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HomeMy Public PortalAbout6304 TEMPLE CITY BLVD_Electrical__ ' """"e N$R 10/" APPLICATION FOR ELECTRICAL PERMIT LI ` COUNTY OF LOS ANGELES BUILDING AND SAFETY DIVISION Mpg •DEPARTMENT OF COUNTY ENGINEER ADDRESSG FOR LICANTTO FILL IN LOCALITY New Residential Bldgs 8 Po Is EACH NO FEE NEAREST ST 182 Fomily Scl Ft / �D E 025 — E WNERO Multi Iamdy Sg F 02 — FIRM NAME �— Residential Swimming Pools 2500 'AADRESS Outlets Rec Llght_Sw CITY Tel No First 20 50 PLAN CHECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 1 1 CITY Tel No Total No Additional 30 PERMIT NAPPLICA57 Fixed Appliances Not Over 1 HP ADDRESS Range—Heater—D W _ CITYTel No Oven—Dryer_W M_ LICENSE OR 6`' Top —FAU —WH — REG NUMBER Class Hood_Fan _Other_ I HEREBY ACKNOVAEDGE THAT i HAVE READ THIS APRICATION AND STATE Dnp _ Room Air Cord — 250 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE lA WS REGIAATING ELECTRICAL WIRING Power Apparatus d Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPEBY REGISTERED AND/OR LICENSED AS Up to 1 Ind 2 50 REQ IRED y LOS AO RES E ABOVE TY ANDES ARTE LO F CALIFORNIA THAT I AM Over 1 to 10 Incl 5 00THEi PIOPEM Over 10 to 50 Ind 1250 PERMITTEE C Over 50 to 100 Inc 2500 SIGNATU Over 1 DO 40 DO DIST Cr NO ROC ED B Services S�� 1 2 0 200 Amp Under 600 V 1250 201 DATE SIP E 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 6DO V 5000 TEMP POWER POLE Temp Power Pole 8 Appurtenorces 1000 UNDERSLAB WORK Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits 200 WIRING Misc Conduits&Conductors 1000 FIXTURES Other(See Complete Fee Schedule, POWER AUTHORIZED UTILITY CO NOTIFIED FINAL PERMIT FEE (Sub Total) NOTES PLAN CHECKING FEE One Fourth Permit Fee, PERMIT ISSUING FEE $7 00 V7 p TOTAL FEE .3 •70 PLAN CHECK VALIDATION CK M O CASH PERM VALIDATIONM O CASH 1 3 2 CK JUN 22 2 U 8.7 0 •so SEE BACK OP APPLICATION FOR COMPLETE SCHEDULE