HomeMy Public PortalAbout4912 TEMPLE CITY BLVD_Electrical__ COUNTY OF LOB ANGELES APPLICATION FOR PERMIT
Departmentof En
DIVISION OF BIILXIINi &
SAFE" ELECTRIC 1
WILLIAM J FOX, GEeb EepleMr
FOR Af PLICANT TO FILL I DISTRICT NO. GROUP ZONE PERMIT NO.
S �� ,S'-i Z S93
ELECTRICIAN
RECEIVED Ill READY FOR DA 1
ADDR f rIRBT INSPECTION / Z
CITY TEL NO
COUNTY LIC[ RE NO 3 t, EXPIRES 61.111.0111,1111
PERMIT ADDRESS I -)& / f
NUMBER EACH
[CX LOCALITY E 1
LIGHT OUTLETS r NCARCST
RECEPTACLES 7
'ROBS K
WALL SWITCHES OWNER
TOTAL OUTLETS So • MAIL
[LEC RANGES 25 ADDRESS
CLEC HEATERS 2S L CITY TEL. NO
rD(TURIM s I HEREBY AOXNOWL[DGC THAT I HAVE RE" THIS
MISE APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS TN[ ABOVE VAUD LOS
NUHe[e HORSEPOWER FEE ANGELES COUNTY UCENSC. OR I AN THE LEGAL OWNER
NEW Mw HP ov[e IND [woH OF THE RESIDENTIAL PROPERTY D[ CRIB[D ABOVD
1/2 • LEse 9 25 SIGNATURE O►
vs 7 6D
PERMITTE 1 I
2 e 1 0o INSPECTION RECORD
S IS 1 so
1s 50 250
s0 200 B OO
200 BUD 10 DO Q
500 I DOC 1500 -1
OVER IDOO 1 2000 1 1 C
M 0 BET FR[ CHANGER-HP K
WELDERS AC-KVA D
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (76 or Gem)
MOVED MOTORS (76 or GRID
MI
SIGNS
NIL NO TRANS. APPROVALS
N O LAMM
DAT[ 111,18CTOR'S NAM[
FOR EAOH PERMITI
WIRING 1.= QO CONDUIT
rIXTUR[B •1 00 100 WIRINGSUPPLEMENTARY so FIXTURES
POWER
TOTAL FEE • ry UTILITY CD NOTIFIED 7
FINAL � S �
7eAee] DGS#eA 2-"
yeti c�,uy
,.AeeOC�casese i=,T, APPLICATION FOR ELECTRICAL PERMIT
1
BUILDING AND SAFETY DIVISION
FOR A"LICANT TO FILL m ADDRESS h G G.♦ U �/
New Residential Bldgs &Pools EACH NO FEE
ct
1 &2 I'mally Sq Ft $ - $ LOCALITY C
Multi family Sq Ft - NEAREST OF
Residential Swimming Pools CROSS ST
OWNER OR
FIRM NAME
Outlets Light, Switch& Receptacle MAIL
ADDRESS /�2 / / 41T
First 20
Additional CITY Tel No / ..r
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
- CITY Tel No
PCR
IT
Fixed Appliances Not Over 1 HP APPLICANT -#/o . p/L
Range_ Heater_ D W ADORESS 40YO 0/ p
Oven _ Dryer W M 1
Top _ FAU _ WH CITY _ / Tal No
Hood _ Fan _ _ _ LICENSE B U
Disp AC REO NUMBER `3�5 Clew 0
Wier w rLi00i r cwnOXAND p
i THATT"TXi*.I. w C wiCT li w...TO LATIN.
