HomeMy Public PortalAbout6326-6328 TEMPLE CITY BLVD_Electrical__ I- I
7'"" Cie '°GR 101" APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES J�ppg
DEPARTMENT OF COUNTY ENGINEER ADDRESS
+ BUILDING AND SAFE DIVISION
FOR APPLICANTTO FILL IN LOCALITY
New Residential Bldgs &Pools EACH NO FEE NEAREST
1 &2 Family Sq Ft a'I. .S 3 $ 025 — $ CROSS sT
WNER OR
Multi family Sq FI 02 — OFIRMNAME �+�—/
Residential Swimming Pools. 2500 MAIL
ADDRESS
Outlets Rec Lght_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 Addrtwnal 30 PERAPPLMIT V
Fixed Appliances Not Over 1 HP ADDRESS N
Range_Heater_D W _ CITY Tel
Oven_Dryer_W M_ LICENSE OR
Top _FAU —WH — REG NUMBER / Class
Hood—Fan _Other— IHE
Dap _ Room Au COnd 2REBv ACI(NOWLEDGE THAI HAVE READ THIS APPIICAiION AND STATE
THAT THE ABOVE IS CORRECT AND AGREE TO COMRY WITH ALL COUNTY ORDIN
ANCES AND STATE LAWS REGIAATING RECTRICAJ.WIRING
Power Apparatus&Large Appliances
Size&Type HP KW KVA or KVAR I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND+OR LICENSED AS
2 5O REQUIRED BY LOS ANGELES COUNTY AND STATE OF C IFORNIA OR THAT I AM
Up t0 1 Ind THE LEGAL ER Of THE ABOVE DESCRIBE IDENIIM PROPERTY
Over 1 to 10 Incl 500
Over 10 to 50 Ind 1250 PERMITTEE
Over 50 to 100 Inc 2500 $1GNA
Over 100 4000 DIS ICT NO _ €D BY
Services �. 000
Z
0 200 Amp Under 600 V 1250 APPROVALS DATE ISIGNATOURE
201 1000 Amp Under 600 V 2500
Over 1000 Amp or Over 600 V 5000 TEMP POWER POLE
UNDERSLAB WORK
Temp Power Pole 8 Appurtenorces 7 000
Sign with One Branch Circuit 7000 ROUGH CONDUIT
Additional Sign Branch Circuits
200 lwigiruun.
Misc Conduits d Conductors 1000 FIXTURES
Other(See Complete Fee Schedule) POWER ALJTFIORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE Sub Total) NOTES
PLAN CHECKING FEE One Fourth Permit Feel
PERMIT ISSUING FEE $700
TOTAL FEE 0,')44CZ • ro
MN CiIECK VALIDATION CK M O CASH PFiA1R VALIDATI •jfl MO CASH
v v • O
1` P L� • P
V P • 0•
OD O O N 3--
SEE
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE CH