HomeMy Public PortalAbout5907 TEMPLE CITY BLVD_Electrical (2) 7GA663 Dee BA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ��������
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR Ik PLICANT TO ALL I DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN ��/rf ✓�!'�
r RECEIVED BY READY FOR DATE ISSU D
ADDRESS c•� n �/ � FIRST INSPECTION
CI 1 TEL.NO. I
COUNTY LICENSE NO. BUILD
EIN O [
PERMIT FEES
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROB9 S
WALL SWITCHES OWNER
TOTAL OUTLETS 5D $ G MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL. NO.
FIXTU S i. 5 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MI 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 1 CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBERHP OVER INC. EACH HORSEPOWER ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
FEE OF THE RESIDENTIAL PROPE TY D USED ABOVE.
NEW MVD.
V-4 %2 6 LEBB $ .25 SIGNATURE 0
Y2 2 .50 PERMITTEE ''_
2 5 1.00INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 Boo 10.00 J
Soo 1000 15.00 -
OVER
5.00 •OVER 1000 20.00
M.G. BET/FREQ. CHANGER-HP Ix
WELDERS,AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% Or DRIe.)
MOVED.MOTORS (75% or DRIOJ
MISC.
SIGNS
NO. No.TRANS. APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING $1.001 ago CONDUIT
FIXTURES $1.00 WIRING Qom' (B �r
SUPPLEMENTARY .50 FIXTURES
POWER /A >
TOTAL FEE $ ` 30 UTILITY CO.NOTIFIED
FINAL