HomeMy Public PortalAbout5732-5734TEMPLE CITY BLVD_Electrical (2) COUNTY OF LOS ANGELES -' APPLICATION FOR PERM
DEPARTMENT OF COUNTY ENGINEER ELECTRIC
DIVISION OF BUILDING& SAFETY
WILLIAM 1. FOX, COUNTY ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN / (1.Ag., :5— 4 9 110
ADDRESS ,,J.P.dl.. ' ECEIVED BY READY FOR DATE ISSUED
c FIRST INSPECTION
CITY TEL. NO. s!J S' L E
COUNTY LICENSE NO. 114 EXPIRES " `II
PERMIT FEES ADDRESS
FEE (✓
' NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS T /L� ( •
WALL SWITCHES 1 OWNER
TOTAL OUTLETS . BO S I V
MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 2s
FIXTURES S CITY TEL. NO.
MISC. I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF LIGHT CIRCUITS APPLICATION AND STATE THAT THE ABOVE IS CORRECT
AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITSAND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
qp a LESS S .25 SIGNATURE OF ^ �
Ih 2 .50 PERMITTE
2 s 1.00 INSPECTION RECORD
s Is 1.50
is s0 2.50
so 200 5.00
200 soo 10.00 A
soo 1000 15.00 0 2
OVER 1000 20.00 � ^
M.G. SET/FREQ. CHANGER-HP / ) / Q'
WELDERS. AC-KVA L
GENERATORS-KW r
" r 1
TRANSFORMERS-KVA !f
TEMP. MOTORS (75% OF ORICI.) j{
MOVED MOTORS (75% OF ORIG.)
MISC.
SIGNS
NO. NO. TRANS. APPROVALS
NO. NO. LAMPS
FOR EACH PERMIT: / DATE INSPECTOR'S NAME
WIRING $1.00 ( Q CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,50 FIXTURES
POWER .
TOTAL FEE $ 6 f UTILITY CO. NOTIFIED IL
FINAL ,,/lam
76A 663 014-51S# BA. 4-S ' " 11 -