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HomeMy Public PortalAbout5910TEMPLE CITY BLVD_Electrical (2) LA 9985 A TEMNZ CITY " 7GA553-AOB-1-&& APPLICATI.QN FOR ELECTRICAL PERMIT a.COUN 'Y OF LOS ANGELES DEPARTMENT OF COU TY ENGINEER DING BUILDING AND SAFTY DIVISION FrE S 5910 Temple Cit Blvd. JOHN A. LAMBIE. COUNTY ENGINEER y COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGTY City Of Temple Cit; FOR APPLICANT TO FILL IN T Las Tunas Drive T. �+��+ N O. EACHFEE CAM CAR BURGERS RECEPT._ S $ OWNER �aa++� ' MAIL s a m e LIGHT TOTAL FIRST 20 .20 ADDRESS SWITCH_ OVER 20 .10 CITY Of Temple CltyTEL. NO'. LIGHTING �ToTALIPLAN CHECK FIRST 20 .20 APPLICANT FIXTURES OVER 20 .10 1 ADDRESS RANGE_DRYER—WTR.HTR._ CITY TEL. NO. STA.COOK_DISP.—F.A.U._ CONTRACTOR F`EDE� SIGNS SPACE HTR. AIR COND.- ADDRESS 1100 NO* blain CLOTHES WASH._DISHWASH._ CITY Los Angeles, 12 TEL. NO. 221-6141 FAN-OTHER 1.00 LICENSE NO. 21 730 CLASS. C MOTORS,TRANSFORMERS RATING IND. HEATERS, ETC. HP. KW. KVA. 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE 8: TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH. ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING. 0 - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 1 - 10 3.00 LICENSED AS REOUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER AND INTEND TO O. } 10 - 50 5.00 RESIDE IN, THE ABOVE) +SCRIP ESI I ROPERTY. O 50 - 100 10.00 SIGNATURE /// V OF PERMITTEE vvad 100 - 500 15.00 0 DISTRICT GROUP' ZONE E ED G TUBE, A [SIGN ANDONE CIRCUIT 3.00 3° 00 C � WMARQUEE DDITIONAL CIRCUITS 1.00 NOTES Z SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 SERVICE OVER 600 VOLTS OR 200 AMP 5.00 TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE TEMP. POWER POLE UNDERSLAB WORK ROUGH CONDUIT -PERMIT FEE (SUB TOTAL) WIRING FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE 2'.00 2. 00 UTILITYCO.NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL d OWL TOTAL FEE ° JOSEPH C. ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH I Ar,2 5 9 9 NOV 6 2 D 5.0 ONcd ,BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE