HomeMy Public PortalAbout4801 RIO HONDO AVE_Electrical__ 76.066`.`6608 td/74 APPLICATION FOR ELECTRICAL PERMIT
: COUNTY OF LOS ANGELES
"DEPARTMENT OF COUNTY ENGINEER fC
B L801 10 Hondo
BUILDING AND SAFETY DIVISION DRESS
CALITY Temple Cit Calif.
EAREST ` L
FOR APPLICANT TO FILL IN ROSS ST.
OUTLETS NO. EACH FEE OWNER OR
RECEPT. S 3 S� IRRMLNAME Ralph R. Vis e I
FIRST 205 ADDRESS 4801 Rio Hondo
LIGHT TOTAL CITY Temple CityFEL. No. $ -7
SWITCH OVER 20 IO
PLAN CHECK
LIGHTINGTOTAFIRST 20 .10 � APPLICANT
FIXTURES p�
��yyL OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL. NO.
PER
RANGE DRYER_WTR. HTR. APPLII ANT American Builders
STA. COOK DISP. F.A.U. ADDRESS5819k Temple City Blvd.
SPACE HTR. AIR COND. CITY Tewle City TEL. N0.287-97
CLOTHES WASH. DISHWASH. REG NUMBER 104325 CLASS. B-
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND S.TATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW.KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
1 - 10 300 DESCRIBED RE�IDEN A WE RTA rs V
PERMITEE Elm $
10 - 50 5.00 SIGNATURE C3
50 - 100 10.00 DISTRICT N0. PRESS Y "I
100 - 500 15.00 H
SIGN, GAS SIGN AND ONE CIRCUIT 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 TEMP. POWER POLE
SERVICE NOT OVER 600 VOLTS OR 200 AMP 3.00 UNDERSLAB WORK
SERVI CE OVER 600 VOLTS OR 200 AMP 10.00 ROUGH CONDUIT J)
TEMP SERVICE,POLE,&APPURTENANCES 5.00 WIRING
TEMP LIGHT OR RECEPT. SYSTEM 3.00 FIXTURES ` f
POWER AUTHORIZED
UTILITY CO. NOTIFIED /®
FINAL �J
PERMIT FEE (SUB TOTAL) NOTES: A
PLAN CHECK FEE '�J Q
PERMIT ISSUING FEE 1 3.00
TOTAL FEE 10,Af,(r0
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
LU'La 0— � -�
& 3 44 (' 4 976CAUL .25 2 U 24.00 ®1�
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE