HomeMy Public PortalAbout5810TEMPLE CITY BLVD_Electrical �• :, ;_ COUNTY OF LOO ANGELES APPLICATION FOR PERMIT
Department of County Engineer ELECTRIC
DIVISION OF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
1.
FORA PLICANT TO FILL IN DISTRICT NO. GROUP I ZONE PERMIT NO
ELECTRICIAN
qsybRE ED BY READY FOR DATE ISSUED
ADDRE 8 FIRST INSPECTION J C`
CI TEL.NO.
COUNTY LICENSE NO. Q y EXPIRES
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY \
LIGHT OUTLETS _�,� NEAREBT
RECEPTACLES 7-7
CROSS B,
WALL SWITCHES 1 L OWNER r
TOTAL OUTLETS Q Sc a MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5
I HEREBY ACKNOWLEDGE THAT 1 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
New MVO. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
'/. & REBS 15 .25 b SIGNATURE a
I/s 2 .50 PERMITTED
2 B 1.00
5 15 1.50 INSPECTION RECORD
15 50 2.50
50 200 5.00
200 BOO 10.00 J
500 1000 15.00 Q
Z
OVER 1000 20.00 3
M.G. SET/FREQ. CHANGER-HP
WELDERS-AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% of onto.)
MOVED MOTORS (75% OF 01118.)
MISC.
SIGNS
NO. NO.TRANS.
NO. NO.LAMPS APPROVALS
FOR EACH PERMITI DAVE INSPECTORPS NAME
WIRINB $1.00 (/b CONDUIT
/2 J
FIXTURES $1.00 WIRING !►i'i��l. +/' i,� __
SUPPLEMENTARY .50
FIXTURES
POWER
TOTAL
TOTAL FEE >8 / OS; UTILITY co.NOTIFIED -���Ar•;• _ i/A ��'S' T
FINAL
76A663 DBS#5A 4-52