HomeMy Public PortalAbout4335TEMPLE CITY BLVD_Electrical (2) 7BA553-CES05 4{68 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE 0OUNTY ENGINIER T
COLEMAN W JENKINS, SUFI INTINGINT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS STL i'O/
RECEPT_ 5 OWNER ♦. 4
MAIL
LIGHT_ TOTAL FIRST 20T20
AODR ESS
SWITCH__ OVER 20 CITU TEL NO
PLAN CHECK
JLIGHTING TOTAL FIRST 20 APPLICANT
FI%TURES OVER 20 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U _ CONTRAC rO
SPACE HTR _AIR COND _ ADDRESS 3 c I.
CLOTHES WASH _DISHWASH CITY 1 TEL N
04
FAN—OTHER 1 00 LICENSE NO Z7'70,PCLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE IN TYPE OVER TO AMO STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND !TATE LAW! REGULATING
17 1 D - I I DO ELECTRICAL WIRING ..
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED ANO/ON
/L - 10 3 00 0 0 LICENSED A5 REQUIRED BY LO! ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
- SD 5 DD O O RESIDE IM THE ApOV D[f CRIFED RESIDENTIAL PROPERTY O
U
1.1 SIGNATURE
YV - 100 10 00 OF PERMITTEE CD
100 - Soo ` I5 DO ~
DIST T NO GROUP Z NE PROCESSED BY w
SIGN GAS
TUBE OR 51 GN AND ONE CIRCUIT J 00 •0 -L C¢ /M a�C N
Z_
MARQUEE [ADDITIONAL TIONAL CIRCUITS 100
NOTES
!EMI CE NOT OVER GOO VOLTS OR 200 AMP 2 00
SERVICE OVER S00 VOLTS OR 200 AMP 600
TEMP SERVICE POLE B APPURTENANCES 9 00 APPROVALS OAT! Dip PECTORb SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTALI
WIRING
FIXTURES'
PLAN CHECK FEE (SO% PERMIT FEE)
^ POWER AUTHORIZED
PERMIT ISSUING FEE 2100 V VL D UTILITY CO NOTIFIED '
1 4---.
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL
TOTAL FEE 10 ,00 JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATIO CK M o CASH
Ms 0 0 4IFZ +14 2 0 1 0.00
IEE MACK OF APPLICATION FOR COMPLETE FEE SCHEDULE