HomeMy Public PortalAbout5801-5803-5805TEMPLE CITY BLVD_Electrical (2) 7"663 DBS SA 3-513 APPLICATION FOR PERMIT `
' DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT-NO. GROUP1 ZONE PERMIT NO.
ELECTRICIAN IP �c SC
REC.IVED-6Y ` READY FOR DATE 1861IED
ADDRESS i�-A .� / `O OFT- , 0 to (° /i.-�j ����"� / FIRST INBPECTION "-s,
�� ei b. /tip ��- w!'�• ,
CITY �N f� � _ CI" TEL.N0.�) 1.(� -`
COUNTY LICENSE NO. EXPIRES UILDING 1��
PERMIT FEES .; j !�!/. �',�®�s'�' •
NUMBER EACH FE6 LOCALITY
i
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
s
WALL SWITCHES OWNER 42 )f
TOTAL OUTLETS 5c S MAIL /
ADDRESS vi` ���r� t 6• '!` F -' a, �' C'
ELEC. RANGES 25 c
ELEC. HEATERS 25 CITY ` S `rc- TEL. NO.
FIXTURES S
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS 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 I POSSESS THE ABOVE VALID L08
NUMBER HORSEPOWERFEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW MVD. HP I OVER 1 INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
SIGNATURE OF / 6
%z 2 .SO PERMITTEE. € �• ,%
d
INSPECTION RECORD
5 iB 1.50
15 50 2.50
59 2130 B.00
200 51313 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 s
M.G. SET/FREq. CHANGER-HP lx
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% DF DRIB.)
MOVED MOTORS (75% DF DRIB.)
MISC.
s1oNs
NO. NO.TRANS. ,/� '�
NO. NO.LAMPS P` APPROVALS
FOR EACH PERMIT: DATE INBPECTOR'S NAME
WIRING $1.00 CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY ,90 FIXTURES
POWER
TOTAL FEE r, UTILITY CO.NOTIFIED ,
FINAL i •_ l.�C� }