HomeMy Public PortalAbout6320 TEMPLE CITY BLVD_Electrical__ ►"_""' CC SIHIR '°"' APPLICATION FOR ELECTRICAL PERMIT SLI
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISIONADDRESS J s
FOR APPLICANT TO P ILL IN LOCALITY
New Residentiol Bldgs 8 P I EACH NO FEE N R
182 Family Sg F � � Y S 025 — $ ROSS ST /✓
OWNER OR
Multifamily Sq F 02 — FIRM NAME
Residential Swimming Pools 2500 MAIL
ADDRESS
Outlets Rec Ltght_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 PERMIT
Fixed Appliances Not Over 1 HP ADDRESS
Range—Heater—D W _ CITY Tel
Oven _Dryer_W M_ LICENSE OR
Top —FAU —WH — REG NUMBER -f-57-/ Closs
Hood—Fan _Other_ I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APRICATKIN AND STATE
DISP _ Room AIr Cond 250 THAT THE ABOVE 6 CORRECT AND AGREE 10 COMPLY WITH ALL CiouNRY ORCIN
ANCES AND STATE LAWS REG WTING RECTRIC LL W11111413
Power Apparatus&Large Appliances
Size 8 Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY R STERED AND/OR LICENSED AS
REOURED BY LOS ANGELES CIX TY AND STATE OF CNIFORAIA OR THAT I AM
Up t0 1 Intl 2 THE LEGAL O OF THE ABOVE DESCRIBED DENTIA)PROPERTY p
Over 1 to 10 Incl 500 C.1
Over 10 to 50 Incl 1250 PERAUTTEE o
Over 50 to 1 GO Inc 2500 SIGTJAT
Over 100 4000JJV -7
DI ICT NO E D BY
z
Services6 . E�
ar
0 200 Amp Under 600 V 1250APPROVALS DATE it,
P ATOURE
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V `50 00TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole S Appurtenorces 1000
1000ROUGH CONDUIT
Sign with One Branch Circuit 2 00
Additional Sign Branch Circuits WIRING
Mrsc Conduits S Conduaars 1000FIXTURES
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 TOTALFEE
PIAN CHECK VALIDATION CK M O CASH PERMIT VALIDATION • ro Ck M O CASH
Q • • • Na
'0 • •I • O
W CH • O
11 DD PD • P
SE E BACK OF APPLICATION FOR COMPLETE SCHEDULE Do o ) • F
OD O O N :c-
CH
CH