HomeMy Public PortalAbout6310 TEMPLE CITY BLVD_Electrical__ L
""""` P"" '°"' APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING ANDSAFETY DIVISION ADDRESS 0
FOR APPLICANTTO FILL IN LOCALITY
New Residential Bldgs 8� ols� EACH NO E FEE NEAR ST
T
182 Family Sq Ft� E WNER
OR
Multi family Sol Ft 02 — FIRM NAME
Residential Swimming Pools 2500 MAIL
ADDRESS
Outlets Rec Light_Sw CITY Tel No
First 20 50 PLAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Total No Additional 30 PPRMIT
Fixed Appliances Not Over I HP ADDRESS 71
Range_Heater_D W _ CITY Q Tel
Oven_Dryer—W M_ LICENSE OR
Top _FAU —WH — REG NUMBER / / JLI�
Hood Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APP
Disp Room Air Cond 250 THAT THE ABOVE 15 CORRECT AND AGREE TO COMFIT WITH
ANCES AND STATE LAWS REGULATING FIECTRICAL WIRING
Power Apparatus 8 Large Appliances
Size&Type HP KW KVA or KVAR 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED A
2 5D REGu1RED By LOS ANGELES COUNTY AND STATE OF CAUFORNIA OR THAT I AM
Up to 1 Ind THE LEGAL OWNER OF THE ABOVE DSCRIBED RESIDENT01 PROPERTY
Over 1 to 10 Incl 500
Over 10 to 50 Intl 1250 PERMITTEE
Over 50 to 100 Inc 2500 SIGNATOR
Over 100 4000 DIS NO ED BY
Services
0 200 Amp Under 600V 1250 APPROVALS DATE IG
NKTOURE
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pale 8 Appunenarces 1000
Sign1000 ROUGH CONDUIT
Add with One Branch T Circ
Additional Sign Branch Circuits 200 WIRINGts
Mrsc Condwts&Conductors 1000 FIXTURES
Other IS"Complete Fee Schedule) POWERAUTHORIZED
UTILITYCO NOTIFIED O
FINAL
PERMIT FEE (Sub Total) NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE E7 00
TOTAL FEE AY76
PIAN CHECK VALIDATION CK M O CASH PEOW VALIDATOR • N CRt M O CASH
C • • • Ab
•O • •, • O
1 W CA • O
I, CO 00 • P
SEE RACK OF APPLICATION FOR COMPLETE SCHEDULE DO --4 • N
W O O N D
CH