ---�---^- - •-•
Range_Heater'DW t • I It '�s APPLICANT _
Oven—Dryer—W M— - a :ADDRESS
Top —FAU — W H 't'4'r r -11 •a U�' ' ' CITY ' l_ _ TEL
Hood_Fan _Ocher_ - ' +< •• LICENSE OR
_ Disp �Room,Art Cond I 25D 'r REG NUMBER_
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Applionces ' 'TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP KW VA or KVAR _ r-• - COMPLY WITH All. COUNTY-ORDTNANM"AND-STATE-TANS
2 50 t.' REGULATING ELECTRICAL WIRING - V
Up to 1 Ind HEREBY CERTIFY THAT I AM PROPERLY REGISTERED"ANDIOR `
Over 1 to 101ricl ` 5'00 -, LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF pe
Over IO to 50 Ind 1750 �. _ CALIFORNIA-OR THAT AM iH GAL OWN _THEABOVE _
h DESCRIBED RESID NT P
^Over 50 to 100 Inc---25 00 t' LJ_ •:,r Is
4000 - -e PERMIT EE_ _ __ _ ..
Over I00� "M1' ^� - M _ SIGNATURE
Sery Kes A - - '- DISTRICT•NO- - ED By;
0 200 Amp Under 6D0 V 1250
201 1000 Amp Under 600 V - 2500
Over 1000 Amp or Over 600 Vr 5000 ' r
Temp Power Pole&Appurtenances 1000 - - - . - - - Q `
Sign with One Branch Circuit 10 00
Additional Sign Branch Circuits 200 INSPECTION. _'
INFORMATION
Mnc Conduits&Conductors 1000 ON REVERSE
Other ISee Complete Fee Schedule)_ A
SIDE _ y $6 9(�/
x . . 1300
PERMIT FEE ~t 1566 Totals ' s
_ ( , • . . 13000
PLAN CHECKING FEE (One Fourth Parma Feel _� )
I Q02-79 .
PERMIT ISSUING FEE _ _S700
TOTAL FEE >
INSPECTION FINALED
date By ,