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HomeMy Public PortalAbout5954, 5956, 5958 TEMPLE CITY BLVD_Electrical__ 'BA669 CE-60616/76) APPLICATION FOR ELECTRICAL PERMIT - COUNTY OF LOS ANGELES BUILDING AND SAFETY FOR APPLICANT TO FILL IN r C 1 New Residential Bldgs. ADDRESS&Pools EACH- NO. FEE ``V 1 &2-Family,Sq.Ft. $ .025 — $ LOCALITY Multi-family Sq.Ft. .02 — NEAREST 25.00 CROSS ST. D � a Residential Swimming Pools OWNER OR A FIRM NAME A . e L Outlets:Rec _Light Sw. MAIL First 20 •50 ADDRESS Total No. Additional :30. CITY 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 Range_Heater_D.W._ APPLICANT LL A 19 &iml Oven_Dryer_W.M. ADDRESS Top _FAU —W.H.— CITY L_ Tel.No. Hood_Fan —Other LICENSE OR Disp.._Room Air Cond.. 2.50 REG.NUMBER \ IJ 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. Size&Type HP;KW,KVA,or KVAR COMPLY WITH ALL COUNTY 'ORDINANCES AND STATE LAWS- Size REGULATING ELECTRICAL WIRING.. Up to 1 Incl. 2.50 I.HEREBY CERTIFY THAT I•AM PRQMRLY EGISTE AND/OR Over 1 to 10 Incl. 5.00 LICENSED AS REQU BY LOS ANG C NTY A STATE OF Over 10 to 50 Incl. 12.50 CALIFORNIA BED ORSID A I A RT LE O NER O E ABOVE.DESCQ Over 50 to 100 Inc. 25.00 Over 100 40.00 PERM.ITEE SIGNATURE Services DISTRICT NO. 4:�ESSID BY ++ 0-.200 Amp.Under 600 V 12.50 201.:1000 Amp,Under 600 V 25.00 Over 1000 Amp.or Over 600 V 5.0.00 Z O Temp.Power Pole&Appurtenances 10.00 Q Sign with One Branch Circuit 10..00 olor o Additional Sign Branch Circuits 2'00 INSPECTION Misc. t 0.00 INFORMATION.Conduits&Conductors ON REVERSE s Other(See Complete Fee Schedule) SIDE u Z 5 PERMIT FEE (Sub-Total) D o o N ..M PLAN CHECKING FEE (One-Fourth Permjt-Fee) �t o Z o Phu o p s o ca PERMIT ISSUING FEE $7:00 -40 -J u C'I TOTAL FEE -1 C) o. O 0 N 3? INSPECTION FINALED CH W date:7 By '46— es 16A669 'i 806R �,�� APPLICATION. FOR ELECTRICAL PERMIT '• ==�COUNTY-OP LOS ANGELES t^ DEPARTMENT OF COUNTY ENGINEER FADDRESSS BUILDING AND SAFETY DIVISION L FOR'APPLICANTTO FILL IN / New Residential Bldgs.&Pools EACH NO. FEE S .025 — $ . 1 &2•Family,Sq.Ft. OOR Multi-family Sq.Ft. 02 — FIRM NAME Residential Swimming Pools 25.00 MAIL i� ADDRESS .. O Outlets:Rec I-ighJ—Y–SW. ° CITY Te. o. First 20 .50_ O0. PLAN CHECK Total No.Z_ Additional 30 3 APPLICANT ADDRESS Lighting Fixtures First 20 .50 `® CITY Tel.No. Additional .30 PERMIT Total No. APPLICANT OE-LAff C Tie C_ Fixed Appliances Not Over 1 HP ADDRESSZ 6_ 'eH j5g7rgPL Range_Heater_D.W._ CITY Ay fF 'TeI.No.2 gI`7 Oven_Dryer_W.M. LICENSE OR Top —FAU —W.H. REG.NUMBER Class. �� n Hood_Fan _Other- I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPUCATIOIJ AND STATE Disp. _ Room Air Cond. 2.50 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN- ANCES AND STATE LAWS.REGULATING ELECTRICAL WIRING. Power Apparatus&Large Appliances Size&Type HP,KW,KVA,or KVAR I HEREBY CERTIFY THAT]AM PROPERLY REGISTERED AND/OR LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT I AM Up to 1 Incl. 2.50 THE LEGAL OWNER OF THE ABOVE D5.00 RIBE.D RESIDENTIAL PROPERTY. d Over 1 to 101nc1. PERMITTEE � ISC Over 10 to 50 Incl. 12•.50 c Over 50 to 100 Inc. 25.00 SIGNATURE. Over 100 40.00 DISTRICT NO. PROC D BY ti Services 0.200 Amp.Under 600 V 12.50 •3 37- I CTOR'S 201.1000 Amp.Under 600 V 25.00 APPROVALS DATE GNATURE Over 1000 Amp.or Over 600 V 50.00 TEMP.POWER POLE UNDERSLAB WORK 10.00 Temp.Power Pole&Appurtenances •i Sign with One.Branch Circuit 10.00 ROUGH CONDUIT 10 Additional Sign Branch Circuits 2.00 WIRING 140, Misc.Conduits&Conductors 10.00 FIXTURES Other(See Complete Fee Schedule. POWER AUTHORIZED UTILITY CO.NOTIFIED FINAL PERMIT FEE (Sub-Total) NOTES 'PLAN CHECKING FEE (One-Fourth Permit Feel PERMIT ISSUING FEE $7.00 b-1. ,TOTAL FEE PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH o�juL 25 2 U 9 0 SEE BACK OF APPLICATION FOR COMPLETE C E Z