HomeMy Public PortalAbout5470TEMPLE CITY BLVD_Electrical ""' °°4'°"` APPLICATION FOR ELECTRICAL PERMIT
fl COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB I,
BUILDING AND SAFETY DIVISION ADDRESS 5L47
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST o,
OUTLETS IEE OWNER oR
FIRM NAME
RECEPT� $
MAIL
LIGHT_ TOTAL FIRST 20 2 ADDRESS S
SWITCH
OVER 20 CITY TEL NO
PLAN CHECK
LIGHTING 1 FIRST 20 APPLICANT -
)} TOTAL ADOPESS
FIXTURES OVER 20
RESIDENTIAL APPLIANCES CITY TEL No
PERMIT
RANGE_ORYER_WTR HTR_ APPLICANT
STA COOK_OISP _F A U _ L ADDRESS
SPACE HTR AIR CONO CITY TEL NO
CLOTHES WASH DISHWASH _ k�o°r`�iUM°aER CLASS
FAN_OTHER L HERESY ACSMOWLEDSL THAT I HAVE READ THIS APPLICATION
J AMID STATE THAT THE ABOVE 10 CORRECT AND AOR[! TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS !TC HP KW KVA ELECTRICAL WIRING
SIZE S TYPE OVER TO
tUNDERSL.AB
PLBT CERTIFY THAT AM PROPERLY REGISTERED AND/OR
0 - 1 100 [0 AS REQUIRED A LOS ANGELES COUNTY AND STATE VOF
E }.
RNIA OR THAI AM THE LEGAL OWNER OI THE ABOVE S
1 - 10 300 IPED RESIDENTIAL PROPERTY
ITEE
10 - 50 300 SIGNATURE OA o n
50 - 100 1000ICT NO PR CESSED B SaG
100 - 600 1500 S--, 0 8 �t �)L i
SIGN GAS SIGN AND ONE CIRCUIT BGOAPPROVALS DATE INSPECTOR'S SIGNATURE
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 100 POWER POLE
SERVI CENOTOVER 600 VOLTS OR 200 AMP 900 SLAB WORK
SERVI CEOVER 600 VOLTS OR 200 AMP 1000 CONDUITTEMPSERVICE,POLE, &APPURTENANCES 300 GTEMP LIGHT OR RECEPT SYSTEM 300RES
POWER AUTHORIZED
• UTILITY CO NOTIFIED �J
FINAL JK-1V
PERMIT FEE (SUB TOTAL) go I NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE J�
TOTAL FEE Isr O
PLAN CHECK VALIDATION CK M 0 CASH PE M VALIDATION CK M 0 CASH
7 4 6 MAY 7 U 5.3 0 A9t
299 SACK OF APPLICATION FOR COMPLETE SCHEDULE