HomeMy Public PortalAbout5840TEMPLE CITY BLVD_Electrical (2) 75A659-CEB051/70 APPLICATION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE, COUNTY ENGINEER LOCALITY
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH FEE
OWNER
If
RECEPT._ ADDRESS 'r Z c L I ^
LIGHT TOTAL FIRST 20 .20
SWITCH OVER 2010 '286 /,1CITY I, e I TEL. N0. - �PLAN CHECK
LIGHTINGTOTAL .f0FIRST 20 20APPLICANT
FIXTURES
OVER 20 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT
RANGE DRYER_WTR. HTR. APPLICANT
STA. COOK DISP. F.A.U. ADDRESS
SPACE HTR. AIR COND. CITYTEL. N0. -74-3
CLOTHES WASH. DISHVIIASH. LICENSE NO. 7 CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND. HEATERS, ETC. HP. KW. KVA. ELECTRICAL WIRING.
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
0 - 1 a 100 6 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF, AND INTEND TO
1 - 1O 3.00 O ® RESIDE IN, THE ESCR �D ENTIAL PROPERTY.
SIGNATURE O.
10 - 50 5.00 OF PERMITT F- % V
SO - 100 10.00 ADIST ICTNO LAS9 GROUP ZON O S Q
100 - 500 15.00 , Q V
SIGN, GAS SIGN AND ONE CIRCUIT 3.00 NOTES: UJ
d.
TUBE, OR U)
MARQUEE ADDITIONAL CIRCUITS 1.00 Z
SERVI CENOT OVER 600 VOLTS OR 200 AMP 2.00
SERVI CEOVER 600 VOLTS OR 200 AMP 5.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TO FIXTURES
PLAN CHECK FEE (50°l6 PERMIT FEE) POWER AUTHORIZED
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE 2.00 a o
INAL
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 F
I d
JOSEPH C. ROOHAN
TOTAL FEE 1 " SUPERVISING ELECTRICAL ENGINEER,
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
0ONSEs .5 4 JXW29 ? 0 7.00-
SEE
E BACK OF APPLICATION FOR COMPLETE SCHEDULE a*