Loading...
HomeMy Public PortalAbout6227 TEMPLE CITY BLVD_Electrical__ I?e7 c c" 7 p 76A663-CEB06 "8 APPLICATION FOR ELECTRICAL P4MIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS e JOHN A. LAMBIE, COUNTY ENGINEER COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY e C FOR APPLICANT TO FILL IN NEAREST CROSS ST. NO. EACH FEE I s s OWNER RECEPT._ MAIL LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY TEL. NO. PLAN CHECK LIGHTING TOTAL FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 ADDRESS RANGE—DRYER—WTR.HTR._ CITY TEL. NO. a STA.COOK_DISP.—F.A.U._ CONTRACTOR SPACE HTR. AIR COND. ADDRESS CLOTHES WASH._DISHWASH._ CITY F EL. NO. FAN—OTHER 1.00 LICENSE IJO. CLASS. MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I 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 — 1.00 (ELECTRICAL WIRING. 1 I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 — 10 3.00 LICENSED AS REQUIRED BY LOS ANGELEJS GOUNTY AND STATE-OF CALIFORNIA OR THAT ;&g VE E O ER OF, AND INTEND TO 10 — 50 5.00 PRESIDE IN, THE ED ESIDEN L PROPERTY. C V 50 - 100 10.00 SIGNATURE OF PERMITTEE 100 - 500 15.00 V DIS.�IC,TALO. GROUP ZrE PROCESSED BY TUBE, A SIGN AND ONE CIRCUIT 3.00 Q� �L z MARQUEE [ADDITIONAL CIRCUITS 1.00 .NOTES: SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 if SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE. &APPURTENA GES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED oa PERMIT ISSUING FEE 2.00 d(9 UTILITY CO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL TOTAL FEE ed JOSEPH C. ROOHAN SUPERVISING ELE ICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH .99-66Q! MAY 14 ?, a 4,Q 0' SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE