HomeMy Public PortalAbout5013 FIESTA AVE_Electrical__ CITY OF TEMPLE CITE
76A663 CE8069 67. APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES "fl
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS /7
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W JENKINS SUPERINTENDENT OF BUILDING LOCALITY ` /
NEAREST p
FOR APPLICANT TO FILL IN CROSS ST
NO EAC FEE
7 $ $ OWNER
RECEPT J� MAIL ,
LIGHT TOTAL FIRST 20 20 �(� ADDRESS $
SWITCH OVER 20 10 CITY TEL NO
LIGHTING TOTAL FIRST 20 20 (�� CONTRACTOR Qyt/ -
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER—WTR HTR — CITY TEL NO
STA COOKDISP _F A U —
LICENSE NO
SPACE HTR AIR COND I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
CLOTHES WASH -DISHWASH WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
FANJ�OTHER 1 00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICENSEDAS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
MOTORS TRANSFORMERS RATING CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
IND HEATERS ETC HP KW KVA RESIDE IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY
SIZE & TYPE OVER TO SIGNATURE
0 - 1 1 00 OF PERMITTEE a
O
1 — 10 3 00 DISTRICT GROUP ZONE P SSED BY U
10 - SO 5 00 C) 5 Vce
50 �- 100 10 00 NOTES `
100 - 500 15 00 //" / im dW
SIGN GAS
TUBE OR SIGN AND ONE CIRCUIT 3 00 1 Z
MARQUEE ADDITIONAL CIRCUITS 1 00
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE &APPURTENANCES 3 00
APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT n d
ISSUING FEE 2 00 OQ WIRING
v
FIXTURES
SUPPLEMENTARY ISSUING FEE 1 00
POWER AUTHORIZED n A
PERMIT FEE UTILITY CONOTIFIED a-1I—(f]A f/14,0 ,
PLAN CHECK FEE (507 PERMIT FEE) FINAL !_
TOTAL FEE ,3 O JO PH C ROOHAN
SUPERVISING ELECT AL ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION cK M 0 CASH
L ALO 1 6 1 2 1 NOV g 2 D 1 1 3 0-
SEE
NSEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE