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HomeMy Public PortalAbout5460 TEMPLE CITY BLVD_Electrical__ 76A663 CES06 10/1' APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES pB RE55 /7L DEPARTMENT OF COUNTY ENGINEER BUILDING AND SAFETY DIVISION gOD LOCALITY NEAREST FOR APPLICANT TO FILL IN CROSS ST OUTLETS No EACH FeEOR $ S FIRM NAME RECEPT MAIL LIGHT—_?— TOTAL FIRST 20 26 ADDRESS �Q OVER 20 CI Ty TEL NO SWITCH` /.0 . 10 PLAN CHECK - - LIGHTING' 1 FIRST 20 Zy \ APPLICANT J} TOTAL FIXADDRESS TURES y� COVER 20 10 RESIDENTIAL APPLIANCES CITY TEL NO PERMIT RANGE_DRYER_WTR HTR_ APPLICANT F� NNYAMO STA COOK-1315P _F A U _ ADDRESS O J SPACE HTR AIR GOND CITY TEL NO CLOTHES WASH DISHWASH_ REGE NUMBER CLASS—(:!!Q FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT TME 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 6 TYPE OVER TO IHEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR 0 — 1 100 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE 1 — 10 300 OESCRI PCD RES IUENTIAL PROPERTYPERMI 10 — 50 600 SIGNATURE, Ca SIGNATURE d'L rS4 � � O SO — 100 1000 DISTRICT NO PROCESSED BY 100 — 500 1300 2 SIGN GAS SIGN AND ONE CIRCUIT 600 APPROVALS DATE INSPECTDWS SKNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVICE NOTOVER 600 VOLTS OR 200 AMP SOO UNDERSLAB WORK SERVI CEOVER 600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE @APPURTENANCES 600 WIRING TEMP LIGHT OR RECEPT SYSTEM 9DO FIXTURES 1 POWER AUTHORIZED UTILITY CO NOTIFIED FINAL _ PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE PERMIT ISSUING FEE 300 TOTAL FEE PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M 0 cAl 8 6 3 V AlN 20 2 0 6.7 5 ,&W SEE SACK OF APPLICATION FOR COMPLETE SCHEDULE 76A653 CEM II/'° APPLICATIO FORE CTRICAL PERMIT COUNTY OF LOB ANGELES DEPARTMENT OF COUNTY ENGINEER ABUILDING BUIDDRESS Jr BUILDING AND SAFETY DIVISION b COLEMAN W JENKINS N RMT r LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS 3T OUTLETS FE jQ/P�� OWNER RECEPTiIL 6 , S MAIL LI GNT�� TOTAL FIRST 20 2! 5 o'a ADDRESS OVER 20 L O CITY TEL NO SWITCH - - IO 3 V PLAN CHECK LIGHTING TOTAL FIRST 20 25 0,0 APPLICANT TURES 10 - OVER 20 ADDRESS FI% APPLIANCES CITY TEL NO O_ RANGE DRYER PERMIT _WT HTR APPLICANT eo STA COOK_DISP 2F A U ADDRESS BKL. SPACE HTR L. ;A IR CONO CITY && TEL NO CLOTHEH S WASH ✓ DISHWASLICENSE NO a_S�g CLASS C- FAN ✓QOTHER IDO 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION U AHO STATE THAT THE ABOVE I! CONNECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINAXCLS AND STAT! LAW! REGULATING IND ,CATERS ETC HP KW MVA ELECTRICAL WIRING SIZE & TYPE OVER TO HEREBY CERTIFY THAT I AM Q9U.E C RIG AND E° AND/Olt Q _ 1 100 LICENSED AS TTHATRIOUIRED BY LO!LEGAL OW COUNTY AND STATE OF ULI FOPMIA OR THAT AM THE LEGAL OWNER OF AND INTEND TO } 1 - 10 300 RESIDE IN TMC ABOVE DESCRIBED RESIDENTIAL PROPERTY d O 10 - 50 500 SIGNATURE V OF PERMITTEE CC SQ - 100 1000 OI f TAI CT NO CLASS f!D B O 100 - SOO 15M �� r T IIIILLL) 6 SIGN GAS SIGN AND ONE CIRCUIT 500 rE N TUBE OR ? MARQUEE ADDITIONAL CIRCUITS IDD SERVICENOTOVER600 VOLTS OR 200AMP SOO o- ROVALS DAYS IxePECT0IPl SIGNATURE S ERVI CE OVER 600 VOLTS OR 200 AM P 100° OWER POLE TEMPSERVICE POLE &APPURTENANCES SOO AB WORK TEMP LIGHT OR RECEPT SYSTEM SOD ONDIUT .'7 S -L^UTHORIZEDLPPER (SUB TOTAL) CO NOTIFIED 'tEE -` -� K NG FEE 9;�eJOSEPH C ROO AN O SUPERVISING ELE I L ENGINEER PLAN CHECK VALIDATION CK M 0 c•ex P RMIT'YALIDATION CK M 0 CASH SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE �' _