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