HomeMy Public PortalAbout5950 TEMPLE CITY BLVD_Electrical__ DEPARTMENT OF BUILDING AND SAFETY Arraua.eaaavil r%ra4 ra.awaar
COUN'T'Y OF LOS ANGELES ELECTRIC
M. J& FOX.CJWIEF ENG N E 9 gd
a °wAM ,� DISTRICT NO. GROUP I ZONE PERMIT NO.
� AD REBS 1.
-13
REC IVED BY READY FOR DATE ISSUED
CITY TEL—F f • L�J��l FIRST INSPECTION
CEUNW
RT.NO. EXPIRES
APPLICANT KWJK HEAVILY OUTLINEID PORTION QNLY
DESCRIPTION OF WORD ADDRESS °f
NUMBER OF OUTLETS ON CIRCUITS LOCALITY /
LOCATION BY ROOMS NEAREST
LIGHT OUTLETS SW. PLUGS V&T CROSS ST.
CIRCUIT n A B C D E F IG JH m NAME Be
AAIL
DDRESS. f
CITY SOPALIAA19 TEL.NO % #�-
0, I .AM THE L AL SS OFj T ABOVE LOS,
AN6 COU CERTIFIqU IFI !O
4euscTR�c�
A ABO THE&MAL OWNER OF THE PROPFJ=DESCRIBED
`
OWNER.
CORRECDTONS
— a
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c�
It
+ o
TOTALpp
NO. OR OUTLETS ffi C� APPROVALS
NO. OF FIXTURES ffi S DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. ffi CONDUIT b ��.\' + !
s -
NO. OF SIGNS TRANS. ffi WIRING
NO. OF RANGES OR HEATERS ffi FIXTURES riil
MISCELLANEOUS ffi POWER /1
PERMIT FEE $ mss- UTILITY CO.NOTIFIED
TOTAL FEE FINAL P Vv
76AG63-CES061/70 APPLICATION FOR ELECTRICA PERMIT
Z COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BA EISS O ;•QWr� C`ry- `V
' 7 BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE. COUNTY ENGINEER LOCALITY T
COLEMAN W. JENKINS. SUPERINTENDENT OF BUILDINGNEARE
FOR APPLICANT TO FILL IN CROSS ST.
OUTLETS NO. EACH I FEE 1/
$ $ OWNER
RECEPT._ MAIL
LIGHT TOTAL
FIRST 20 .20 ADDRESS e14
CITY TEL. N0.
SWITCH OVER 20 •10
PLAN CHECK
LIGHTING TOTAL FIRST 20 20 APPLICANT
FIXTURES
OVER 20 •t0 ADDRESS
APPLIANCES CITY TEL. NO.
PERMIT `,�
RANGE DRYER_WTR. HTR. APPLICANT v`�`pIt-L-t-4�- S t C t-('
STA. COOK DISP. F.A.U. ADDRESS
+ -710 �(
SPACE HTR.-Al R COND. CITY Ct TEL. NO.
CLOTHES WASH. DISHWASH. LICENSE NO. c - CLASS.
FAN OTHER 1.00 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE 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 PROP Y REGISTERED AND/OR.
0 - 1 1.00 LICENSED AS REQUIRED BY LOS ANGEL OUNTY AND STATE OF
CALIFORNIA OR THAT 1 THE LEGAL WN R F, AN INTEND TO
1 - 10 3.00 RESIDE IN, THE A E DE CRIBED R SI ENTI PROPERTY.
d
SIGNATURE O
10 - 50 5.00 OF PERMITTEE �
50 - 100 10.00
DISTRICTNO CLASS GRQUP Z NE PR C 5E Y Ix
100 - 500 15.00
SIGN, GAS ND ONE CIRCUIT 3.00 NOTES; h
SIGN A
TUBE, OR
MARQUEE ADDITIONAL CIRCUITS 1.00 z
SERVICENOTOVER600VOLTS OR.200AMP 2.00
APPROVALS DATE INSPECTOR'S SIGNATURE
SERVICE OVER 600 VOLTS OR 200 AMP' 5.00
TEMP.POWER POLE
TEMP SERVICE,POLE,&APPURTENANCES 3.00
UNDERSLAB WORK
TEMP LIGHT OR RECEPT. SYSTEM 3.00
ROUGH CONDIUT
WIRING
FIXTURES
PERMIT FEE (SUB TOTAL)
POWER AUTHORIZED `
PLAN CHECK FEE (50% PERMIT FEE)
UTILITY CO. NOTIFIED
PERMIT ISSUING FEE - 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 j
FINAL
JOSEPH C. ROOHAN
TOTAL FEED SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION(:?:o M.O. CASH
- ,71079 OCT8 2D 5.00NQ
Aa
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE ,