HomeMy Public PortalAbout5808TEMPLE CITY BLVD_Electrical '6A663 CE-6o6(61,76) APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN SOB s' D T���-c'I T Y BL
ADDRESS
New Residential Bldgs.&Pools EACH NO. FEE
1&2-Family,Sq.Ft. $ .025 — $ LOCALITY -rej4pL E CITY CA,
Multi-family Sq.R. .02 — NEAREST
Residential Swimming Pools 25.00 CROSS
R ER OR
FIRM NAME . AMP CG/VS�B(/CTlO N
Outlets:Rec—d—Light Sw. 3MAIL ?EMOF. C/TY BI
First 20 •50 '� ADDRESS S" a8
Total No.7 Additional .30 CITY?E•A(jLE C/7Y Tel.No. —
PLAN CHECK
APPLICANT
Lighting Fixtures First 20 ,50 ADDRESS
Additional. .30
Total No. CITY Tel.No.
Fixed Appliances Not Over 1 HP PERMIT
APPLICANT O C g -'
Range_Heater_D.W._
Oven—Dryer_W.M. ADDRESS7je7HPLE CITY 61_
Top —FAU _W.H._ CITY 'I-C-HPIr CITY Tel.No.
Hood—'Fan _Other — LICENSE OR 5719,23
j e�
D.isp.—Room Air Cond. 2.50 REG.NUMBER 571 9 2 J Class.
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA-
Power Apparatus&Large Appliances TION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO
TH ALL COUNTY
Size&Type HP,KW,KVA,or KVAR R GULATINGI ELECTRICAL WIRNG.RDINANCES AND STATE LAWS
2.50
Up t1 Incl. 1.HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Overr 1 To 10 Incl. 5.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
Over 10 to 50 Incl. 12.50 CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
Over 50 to 100 Inc. 25.00 O
DESCRIBED RESIDENTI L PROPERTY.
Over 100. 40:00 PERMITEE �,
SIGNATURE !1
Services DISTRICT NO. PROCESSED BY
0-200 Amp.Under 600 V 12.50
201-1000 Amp.Under 600 V 25.00
Over 1000 Amp.or Over 600 V 50.00 Z
O
Temp.Power Pole&Appurtenances 10.00
Sign with One Branch Circuit 10.00'
Additional Sign Branch Circuits 2.00 INSPECTION >
INFORMATION u
Misc.Conduits&Conductors
Other(See Complete Fee Schedule) 10.00 ON REVERSE D 4 3 5 3 A
SIDE
Z
# a o o o o 2
IL
Zoo10.50
PERMIT FEE (Sub-Total) o 0 o 1 Q 5 0
PLAN CHECKING FEE (One-Fourth Permit Fee) O
PERMIT ISSUING FEE $7.00 o O S 1 5-79
!79
Q
TOTAL FEE >
INSPECTION FINALED
W
date: ��� By es es