HomeMy Public PortalAbout5817 TEMPLE CITY BLVD_Electrical__ 78A889-GES06 9-84 APPLIMTION FOR ELECTRICA PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY e. e7j D
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
RECEPT. TOTAL NO. EACH FEE
OUTLETS FIRST 20 IB OWNER
LIGHT '20 MAIL
ADD'L
SWITCH. 3 OVER 20 .10 ADDRESS
TOTAL CITY TEL.NO..
LIGHTING 1 FIRST 20 .20
FIXTURES 1 ADD'L
OVR 20 .10 ELECTRICIAN
RANGES CLO.DRYERS WTR.HTRS. 1.001 ADDRESS
GARB.DISP. STA.COOK CITY TEL.NO. _z2-cA
DISHWASH. AUTO.-WASH. STATEr
SPACE HTRB. 8TA.APP.(Ys H.P.MAX.) ,$Q LICENSE NO.
MOTORSt OVER NOT OVER H.P. DISTRICT NO. RO Z P D
O 1 1.00 r
t s 1.5o INSPECTION RECORD o}.
9 82.00 „ U
6 to 2:50 I O
is .50 3.00 U
s0 100 5.00
N
SIGNSt NO.TRANS. Z
NO.LAMPS
SERVICE O-6o0V-NOT OVER 200A 1.00 alp . i
SERVICE 0.600V-OVER 200 A. 2.00
SERVICE OVER 600V 5.00
MISC.dq ,
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE $ 3
1.HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND,STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL-COUNTY ORDINANCES'ANO STATE LAWS REGULATING
ELECTRICAL WIRING. WIRING .til+�,�� i� .r•.� "''srr
I HEREBY CERTIFY THAT I AM PROPERLY REGISTER-y�L ANWCIR r r
LICENSED AS REQUIRED BY LOS ANGE TY AND STATE OF FIXTURES
CALIFORNIA OR THAT I AM THE L N R THE ABOVE
DESCRIBED RESIDE P PO ER
A •A
SIGNATURE UTILITY CO.NOTIFIED :f epi -!',00-4j
OF PERM ITTE
FINAL 77 _
LIDATION ARTHUR C. VETT < "
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
9 2 3 11PllR 5 2 D 3.60Ncv
S8
DBS-BA 11.88 APPLICATION FOR ELECTRIC PERMIT 1
BS.
DIVISION OF BUILDING AND SAFETY
D®parbuent of County Engineer BUILDING
County Of 1.08 Angeles ADDRESS
JOHN A.LAMBIE.COUNTY ENGINEER dr
CASSATT.D..GRIFFIN.SUPT OF BUILDING LOCALITY 6
FOR APPLICANT TO FILL IN Coss ST .T
PERNIIT FEES
NUMBER
OWNER
LIGHT OUTLETS MAIL
RECEPTACLES ADDRESS
WALL SWITCHES FEE CITY TEL.HO.
TOTAL OUTLETS @ s¢ $ lD ELECTRICIAN
ELEC.RANGES 26 ADDRESS S Z
ELEC.HEATERS. 29 :
E KW EA CITY TEL.N I"76
STAT
FIXTURES s LICENSE NO.
R MOTORS -19
•,DISTRICT NO. I GROU ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE
NEW MVD. HP OVER INC. EACH
]h a LESS $ .25 .INSPECTION RECORD
16 2 .SO' BLt�
' 2 s 1.00
6 is 1.60
-Is. so 2.60
so 200 6.00
MISC.
P
F
NO.SIGNS. NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 >
FIXTURES $1.00
SUPPLEMENTARY .60 APPROVALS
TOTAL FEE $ l l DATE INSPECTORS SIGNATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ TNIS APPLICATION
AND STATE THAT THE ABOVE IS CORRECT AND AGREE:TO COMPLY CONDUIT /
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r (T
ELECTRICAL WIRING. WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF ..
CALIFORNIA OR THAT I AM THE •EGA NER OF THE ABOVE POWERDESCRIi ,^
SIGNATURE UTILITY
P UTILITY CO.NOTIFIED / �]
SIGNATURE � _
OF PERMITTEE FINAL �q
IOHN A.LAMBIE.COUNTY ENGINEERJLTION' ARTHUR C.VEIT.CHIEF ELEar.INSPECTOR
CK MO CASH