HomeMy Public PortalAbout4840 TEMPLE CITY BLVD_Electrical__ "' CE SWR IR"° APPLICATION FOR ELECTRICAL PERMIT ]
COUNTY OF LOS ANGELES Jp
DEPARTMENT OF COUNTY ENGINEER ADDRESS
-BUILDING AND SAFETY DIVISION
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE NEAREST
S
&2 Family Sq Ft S 025 — $
OWNEROR
Multi fom,ly Sq F 02 — FIRM NAME to
!
Resldennal Swimming Pools 2500 ADIL DRESS d s
Outlets Rec 6' Ught 2 SW CITY—remATel No ff7-2Qj9
First 20 50 �� PLAN CHECK
Total No kr Additional 30 APPLICANT
ADDRESS
Lighting Futures First 20 50 CITY Tel No
7.� Additional 30 PERMIT
Total No APPLICANT WLf' !dol.
Fixed Appliances Not Over I HP ADDRESS 3 >`
Range_Healer—D W _ CITY U Tel No
Oven —Dryer WM_ I LICENSE OR �7�OuN
Top / FAU Z W H _ REG NUMBER J ✓(/ Class
Flood L Fan —Other— I HEREBY ACKNOWLEDTHAT I HAVE READ THIS APPLICATION AND STATE
Disp — Room Air Cond T 2 50 THAT GE THE ABOVE IS CORRECT AND AGREE TO COMRY WITH ALL COLWTY 01
ANCES AND STATE LAWS RE ui ATING ELECTRICAL WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REG611RED AND/OR LFCENSEO AS
REOUI RED BY LOS ANGRES COUNTY AND STATE OF CALIFORNIA OR THAT I AM
Up to l Incl 250 THE LEGAL OWNERCE THEABOVE DESCRIBED RESIDENTIAL PROPERTY
Over 1 to 10 Incl 500 S
2500 SIGNATURE
Over 10 to 50 Incl 1250 PERMITTEE
ii
Over 50 to 100 Inc
Over 100 40 00 DISTRICT NO BY
Services
0 200 Amp Under 600 V 1250 APPROVALS DATE 1 P TUURE
201 1000 Amp Under 600 V 25 00
Over 1000 Amp or Over 600 V 50 00 TEMP POWER POLE
Temp Power Pole 8 Appurtenorces
1000 UNDERSLAB WORK
Sign with One Branch Circuit
ROUGH CONDUIT
t 2 00Additional Sign Branch Circuits WIRING
Mrsc Conduits&Conductors 1000 FIXTURES
Other(See Complete Fee Schedule, POWER AUTHORIZED
1UTILITYCO NOTIFIED
FINAL
PERMIT FEE Sub Total) NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE $700
TOTAL FEE
H PEtW VALIDATION CK M O CASH
2 3 5 AUG 10 2 0 1 8.0 0_A_ `
POLICY HOLDER'
SEE V` \ I UQAIDCPCOMPLETE SCHEDULE VYJ�y'6/-7>A�
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