HomeMy Public PortalAbout6205 A & B TEMPLE CITY BLVD_Electrical__ 78x863-cE806 468 APPLICATION FOR ELECTRICAL. RMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING./
BUILDING AND SAFETY DIVISION ADDRESS. b � g
JOHN A. LAMBIE, COUNTY ENGINEER .
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECEPT.- S S. OWNER VY%j%if- fe_ WV.V-J "
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 ICITY TEL. NO.
LIGHTING TOTAL FIRST 20 .20 PLAN CHECKAPPLICANT 1
FIXTURES OVER 20 .10 ADDRESS
RANGE-DRYER-WTR.HTR._ CITY. TEL. NO.
STA.COOK_DISP._F.A.U._ CONTRACTOR Qom..
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH._ CIT TEL.: QV 4
FAN—OTHER 1.00 LICENSE ,,,OE1 q:3 CLASS.6- lv
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW'. KVA. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
.WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 - 1 1.00 ELECTRICAL WIRING.
1 HEREBY .CERTIFY THAT I AM' PROPERLY REGISTERED AND/OR
1 - 10 3.00 .LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 !ROUGH
IN, OV E DESCRIBED S NTIAL PROPERTY.
50 - 100 10.00 SRE
OITT E CD
Cl)
100 - soo 15.00 CTpN UP O PR E.SSED BY
SIGN,GAS SIGN AND ONE CIRCUIT 3.00 0 ay
TUBE, OR V
MARQUEE ,ADDITIONAL CIRCUITS 1.00 OW
NOTES: y
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2:00 •
Z
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 PROVALS DATE INSPECTOR'S SIGNATURE
OWER POLE
LAB WORK
CONDUIT
PERMIT FEE (SUB TOTAL) fF
NG
TURES
PLAN CHECK FEE (50% PERMIT FEE)
ER AUTHORIZED
PERMIT ISSUING FEE 2.00 ovLITYCO.NOTIFI'ED
SUPPLEMENTARY PERMIT ISSUING FEE 1.:00. AL /A
TOTAL FEE JOSEPH IC. ROOHAN`
SUPERVISING ELEC CAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION cK M.O. CASH
( Arr0 G 5 3 vJL 9 D 4.R9��
!E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE ..
76A66S_CES06_fi-WAPPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS XNGELES
DEPARTMENT OF COUNTY ENGINEES
o
BUILDING
AND SAETY DMMON
CAT!ADLAG&'LJII?0S%'Tt f Q LOY
a
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
PF"T FEES
ITEM NUMBER EACH FEE OWNER
MAI: OUTLETS: $ ,10 $ ADDRESS
LIGHTS ;P RECEPT.
LIGHTING FIXTURES 20 .10 D CITY TEL.NO.
ELEC.RANGES CLO.DRYERS ELECTRICIAN C XPviv,
WATER HEATERS •00 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS a
GARBAGE DISPOSERS AUTO.- CITY TEL.NO.
WASHERS STA.COOKING UNITS .28 / STATE m a C-10
LICENSE NO.
MOTORS: OVER INC. H.P.
0— I/2 .25 DIS .R C N GROU ZONE READY FOR INSPECTION
V2 — 2 .80
2 — 8 1.00 I NSPMTION RECORD
5 — 18 1.80
18 — SO 2.80
80— 200 8.00
SIGNS: NO.TRANS.
NO.LAMPS "
SERVICE 0-600V 1.00 `y
SERVICE OVER GCOV 8.00
MISC.
WIRING PERMIT 1.00. J Q
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .80'
TOTALFEE g APPROVALS
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP CA ION A DATE INSPECTOR'S SIGNATURE.
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING ,Mf
I HEREBY CERTIFY THAT I AN PROPERLY REGISTERED AND/OR
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE POWER
DESCRIBED RESIDENTI ROP TY.
SIGNATURE UTILITY CO_.NOTIFIED
OF PERMITTE
FINAL c� O
E
0 CAH ARTHUR C.yEIT.
CK
CK MO cases SUPERVISING LECTRICAL EPIf31N[3ER
LAW
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