HomeMy Public PortalAbout4851TEMPLE CITY BLVD_Electrical •
76ne63`cE8Oh I I,'/D - APPLI ATION FOR ELECTRICAL PERMIT LI
COUNTY OF LOS ANGELES O
DEPARTMENT OF COUNTY ENGINEER rDoaess
BUILDING AND SAFETY DIVISION
COLEMAN W JENKINS u NO N OF OCALITY
NEAREST E'/T��uG�,
FOR APPLICANT TO TILL IN CROSS ST J t /lam
OUTLETS H FEC
S $
OWNER
RECEPT_ MAIL p
LIGHT_ TOTAL FIRST 20 ADDRESS
OVER20 I CITY EL NO
SWITCH_ 10 PLAN CHECK
LIGHTING TOTAL FIRST 20 . 25 APPLICANT
FIXTURES IO
OVER 20 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE
_DRYER_WTR HTR_ APPLICANT /G
STA COOK__-ISP_F A U _ ADDRESS Q
SPACE HTR AIR GOND CITY EL NO
CLOTHES WASH DISHWASH_ LICENSE NO / CLASS
FAN—OTHER 100 I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE I! CORRECT AND ABR[[ TO COMPLY
MOTORS TRANSFORMER! RATING WITH ALL COUNTY ORDINANCES AND !TATE LAWS REGULATING
INDHEATERS ETC HP KW KYA ELECTRICAL WIRING
S 12E S TYPE OVER TO
IHEREBY CERTIFY THAT I AM PROPERLY REa1STERED AND/OR
Q _ I 100 LICENSED AS
glOU IgED BY LO! ANGELES COUNTY AND STATE OF
CALIFOg.'A OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
I — 10 900 RESIDE IN THE ABOVE DESCRIBED RESIDENTI PROPERTY O
10 — 50 600JER
ATURE V
ERMITTEE _ K
50 — 100 1000ICTNO CLA31 ZONE v ED BY G
100 - 500 IBM
SIGN GAS SIGN AND ONE CIRCUIT 500ES N
Z
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100
SERVI CENOTOVER 600 VOLTS OR 200AMP 300
APPROVALS DATE IMNECtOR'B SIIXMTURC
SERVICE OVER 600 VOLTS OR 200 AMP 1000
POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500 -
RSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
H CONDI UT
NG URES R AUTHORIZEDPERMIT FEE (SUB TOTAL) ITY CO NOTIFIEDPLAN CHECK FEE
L PERMIT ISSUING FEE 300JOSEPH C ROOHAN
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M 0 CASH
LAW n55ON 31 2 D 6.00-
599 BACK OF APPLICATION FOR COMPLETE SCHEDULE