HomeMy Public PortalAbout5520TEMPLE CITY BLVD_Electrical (2) 10"403 C` 906N 1017' APPLICATION FOR ELECTIfICAL PERMIT
COUNTY OF LOS ANGELES pg
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVION ADDRESS JAS ZO Tem C
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE
NLARLbi
1 &2 Family Sq Ft S 025 — S ROSS ST OA W F1r
Multi family Sq OWNER OR Ft 02 — FIRMNAME e
Residential Swimming Pools 2500 MAIL
ADDRESS Jr620 ' e*vl le- 4
Outlets Rec Light_Sw CITY `tt �L C r Tel No -
First 20 50 PLAN CH K
Total No Additional 39 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 _ CITY Tel No
Total No Additional30 PPRMIT PAJCA.c Cli /A G LZl _
Fixed Appliances Not Over I HP ADDRESS 122 O♦
Range—Heater—D W _ CITY A t4dLIl - Tel No !f a
Oven _Dryer_W M_ LICENSE OR _ !
Top —FAU —WH — REG NUMBER Z&670915 S - Class L-t O
Hoad_Fon —Other— i HEREBY ACKNOWLEDGE THAT I HAVE READ THIS AVRICATION AND STATE
Disp — Room Air Cond 2 50 THAT THE ABOVE IS CORK AND AGREE TO COMFLY WITH ALL COLNTY GRON
ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVAR i HEREBY CERTIFY THAT I AM RRORERLY REGISTERED AND/OR LICENSED AS
REOUp to I Incl 250 THEELLEWLOWNNEAN ES OuNTY AND EROF EABOVEDESCRIBEDTA CALIFORNIA RIOR THAT IAM
Over 1 to 10 Incl 500 S
Over 10 to 50 Incl 1250 PERMITTEE
Over 50 to 100 Inc 2500 SIGNATURE 0
Over 1 DO 4000 DISTRICT NO P ED
.5-" 00
Services z
0 200 Amp Under 600V 1250 APPROVALS DATE INSPECTORS
201 1 DUO Amp Under 600 V 25 SIGNAT
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK '
Temp Power Pole&Appurtenances 1000
Sign with One Branch Circuit 10 00 ROUGH CONDUIT
Additional Sign Branch Circuits
200 WIRING
Misc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedule; POWER AUTHORIZED
UTILITYCO NOTIFIED
FINAL L-3-
PERMIT FEE (Sub Total] NOTES
LAN CHECKING FEE (One Fourth Perma Fee;
ERMIT ISSUING FEE $700
OTAL FEE
PLAN CHECK VALIDATION CK M O CASH PEtlL11T VALIDATION CK M O CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE 2.4 3 Lm.MAY 3 2 1 9.5 0 A38