HomeMy Public PortalAbout5812-5814TEMPLE CITY BLVD_Electrical ✓ COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY �� 1
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN 1 Z 2��1�`
RECEIVED B READY FOR DAT ISSUED
ADDRESS ID G/%� ✓ ��-'/+ FIRST INSPECTION
CITY TEL.NO. C•f !/ ,/ 7
COUNTY LICENSE NO. EXPIRES BUILDING
PERMIT FE9S ADDRESS T •
NUMBER EACH FEE LOCALITY 1
LIGHT OUTLETS !t NEAREST
RECEPTACLES ice° CROBS ST. �J
WALL SWITCHES O OWNER
TOTAL OUTLETS 5c S D MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES / S 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB 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 LOS
NUMBER HORSEPOWER FEE .ANGELES COUNTY LICENSE. OR I AM THE LEGAL OWNER
New MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY SCRIBED ABOVE.
%2 s LEBB S .23 SIGNATURE O
%2 2 .50 PERMITTEE
z s 1.00 INSPECTION RECORD
5 1s 1.513
1's SO 2.50
50 200 5.00
_ 200 50o 10.00 J
500 1000 15.00 Z
OVER 1000 20.00 S
M.G. SET/FREI3. CHANGER-HP
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORIB-)
MOVED MOTORS (79% DF ORIS.)
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. ND.LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING 01.00 00 CONDUIT � r
FIXTURES 01,013 y V WIRING LO
SUPPLEMENTARY ,50 FIXTURES
POWER re
TOTAL FEE S UTILITY CO.NOTIFIED / �'I g
r+-
FINAL
76A663 DBS#SA 2-53