HomeMy Public PortalAbout6322-6324 TEMPLE CITY BLVD_Electrical__ ""°" "°°'" '°'»
t. APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER .�QB�E�
BUILDINGAND SAFETY DIVISION nA
FOR APPLICANT TO FILL IN LOCALITY
New Residential Bldgs 3 Is EACH NO NEARE51
132 Family Sq FtST� 3 $ 025 — $ OWNEROR +
Multi family Sq F 02 — FIRM NAME A:
Residential Swimming Pools 2500 MAIL
ADDRESS
Outlets Rec Light—Sw CITY Tel No
First 20 50 PIAN CHECK
Total No Additional 30 APPLICANT
ADDRESS
Lighting Fixtures First 20 50 CITY Tel No
Total No Additional 30 PE
PRMIT
Fixed Appliances Not Over 1 HP ADDRESS 2
Range—Hewer_D W — CITY �T Tel $Zf&4
Oven —Dryer—W M_ LICENSE O
Top —FAU —WH — REG NUMBER
Hood—Fan —Other— I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND 57ATE
Dnp _ Room Air Cond 250 THAT THE ABOVE IS CORRECT AND AGREE 10 COMPLY WITH AU COUNTY ORDIN
ANCE5 AND STATE LAWS REGULATING ELECTRICAL WIWNG
Power Apparatus 3 Large Appliances
Size 3 Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR LICENSED AS
2 50 REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFOIMIA OR THAI I AM
Up t0 1 Incl THE IEGAI OW=ABOVE REL IAl PROPERTY O
Over 1 to 10 Incl 500 U
Over 10 to 50 Incl 1250 PERMITTEE
Over 50 to 100 Inc 2500 SIGNATUR
fv
Over 100 4000 DISIP6 NOED BY
Services
0 200 Amp Under 600V 1250 APPROVALSr DATE I
INSPEATCTORS
201 1000 Amp Under 600 V 25 DO SIGNRE
Over 1000 Amp or Over 600V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole 3 Appurtenorces 1000
Sign with One Branch Circuit 1000 ROUGH CONDUIT 1-0
Additional Sign Branch Circuits 200 WIRING
Misc Conduits 3 Conductors 1000 FIXTURES
Other(See Complete Fee Schedule) POWER AUTHORIZED
1UTILITYCO NOTIFIED
FINAL
PERMIT FEE (Sub Twoll NOTES
PLAN CHECKING FEE (One Fourth Permit Feel
PERMIT ISSUING FEE $700
TOTAL FEE 70 -/01
PLAN CHECK VAUDATION CK M O CASH PERMIT VAUDATION C M O CASH
a • • O
J J • O
Q O • P
Tz, L- • Cls
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE O O N D
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