HomeMy Public PortalAbout5448TEMPLE CITY BLVD_Electrical TEhPLE C/Ty
70A6613 CES06 II/70 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 5448 Temple C3-ty glyd
COLEMAN W JENKINS uPI&RINT'IMHORINT OF BUIEDINO LOCA LITr
EBBBI NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO 1ACNI FE OWNER
RECEPT
$ SMAIL
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LIGHT_ TOTAL FIRST 20 ADDRESS BOX 798J
SWITCH_ 541- OVER 20 CITY TEL NO 287 0473
10 PLAN CHEC
LIGHTING TOTAL FIRST 20 25 APPLICANT
FIX10
OVER 20 ADDRESS
TURES
APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT
STA CGOK_DISP —/—F A U ADDRESS 315 S. San Gabriel Blvd
SPACE HTR AIR COND CITY gan
rahrl pj TEL NO
CLOTHES WASH DISHWASH_ LICENSE NO 251206 CLASS
FAN_OTHER 100 oO 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS CTC HP KW KVA ELECTRICAL WIRING
SIZE A TYPE OVER TO
I HERESY CERTIFY THA I AM PROPERLY REGISTERED AND/OR
0 - 1 100 LICENSED AS REQUIRED OS ANGELES COUNTY ND STATE OF
CALIFORNIA OR THAT I E LEO AL OWNER OF ND INTEND TO )-
1 - 10 Soo RESIDE IN THfi •9 VE DE ED RESIDE L PROPERTY O
10 - 50 pp0 SIGNATURE V
OF PERMITTEE L
50 - 100 IQ00 DIjj RR I_Or Np MASS
100 - 600 1500
a
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES N
Z
TUBE OR I —
MAROUEE ADDITIONAL CIRCUITS 100
SERVICENOTOVER 600 VOLTS OR 200 AMP 300 3
APPROVALS DATE INSFECTOTS SIGNATURE
SERVI CE OVER 600 VOLTS OR 200 AMP 1000
TEMP POWER POLE
TEMPSERVICE,POLE h APPURTENANCES 600
TEMP LIGHT OR RECEPT SYSTEM 300 UNDERSLAB WORK
ROUGH CONDIUT
WIRING 1
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
.261 FINAL
PERMIT ISSUING FEE 300
JOSEPH C ROONAN ,
TOTAL FEE SUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M Of CASH PERMIT VALIDATION ;SEK / �I o; CASH
L,021 5 Aw30 2 D 925-
31C DAM OF APPLICATION FOR COMPLETE SCHEDULE ' N
L r