U
Power APParatua& Large Appliances CO.u HIT GowoiNAN ccs GAXD arwri Lwrs iwaeu urieG ly
Size&Type HP KW,KVA,or KVAR Li cTwlcwL riw,NG c-
Up to 1 Incl I XiwieY csrTiFY THAT
OISYiwiD ANDION =
Over 1 to 101nc1 A. wiemiiD •YLos AND9 Lis COUNTY AND iTATi OF
AM TNi LaGAL OrNiN OF THIS AiOYN
Over 10 to 50 Incl
CALIFORNIA
i.cn..o Nus'ry TY
Over 50 to 100 Incl PERrelrie
Over 100 SIGNATURE
Services SOD aV
DISTRICT OC D By
0 Amp Un 0mhX,rSOV
201 1000 Amp Under 600 V APPROVALS TE I S
Over 1000 Amp or Over 600 V SIGNATURE
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES " -
POWER AUTHORIZED
PERMIT FEE (Sub-Total) WNOTES
TILITY CO NOTIFIED
PLAN CHECKING FEE (One-Fourth Permit Fee) FINAL
PERMIT ISSUING FEE
TOTAL FEE
PLAN CHECK VALIDATION CK MO CASH PERMIT L I CK MO CASH
- 9 4 7 F;H" d 29 19 y.0 U!-10
>SASSwe- cc:a.R 1=„5 APPLICATION FOR ELECTRICAL PERMIT
r
BUILDING TY DIV ON
FOR APPLICANT TO PILL IN -
/'
New Residential Bldgs & Pools EACH NO FEE ADDRESS
1 &2 Finally Sq Ft $ _ S LOCALITY
Multi family Sq Ft _ NEAREST
Residential Swimming Pools CROSS ST _ -
PWNEROR
RM NAME r U, ALL
Outlets-Light,Switch& Receptacle MAIL Qr
First 20 ADDRESS
' l L1 L(� C17s/ LUd
Additional CITY f &/0 � 1.i 1 T.I No 2 o p L 7d C
PLAN CHECK
Lighting Fixtures APPLICANT
First 20 ADDRESS
Additional
CITY TeI No
PERMIT T
Fixed Appliances Not Over 1 HP APPLICANT t I ?/A1�7ECCT�L
Range_ Heater= DW
Oven Dryer W M U 44!.-ADDRESS {,, I r1Sc.Q0�1 /Lf
G
Top FAU WH CITY 0WAO Tel No a
Hood Fan LICENSE OR �'� p [/ S'3 (D
Dup A C REG NUMBER / O Class
w CNNOWLSUOS THAT I NAVA RKAD THIS APPLICATION p
Power Apparatus& Large Appliances IASOV• IS COwwSCT AND ADNSS TO COMPLY v
PPa 9 pP DINANCKS AND STATS LAWS REGULATING
w
Size&Type HP, KW KVA,or KVAR SLCCTR"A`WIRING D �
h
Up to 1 Incl I NS.S .TIDY THAT I AN Pwo.Sw LY wrn urewSo wwDlos Z
Over 1 to 10 Inclf LIC..... •' .Soul... • LOS ANDt LIFS COUNTY AND
STAYS OF wLIPowNIwow TIIwT I Y TNo LeDwL ..NSA OF TNt .Pov
Over 10 t0 50 Intl oucale So wSS mSNnAL.w o1cw TY
Over 50 to 100 Incl PERMITEE p 9(t.0-9
Over 100 SIGNATURE
DISTRICT NO SSED
SerVICB� -
0 200 Amp Under 600 V 6.— 4 A
201 -1000 Amp Under 600 V APPROVALS DATE I CTOR
Over 1000 Amp or Over 600 V
GNATURE
TEMP POWER POLE
Temp Power Pole&Appurtenances UNDERSLAB WORK
Sign with One Branch Circuit
Additional Sign Branch Circuits ROUGH CONDUIT
(Other) WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (Sub Total) UTILITYCO NOTIFIED
PLAN CHECKING FEE (One Fourth Permit Feel FINAL X77
PERMIT ISSUING FEE
TOTALFEE / O NOTES
PLAN CHECK VALIDATION CK MO CASH PERMIT AL CK M o SH
530�-FEB 2 1 1.0 0
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