HomeMy Public PortalAbout5447 TEMPLE CITY BLVD_Electrical__ 7enee3 ceeae Ionz APPLICATION FOR�ELECTRICAL PERMIT
COUNTRY OF IROS ANGELES
DEPARTMENT OF COUNTY ENGINEER JOB
BUILDING AND SAFETY DIVISION ADDRESS S
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACH I C OWNER OR
// FIRM NAME
RECEPT;5L s MAIL
FIRST 20 E5 AOORESS
LIGHT_ TOTAL
CIT
SWITCH_ Y TEL NO
OVER 20 IpNe
PLAN CHECK
LIGHTING TOTAL FIRST 20 ZD APPLICANT
FIXID
OVER 20 ADDRESS
TURES
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE_ORYER_WTR HTR_ APPLICANT
STA COOK_OISP_F A U _ ADDRESS QQ '
SPACE HTR AIR COND CITY TEL NO 6a..
CLOTHES WASH OISHWASH LREG ICENOR
NUMBFA .Sb 47 CLASS a
FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KVA ELECTRICAL WIRING
SIZE & TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
REQUIRED
O - 1 Ipp LICENSED AS
CALIIORNOR THAI AM THC L[4A OWNER Gi THE ABDv[
PEECRIFED THAII BT LOS ANGELES COUNTY AND STATE OF
RESIDENTIAL PROP TY
1 - 10 900 O J
10 - 50 50D PERMITEE
SIGNATURE p
H
SO - 100 IDDD DISTRICT NO PRO SSEO BV
IDD - SDG 500 �pY T<�e
SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INSPEnowe SIGNATURE
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS I GO TEMP POWER POLE
SERVICENOTOVER 600 VOLTS OR 200 AMP 3w UNDERSLAB WORK
on I
SERVICEOVER BOO VOLTS OR 200 AMP low ROUGH CONDUIT
TEMPSERVICE,POLE &APPURTENANCES 500 WIRING
TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES
POWER AUTHORIZED
UTILITY CO NOTIFIED
FINAL
PERMIT FEE (SUB TOTAL) NOTES
PLAN CHECK FEE
PERMIT ISSUING FEE app do TOTAL FEE
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDAT 0 CK M 0 CASH
L O 9,,MV 2 D 6.0 0 ASE
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE