HomeMy Public PortalAbout5026 TEMPLE CITY BLVD_Electrical__ ' T�aae3-c oe IIi TD '
APPLICATION FOR ELECTRICAL"PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADORE5S
COLEMAN W JENKINS Uv NT N R UILDIN LOCALITY fT l�( T
NEAREST Lft LCL
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS A FEE -/
OWNER LI O ✓O
RECEPT_ $ $ MAI Ln /
FIRST 20 25 ADORES it' I U5 1X
LIGHT— TOTAL
OVER 20 CIT -/YJ�LE l _ 34
TEL NO
SWITCH_ 10 PLAN CHECK
XTfNG TOTAL
LFIRST 20 25 APPLICANT
T10 IG
OVER 20 ADDRESS
FI% URES
APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR_ APPLICANT
STA COOK_DISP _F A U ADDRESS
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN—OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW MVA E LECTRICAL WIRING
SIZE S TYPE OVER TO
I HEREBY CERTIFY THAT I A PROPERLY OISTERED AMD/OR
Q 1 1 W LICE NSEO AS REOUIREO Y LOS AN COUN Y AND STATE OF
[A LIFORNIA 011 THAT 1 HE EGAL OWNER 0 AND INTEND TO
1 - 10 300 RESIDE IN THE A V E R D RES E IAL PROPERTY CL
SIGNATURE
V
10 - 50 500 OF FERMI TTE � '�
n
SO - 100 1000 DIST CT MO LASS ZON Pq C E O
100 - 500 1500 4(LJ
a
SIGN GAS SIGN AND ONE CIRCUIT 500 NOTES N
Z
TUBE OR -
MARQUEE ADDITIONAL CIRCUITS 100
SERVICENOT OVER 600 VOLTS OR 200AMP 300
A
PPROVALS LB DATE IN4ECTOR'S SIONATUK
SERVICE OVER 600 VOLTS OR 200 AMP 1000
WER POLE
TEMP SERVICE POLE, &APPURTENANCES 500
8 WORK
TEMP LIGHT OR RECEPT SYSTEM 3 W
NOIUT
PERMIT FEE (SUB TOTAL) UTHORIZEDCO NOTIFIEDPLAN CNECK FEE PERMIT ISSUING FEE 3WJOSEPH C ROOHAN
TOTAL FEE '�QSUPERVISING ELECTRICAL ENGINEER
PLAN CHECK VALIDATION CK M G CASH PERMIT VALIDATION CK M 0 CASH
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE E BA 20479 AM23 2 O 7.00- q