HomeMy Public PortalAbout5220TEMPLE CITY BLVD_Electrical '°"'°' 806""'8' API1�0ArRIE46[ECIT ERMIT__ �L
COUNTY_PLICA OF LOS ANGELES o BUILDING AND SAFET9Y
FOR APPLICANT TO FILL IN _ -- - ADDRESS
Nev,Residential Bidgi&Pools' EACH NO -FEE -
40
I &2 Family Sq Ft $ 025 - $ LOCALITY C j pp
-I
MuTn fam Jy Sq Ft 02 - NEARESTST
Residential Swimming Pools _ 25 00 CROSS OWNER R - -^
_ FIRM NAME PJ ....
Outlets Rec ' Lighr�Sw -,� IL J5' I'T-�T
F,nr 20 50 ADDRESS - 6
-_Total No Additional - 30 CITY _S �__ y_ _ Tel No.gj
' PLANCHECK <
_ - _ _ PPLICANT
Lighting Fixtures First 20 50 ADDRESS
�Total No_=
Additional 30_ _
1__- T
Fixed Appliances Not Over 1 HP el No
CITY MIT - - -- - -
Range_Heater_D W APPLICANT
Oven_Dryer_W Mme__ ' - - ADDRESS e, - - - -
Top —FAU — WH — •- _ CITY �' Tef No
Hood_Fan _Other_ LICENSE OR
Dnp_Room Au Cond. 250 REG NUMBER _ Class _
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO
- COMPLY WITH ALL'-COUNTY`ORMNANCES-AND STATE LAWS
Sae&Type HP KW KVA or KVAR REGULATING ELECTRICAL WIRING
Up to 1 Incl - 2 50 -I HEREBY CERTIFY THAT t AM PROPERLY REGISTERED AND/OR U
O ¢
ver 1 to 10 Incl 5 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Ind 12.50 _ _ CALIFORNIA OR THAT I AM THE LEQAL OW ER 01 THE ABQVy
Over 50 to 100 Inc 2500 DESCRIBED RESIDENTIAL P PERTY yF..
Over 100 - 4000 - _ PERMITEE �u1
51GNATU
Services- - _ _ - __ _ DISTRI�,9� P
0 200 Amp Under 600V 12 50 /�/J /J I
•201 1000 Amp Under 600 V- - 25 00 -
Over 1000Amp orOver 600V 5000
' O
Temp Pawer Pole&Appurtenances -1000 - - --- -- •--- •Q
Sign with One Branch Circuit 1000 r -
Additional Sign Branch Circuits III- �2 00 _ INSPECTION—
Mist:
NSPECTION_Misc Conduits&Conductors 1000 ' INFORMATION -
_ z
Ocher(See Complete Fee Schedule)'• SIDE- _ON REVERSE— V 7 9 6 3 A ,
_ 1 ..- - r 2i • • Q00•
PERMIT FEE (Sub Total) _ _- - ^. — • 0 0 • 9 0 0
PLAN CHECKING FEE (One Fourth PermirFe.ei
O I-
11.27-79
PERMIT ISSUING FEE . . -- X57 00 - �_-1•- o
TOTAL FEE >
It s
INSPECTION FINALED S •
date /• (/ BY as