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HomeMy Public PortalAbout6316 TEMPLE CITY BLVD_Electrical__ """' " °""°" APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES pg J L DEPARTMENT OF COUNTY ENGINEER �DDRESS J BUILDING AND F DIVISION FORAPPLICANTTO ILLIN LOCALITY LE C New Residential Bldgs 6 Pools EACH NO FEE NEARESTST G^ G I S 2 Family Sq Ft S 025 — S MAT O Multi family Sq Ft 02 — FIRM NAME Residential Swimming Pools 2500 MAIL � �J ADDRESS Outlets Rec Lght_Sw CITY / Tel No 11 �3 First 20 50 PLANCHECK Total No Additional 30 APPLICANT ADDRESS Lighting Futures First 20 50 CITY Tel No Total No — APPLICANT Additional30 PERMIT Fixed Appliances Not Over 1 HP ADDRESS Q Range—Heater—D W _ CITY ---ref No Oven—Dryer_W M_ LICENSE OR Top —FAU _WH _ REG NUMBER Closs Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE Dlsp _ Roam Air Cond — 250 THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORION ANCES AND STATE LAWS REGULATING ELECTRIUI WIRING Power Apparatus&Large Appliances Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS REDUp tai Incl 250 THE LtEGAL OWNEROFRED By LOS GELES LHE ABO E DESCRIBED RESINTY AND STATE�iAIIFORNI�THAT IAM Over I to 10 Incl 500 Over 10 to 50 Incl 12 50 PERMITTEE o Over 50 to 100 Inc 2500 SIGNAT Over 100 4000 DISTRICT NO P ED �-- o Services z ��.11��pp��T pp 0 200 Amp Under 600 V 1250 APPROVALS DAT ISIGNATORE 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE UNDERSLAB WORK Temp Power Pole 8 Appunenarces 1000 Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits200 WIRING Mise Conduns S Conductors 1000 FIXTURES Other(See Complete Fee Schedule) POWER AUTHORIZED UTILITY CO NOTIFIED FINAL ,JQ PERMIT FEE (Sub Total) A/ 0-0 NOTES PLAN CHECKING FEE (One Fourth Permit Feet PERMIT ISSUING FEE $700 TOTAL FEE PLAN CHECK VALIDATION CK M0 CASH PERMIT VAUDATION CK MO CASH W Z i�? 5 5 10 39M 22 2 1 A96 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE """"`°"R '°"' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES ,1pg x DEPARTMENT OF COUNTY ENGINEER ADDRESS 3 BUILDINGANDS DIVISION FORAPPLICANTTO FILLIN LOCALITY New Residential Bldgs b Pools EACH NO FEE NEAREST �E~/ 1 &2 Family Sg ST Ft a. (o Y $ 025 — E WNE OR Multi family Sg F 02 — FIRMNAME Residential Swimming Pools 2500 AD MAIDRESS LOutlets Rec Light—Sw CITY Tel No First 20 50 PLAN HECK Total No Additional 30 APPLICANT ADDRESS Lighting Fixtures First 20 50 CITY Tel No Total No Additional 30 PERMITAPPLICAN Fixed Appliances Not Over 1 HP ADDRESS A_ Range—Heater_DW _ CITY Q Tel No Oven _Dryer—W M_ LICENSE OR Top —FAU —WH — REG NUMBER Gass Hood_Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APRICATION AND STATE DISP — Room Air Cond — 250 THAT THE ABOVE 6 CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDIN ANCES AND STATE LAWS REGULATING ELECTRICAL WIRING Power Apparatus 6 Large Appliances Size 3 Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDIM LICENSED AS 2 50 REQUIRED BY LOS ANGLES COUNTY AND STATE OF CALIEdeRIA OR THAT 1 AM Up to 1 Incl THE LEGAL OWNEROF THE ABOVE DESCRIBED RESIDENTIAL PROPERTY Over 1 to 10 Incl 5 00 Over 10 to 50 Incl 1250 PERMITTEE tC Over 50 to 100 Inc 2500 SIG AT Over 100 4000 DISTWT NO �. D BY Services fJ6 0 200 Amp Under 600V 1250 APPROVALS DATE ISIGNATOORE 201 1000 Amp Under 600 V 2500 Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE Temp Power Pale 6 Appunenarces 1000 UNDERSLAB WORK Sign with One Branch Circuit 1000 ROUGH CONDUIT Additional Sign Branch Circuits 200 WIRING Misc Conduih&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 Feel PERMIT ISSUING FEE $700 7p TOTAL FEE O 7d PLAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION CK M O CASH 1 W ti o N SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE