HomeMy Public PortalAbout5422 TEMPLE CITY BLVD_Electrical__ f
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department F of Count1MIN EngineerF ��������
DIVISION OF SIIII.DING 8c SAFETY
WILLIAM J PDX. Gouty Eopippq
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN r 2
AGGRESS . REO IV[DJv FI RRHT INSPECTION DAr[ eG
ED
CITY TEL. NO G7'/
COUNTY LICENSE NQ / EXPIRES 0" S ILGING
PERMIT FEES ADORES!
FEE '
NUMBE EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST
WALL SWITCHES OWNER
TOTAL OUTLETS eO MAIL
SLED RANGES pB ADDRESS
[LEC HEATERS 7B CITYaw4a AIX, T[L NQ
FIXTURES e
1 HER[ ACKNOW G[ THAT 1 HAVE READ THIS
MISC APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANOES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWN REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
Nuwe[R HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER
NEw MVO HP RKR IHC EADH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
• L[ea S IIS SIGNATURE OT
3 BO P[RMI
B e 100 INSPECTION RECORD
e to 16G
is 60 760 YV 6 O S lce, O
60 200 6 OO
_ 200 600 10 DO J
6O0 1000 I El QO Z
OVER 1000 2000 0
NO DLT FRED CHANGER-HP
WELDERS AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP MOTORS (76 CF CRIB)
MOVED MOTORS (76 OF CRIB)
HIPP
SIGNS
NO. NO TRANS
N0 NO LAMPS APPROVALS
FOR EACH PERMITS OATS INSPWTORM NAM[
WIRING /1 DO CONDUIT
►IXTUR[B IllIca WIRING
BUPPLEME"TARY BO FIXTURES
POWER
TOTAL FEE B QD UTILITY Co. D MDTIFIE
V FINAL
16ASU DBS#5A 4-62