HomeMy Public PortalAbout4816TEMPLE CITY BLVD_Electrical TGABB!-I EBW, a-gB APPLICATION FOR ELECT CAL PE IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING p
BUILDING AND SAFETY DIVISION ADDRESS 81G
JOHN A LAMBIE COUNTY ENGINEER
CrOLEMAN W JENKINS, SUPERINTSUND[NT OF BUILDING LOCALITY .11V
_
NEAReST
FOR APPLICANT TO FILL IN GROSS ST
NO EAc.
RECEPT _
a OWN ER
MAIL
LIGHT TOTAL FIRST 20 20 ADDRESS
SWITCH_ OVER 20 10 CITY TEL NO
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR _ CITY TEL NO
STA COOK_DISP F A U _ CO IJ T RAC r0R
SPACE HTR _AIR COND ADD RE S$
CLOTHES WASH _DISHWASH
CITY TEL N07-C-6—4 11
FAN—OTHER 100 LICENSE NO CLASS
MOTORSTRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
SIZE a TYPE OVER TO AMO STATE THAT THE ABOVE I! CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND !TATE LAW! REGULATING
0 - I 1 00
ELECTRICAL WIRING 1 QQ
NCRfBY CCRTIIY THAT I AMGEL ERCT REGISTERED AND/OR
1 10 3 00 LICE.f CD A! R[OU
IRE D BT L03 ANSELE! COUNTY AND OWNER OF AND INNTEND OF
CALIFORNIA OR THAT 1 1N THE TEND TO
ALEGAL
10 SO a 00 RESIDE IN THE ABOVE OEICPIfEO RfIIOE NUAL P OPERTY
SO - 100 1000A
NATURE CLPERMITTEE
too - Soo Iso O G UP ZONE P C SEBYcSIGN GAS SIGNANDONE CIRCUIT 3 00 TUBE OR MARQUEE ADDITIONAL CIRCUITS 1 00TE$ (/ ySERVICE NOT oven Goo voLrs oR zoo A/.P z o0SERVICE OVER 600 VOLTS OR 200 AMP 5 DO
TEMP SERVICE POLE 6 APPURTENANCES 3 00APPROVALS DATE INSPECTOR'S SIGNATURE
MP POWER POLE
UROUGHCONDUIT
ORK
ITPERMIT FEE (SUB TOTAL)PLAN CHECK FEE (50% PERMIT FEE) RIZEDPERMIT ISSUING FEE 200 OTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE 1 00
TOTAL FeE JO EP C ROOHAN
SUPERVISING ELECT AL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M 0 CASH
7690 M12 0 1380
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE