HomeMy Public PortalAbout5318TEMPLE CITY BLVD_Electrical (2) 7,11^6411"Cli°' '°"' APPLICATION FOR ELECT CAL PERIYAIT
COUNTY OF LOS ANGELES pg
D�AFTTMENT OF COUNTY ENGINEER ADDRESS
BUILDING AND SAFETY DIVISION u
FOR APPLIC TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE NEA
1 6 2 Fomily Sq FtE 025 - $ ST
OWNER OR
Multi family Sq F 02 - FIRMNAME
Residential Swimming Pools 25 00 AMAIL DDRESS 'Q
Outlets Rec Light_Svv _ CITY T Tel
First 20 50 PLAN CHECK— _ — -- - - -�—
Total No— —Addmonal —�� _- - - APPLICANT _ -
ADDRESS
Lighting Fixtures First 20 50 1 1 CITY Tel No '
Total No Additional 90 PERMIT
APPLICANT
Fixed Appliances Not Over 1 HP ADDRESS
Range—Hearer—D W _ CITY Tel No
Oven_Dryer—W M_ LICENSE OR
Top —FAU —WH — REG NUMBER Class
Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE
Dlsp — Room Air Cond 250 THAT THE ABOVE IS CORRECT AND AGREE TO COMRY WIN AU COUNTY ORDIN
AWES AND STATE LAWS REGULATING ELECTRICAL WIRING
Power Apporotus&Large Appliances -
Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
Up t0I Incl , ♦ 2 11HEILEGAL OWNEROF THBy LOS ANDES
ABOVE TY AND STTE OF DESCRIBEDAPORNO°i
RESIDENTIAL PIYllAiIAM
'
Over 1 to 10 Incl 500
Over 10 to 50 Ind 1250 PERMITTEE
Over 50 to 100 Inc 2500 SIGNATURE
Over 100 4000 DISTRICT NO I
P E BY
D8 Z
Services N
0 200 Amp Under 600V 1250 APPROVALS DATE IS TOURS
201 1000 Amp Under 600 V 25 00
Over 1000 Amp or Over 600V 5000 TEMP POWER POLE
Temp Power Pole 8 Appurtenarces
1000 UNDERSLAB WORK
Sign wrth One Branch Circuit 1000 1 ROUGH CONDUI
112
'� o
Additional Sign Branch Circuits 200 WIRING
Mix Conduits&Condunars 1000 FIXTURES
Other(See Complete Fee h u ei POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (Sub Total) NOTES
PLAN CHECKING FEE (One Founh Permit Feel
PERMIT ISSUING FEE $7 00
TOTAL FEE
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK MC, CASH
338�-JUL 3 2 U 17.00 !"d
SEE BACK OF APPLICATION FOR COMPLETS SCHEDULE
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