HomeMy Public PortalAbout5910 TEMPLE 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.
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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