HomeMy Public PortalAbout4430TEMPLE CITY BLVD_Electrical 7Mee-i Pm eA n-ea APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ELECTRIC
COIINTY OFF LOS LOS ANGELES
WILLIAM J. FOX. CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRF�_NO. GROUP ZONE I PERMff NO.
ELECTRICIAN / / /ZG
RECEIVED BY READY OR DATE ISSUED
ADDRESS FIRST INSPECTION
CITY �t T L NO �S ��'
COUNTY LICENSE NO V EXPIRES ILDIN13 2/1
PERMIT FEES wooncBS V v
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES S CROSS ST.
17- WALL SWITCHES A OWNER I/
TOTAL OUTLETS Sc 5 MAIL
_ ELEC RANDEB 25 ADDRESS
ELEC HEATERS 26 T
I / O CITY TfiL NO
FIXTURES
1 HEREBY ACKNOWLEDOE THAT I HAVE READ THIS
/ MIBC APPLICATION AND STATE THAT THE ABOVE IS CORRECT
�O NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NuMeER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
N[w Mw HP Dv[R Iwe [AGS
OF THE RESIDENTIAL PRKOP^/ERTY DESCRIBED ABOVE
e Ir.e S 23 SIGNATURE OF C
I 2 50 PERMIT-rr ♦♦♦ IVU (A
2 e ion INSPECTION RECORD
S 15 1 50
15 50 250 _
50 200 Sao _
2OO 500 lO DO J
500 lam 1500 Q
Z
OVER 1000 2000 Q
M O BET FRED CHANOER-HP G
WELDERS-AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (73% Or DRID)
MOVED MOTORS (75 Or GRID)
MIBC
SIGNS
NO NO TRANS. APPROVALS
NO NO LAMPS
FOR EACH PERMIT DAT[ INSPECTORIB NAM[
WIRING $I D0 leiC CONDUIT tc
FIXTURES Yl 00 WIRING /�yI
SUPPLEMENTARY 60 FIXTURES —�U F,Y^/
POWER
TOTAL FEEB 1 U UTILITY CO NOTIFIED - 1 u-,1'✓ '�Y^r
FINAL /