HomeMy Public PortalAbout5810TEMPLE CITY BLVD_Electrical (2) PGA663 CE_60e 16/781 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES BUILDING AND SAFETY
FOR APPLICANT TO FILL IN JOB
New Residential Bldgs.&Pools EACHNO. FEE' ADDRESS J110 rZ?W LC al/T el- -
I &2^-Family,Sq.Ft. $ ..625
— $ LOCALITY �j[// 'g 63' . el T
Multi-family Sq.Ff. .02 CROSS 5. 4" TJA llr:f
Residential Swimming Pools 25.00 OWNER OR //
FIRM NAME P/2• /P-0 5cT Z T 1C'0
Outlets:Rec Light Sw. 50 ADDRESS
First 20
Total No. Additional .30 CITY Tel.No.
PLAN CHECK
Lighting Fixtures First 20 •50 ADDRESS
Additional .30
Total No. CITY Tel.No.
Fixed:Appliances Not Over HP PERMIT � /
Range_Heater_D.W._ APPLICANT G(!D/� 7/I
Oven—Dryer—W.M.— ADDRESS �,��Cr
/2..s'o TjL•.
Top _FAU —W.H._ CITY �, 00 Tel.No.7__3t/1-333
Hood_Fan _Other_ LICENSE OR
Disp.—Room Air Cond. 2.50 REG.NUMBER /C»TZ. Class.A —
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICA•
Power Apparatus&Large Appliances TION AND STATE THAT'THE ABOVE IS CORRECT AND AGREE TO
Size&Type HP,KW,KVA,or KVAR. COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS
Yp REGULATING ELECTRICAL WIRING.
Up to 1 Incl. 2.50
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
Over 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 DESCRIBED RESIDENTIAL ROPERTY.
Over 100 40.00 PERMITEE
SIGNATURE
Services F
. ^ SZED BY 0-200..Amp.Under 6.00 V ® 12.503 o
201.1000 Amp. Under 60'0 V 25.00 z (�
Over 1000 Amp.or Over 600 V 50.00
Temp.Power Pole&Appurtenanc s 10.00 Sign with One Branch Circuit f 10.00
AdditionalSign Branch Circuits 2'00TION >
10.00 ATION Ws301,0A
Misc.Conduits&ConductorsERSEOther'(See Complete Fee Schedule) E' 2 0 0 0 0 02
g 20 ° 1700
PERMIT FEE (Sub-Total) o o o 1 7 0 0 x
PLAN CHECKING FEE (One-Fourth Permit Fee) O a 0 1 -79
PERMIT ISSUING FEE $7.00 0
TOTAL FEE >
INSPECTION FINALED
• W
date: By IL ®s