HomeMy Public PortalAbout5611TEMPLE CITY BLVD_Electrical 76Aae3-ceeae 1/70 APPLICATION FOR ELECTRICAL PERMIT y
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER OMAIL
BUILDING AND SAFETY DIVISIONe
JOHN A LAMBIE COUNTY ENGINKIER COLEMAN W. JENKINS I N CH _
POR APPLICANT TO FILL IN e!574L Alf'OUTLETS FES S RECEPT
LIGHT_ TOTAL
FIRST 20 20 ADDRESS L
SWITCH_ OVER 20IU CITY TEL NO -�
PLAN CHECK
LIGHTING l TOTAL FIRST 20 20 APPLICANT
FIXTURES 10
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OVER 20 ADDRESS
APPLIANCES CITY TEL NO
RANGE_DRYER_WTR HTR— PERMIT
APPLICANT 1257 /✓ C �L
19
STA COOK_DISP _F A U _ ADDRESS 83' /
SPACE HTR AIR COND CITY EP " TEL NO 3
CLOTHES WASH DISHWASH LICENSE NO CLASS G/Q
FAN OTHER 100 1 HEREBY ACKNOWLEDOE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
MOTORSTRANSFORM ERB RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND NEATER$ ETC HP KW MVA ELECTRICAL WIRIXO
SIZE & TYPE OVER TO
I HEREBY CERTIFY R THAT I AM PROPERLY RlOISTlRlD AND/OR
Q - 1 100 LICE HS EO AS REQUIRED NOEL[$ COUNTY AND !TATE OF
CALIFDRXIA OR THAT I 04 XER 0 AMO INTEND
TO
1 — 10 SW RESIDE IN THE A 66666 PI C RESIU (TIAL PROPERTY
lij
SIGNATURE G.
10 - 50 500 OF PERMITTE r`- 0
50 - 100 1000 DISTRICTNO CLASS GROUP 20 II ED SY At
100 - 500 1000 SDLr�O'
SIGN, GAS SIGN AND ONE CIRCUIT 300 NOTES
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS IDG ?
SERVICE NOT OVER 600 VOLTS OR 200 AMP 200 06
SERVICEOVER600 VOLTS OR200AMP aDO rtFIXTURES
APPROVALS DATE INSPECTOWS 3IGHATURE
P POWER POLE
TEMPSERVICE,POLE, &APPURTENANCES SOO
ERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
GH CONDIUT
ING
PERMIT FEE (SUB TOTAL)
ER AUTHORI ZED
PLAN CHECK FEE (50%. PERMIT FEE) IR -7LITY CO NOTIFIEDPERMIT ISSUING FEE 200 O AL
SUPPLEMENTARY PERMIT ISSUING FEE 100
JOSEPH C ROOHAN
TOTAL FEE F SUPERVISINGqCK
CAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION M o CASH
..«. 20079 "19 2 0 625" q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE