HomeMy Public PortalAbout5827-5827 1/2-5729TEMPLE CITY BLVD_Electrical (2) COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County Engineer
DIVISION OF BUILDING & SAFETY ��
WILLIAM J. FOX, County Engineer
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO,
65
ELECTRICIAN A-
1/ , RECEIVED BY READY FOR DAT
�jE ISBU D
ADDRESS p /j_ J fA 7 /J u L . �) - j FIRST INSPECTION
CITY B b� &2 .c- /C TEL NO.A r/leJ_%V
COUNTY LICENSE NO. O EXPIRES 4Z&1f_j BUILDING
PERMIT FEES ADDRESS 7—.2712- 9c a-/f ���/e c
NUMBER EACH FEE LOCALITY / -Lo w.14 le
LIGHT OUTLETS NEAREST
CROSS ST. �l $
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS Sc B MAIL
ELEC. RANGES S5 ADDRESS
ELEC. HEATERS 28 CITY TEL. NO.
FIXTURES S
1 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
NumsER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR I AIN THE LEGAL OWNER
NEW MVD. HP OVER INC. EACN OF THE RESIDENTIAL PROPERTY DESCRIB ABOVE.
%2 A LESS 111 .25 SIGNATURE OF
I/2 a .s0 PERMITTEE /
2 B 1.130 INSPECTION RECORD
5 1s 1.50
is so 2.50
so 200 5.00
200 SOO 10.00 J
S00 10130 15.00 Q
z
OVER 1000 20.00 E
M.G. SET/FREQ. CHANGER-HP Q!
WELDERS:AC-KVA D
GENERATORS - KW _
TRANSFORMERS - KVA
TEMP. MOTORS (75OF CRIB-)
MOVED MOTORS (75% OF ORIG.) _
MISC.
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT? DATE INSPECTOR'S NAME _
WIRING $1.130 oU CONDUIT
FIXTURES $1.00 WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE IP 7 UTILITY CO.NCTIFIED
/ I FINAL
7GA558 DBS '5A 4-52