HomeMy Public PortalAbout5438TEMPLE CITY BLVD_Electrical 76^A DOE sA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ��������
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. CROUP I ZONE PERMIT NO.
ELECTRICIANO .r
DDRESS /�' RECEIVED BY SFOR DAT[ IBSUCD
V 7�LA✓bLL `d N�
FIRST
INS INSPECTION
A
CITY ✓ T[L. NO ! �_
COUNTY LICENSE NO 7O EXPIRES .r ADDRESS
PERMIT FEES G�
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEAREST �
RccerrwcLEe
DROSS BT .(77I d
WALL SWITCHES 7' ti OWNER
TOTAL OUTLETS SD MAIL / ,./ // n
CLEC RANGES 28 ADDRE08 .1 .�6 /�/�-P/(.E_
ELEC HEATERS 25 f
CITY FC�F K /` TEL. NO
FIXTURES B I HEREBY ACKNOWLED E THAT I HAVE READ THIS
MIBC APPLICATION AND STATE THAT THE ABOVE IS CORRECT 44
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER of RECEPTACLE CIRCUITS I AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMC[R HORSEPOWER FEE ANGELES COUNTY LICENSE OR 1 AM THE LEGAL OWNER i
MVD HP OV[R INC EACH OF THE RESIDENTIAL PROPERTY DESCRIBED SOV[
Yea "an * 25 SIGNATURE OF
yx 1 so PERMITT[
a s 1 Go INSPECTION RECORD
s is 1 50
is so 250
_
so 2010 Sao
_ 200 SOO TOOO -i
SOD I DOD 1500 Q
Z �I
OVER 1000 2000 � \
M G BET FRED CHANGER-HP I \
WELDERS AO-KVA O
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP MOTORS (75% Or GRID)
MOVED MOTORS 479 or Own)
SIGNS APPROVALS
.r �� n
NO Nl NO TRANS. APPROVALS
NO No LAMPS
FOR EACH PE*MITi I DAT[ INSPECTORS NAM[
WIRING Sl 00 CONDUIT
FIXTURES *100 WIRING
SUPPLEMENTARY \ so FIXTURES
OWER
TOTAL FEE ' UrILITYOO NOTIFIED
FINAL ✓ 7