HomeMy Public PortalAbout5814 ENCINITA AVE_Electrical__ V
TEMPLE CITY
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER SUI LD I NG C+
BUILDING AND SAFETY DIVISION ADDRESS S'rPAf LF tom.•_-- -- C4�--�-
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER EACH FEE OWNER
OUTLETS: �, § f0 § MAIL r
LIGHTS' RECEPT. ZSW. �(J ADDRESS ]
LIGHTING FIXTURES f0 CITY
T TEL.NO. - Io
ELEC,RANGES CLO.DRYERS ELECTRICIA=134
WATER
WATER HEATERS .50 ADDRESS
ELEC.SPACE HTRS. DISHWASHERS
CITY iEL. NO.
GARBAGE DISPOSERS AUTO._
STATE
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P. D`I9}TRI O. GROUP Z NE PROCESSED BY
0— +h 25 X L
C
i— 2 .50 INSPECTION RECORD
2— 5 1.00
5— 15 1.50
15— 50 2.50
50-200 5.00
NO.TRANS.
SIGNS: NO.LAMPS
SERVICE 0-500V 1.00
SERVICE OVER SOOV 5.00
misc.
WIRINGPERMIT 1.00 _
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .SO
TOTAL FEE Is gd
1HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT
ELECTRICAL WIRING. WIRING I/� E)l/P /lOB
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANO/OR
LICENSED AS REQUIRED BY LOS ANOELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED
OF PERMITTERFINAL
®° VALIDAT ARTHUR C.VE
SU ERVISING ELECTRICAL TRICAL ENGINEER
MO CAEH
�/,�2250' Zi 15 2 D 2.8J
76AG83-CESO6 3-69
APPLICATION FOR ELECTRICA PERMIT` �
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS ( (�f C( 1
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING LOCALITY a J C C
FOR APPLICANT TO FILL IN NEARESTCROSS ST.
NO. EACH FEE
$ E OWNER
RECEIPT.� MAIL
L 2 TOTAL FIRST 20 J 20 ` C�j ADDRESS
IGHT pp
SWITCH T• ••l OVER 20 .10 CITY TEL.NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 I .20 '2-�� APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER_WTR. HTR. CITY TEL.NO.
STA. COOK_DISP. _F.A.U. CONTRACTOR — AL -G l
SPACE HTR._AIR COND. ADDRESS
CLOTHES WASH.--L DIS HWAS H._ ' CITY O T'= n= TEL.NO. v
FAN_OTHER 1.00
I VL LICENSE NO. Coo ( c- CLASS. C(
MOTORS,TRANSFORMERS RATING 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND. HEATERS, ETC. HP. KW. KVA. AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
SIZE $ TYPE OVER TO WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
D - 1 1.00 1 HEREBY CERTIFY THAT I AM PROPERLY REC15TERED ARD/OR
CE
LINSE. AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
1 - 10 3.00 CALIFORNIA OR THAT 1 PM THE LEGAL OWNER OF, AND INTEND TO O
RESIDE R. TME ABOVE D RISCO RESIDENTIAL PROPER TV. u
10 - 50 5.00 '
SIGNATURE
50 - 100 10DO OF PERMITTEE O
100 - S00 15.00 of{relcr xp. GRouP z rvE PR E ED WEU
SIGN,GAS SIGN AND ONE CIRCUIT [3.00
o Z
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS NOTES: -
SERVICE NOT OVER 600 VOLTS OR 200 AMP n
SERVICE OVER 600 VOLTS OR 200 AMP
TEMP SERVICE, POLE, &APPURTENANCES APPROVALS DATE INSPECTORS SIGNATURE
TEMP. POWER POLE
UNOERSLAS WORK
ROUGH WDU04 v •�
WIRIN I
PERMIT FEE (
SUE) TOTAL) FIXTURES
POWER AUTHORIZED
PLAN CHECK FEE (50EE)PERMIT ISSUING FEE 2.00 a `o- UTILITY CO.NOTIFIED
SUPPLEMENTARY PERFEE 1.00 FINAL
TOTAL FEE 2C JOSEPH C. ROOHAN
SUPERVISING ELECT: NGINEER
PLAN CHECK VALIDATION CK. M.D. CASE PERMIT VALIDATION R. M.G. CASH
6 SIR DLC 3 /2\D 620-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE