HomeMy Public PortalAbout5460 TEMPLE CITY BLVD_Electrical (2) 76A663 CE308 10/72 APPLICATION FOR ELECTRICAL P IT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS Q £ C E+`
LOCALITY M C
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS 0 EACH PE FIRMEN0 E A P £
RECEPT $ $ MAIL
FIRST 20 25
SWITCH_ OVER 20 1p ADDRESS O L V'
LIGHT
_ TOTAL n
CITY l CL TEL NO .9 QP -786
PLANCNE _
FIRST 20 25 APPLICANT
LIGHTING TOTAL
FI%TURES 10
OVER 20 ADDRESS
RESIDENTIAL APPLIANCES CITY TEL
PEIT
RANGE_ORY ER WTR HTR_ PRNI
STA COOK_DISP _F A U _ ADDRESS i
SPACE HTR AIR CONO CITY TEL NO
CLOTHES WASH OISHWASH _ LICENSE OR CLASS
REG NUMBER
FAN_OTHER 100O HEREIN ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION n
AND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REOULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 — 1 100 LICENSCD AS RfTBY LOS ANGELEGELSS COUNTY AND STATE OF
CALIFORNIA OR THAI HAI I AM TMC LE GAL OWNER Of THE ABOVE
1 — 10 300 DESCPIPED RESIDE TIAL PROPERTY OO
PERMITEE U
10 - 50 900 SIGNATURE C
FOy.....
50 - 100 1000 DISTRICT NO PROC SED U
W
100 - 500 1500y
Z
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS . , DATE TOR'3 SNNMT1110!
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE
SERVICENOT OVER 600 VOLTSOR 200AMP 300 UNDERSLAB WORK
SERVICEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT
TEMPSERVICE POLE 8 APPURTENANCES 500 WIRING 77
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL - L 1i //✓ice
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE 300 (f0
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION cK M G CASH
6 0 6 A JUN 19 2 D 44.0 0 °98
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE /