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