HomeMy Public PortalAbout5746-5748TEMPLE CITY BLVD_Electrical (2) COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer �� �
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
AFU%C
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
/p/
ELECTRICIAN S•� ' `f i `
RECEIVED H READY FOR PAX HBUE
ADDRESS }, ' "Li! . ' : .% �_�' j FIRST INSPECTION L
CITY j ,1, I. TEL.NO.
COUNTY LICENSE NO. I.�'i�� EXPIRES BUILDING
PERMIT FEES ADDRESS!6
NU'ABER EACH FEE LOCAL TY� lF
LIGHT OUTLETS L NEARE C
J,e/G r� ^Y f'/1
RECEPTACLES Sl `� CR089 ST. 7 - �J /_ Is 7j
If
WALL SWITCHES OWNER '�.•s;.'
TOTAL OUTLETS5c MAIL
ELEC. RANGES 25 ADDRESS __J ELEC. HEATERS 25 CITY TEL. NO.
FIXTUREB ��;; S
I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MIBC. APPLICATION AND STATE THAT THE ABOVE 19 CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MvD. HP OVER INC. MACH OF' THE RESIDENTI L PR13PERTY DESCRIBED ABOVE.
%z u LEBB 10 .25 _�l '' SIGNATURE OF
`1
_ I/2 2 .50 PERMITTEE ! �----
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 SO 2.50
50 200 5.00
2013 5013 10.130 J
SOO 1000 15.00 a
Z
OVER I DOO 20.00 19
M.G. HET/FREQ. CHANGER-HP Q'
WELDERH:AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA _
TEMP. MOTORS (75% DF DR1G•)_^
MOVED MOTORS (75% OF DRIB.)
M ISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. ND.LAMPS _
FOR EACH PERMIT.' DATE INSPECTOR'S NAME_
WIRING 101.00 CONDUIT
,
FIXTURES 01.00 /-� ;q WIRING /
SUPPLEMENTARY
FIXTURES li• / ♦ - •._
.50 -
POWER
TOTAL FEE l9 <� i UTILITY CC.NOTIFIED /f• '9 y
FINAL (-i' 1. :� 's�: �•,r
TSAS33 DBS#5A 4-52