HomeMy Public PortalAbout6007 3/4 TEMPLE CITY BLVD_Electrical__ 76AG63 DBS SA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ��������
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
s/ I G Al.�47
ELECTRICIAN '
RECEIVED BY READY FOR DATE ISSUED
ADDRESS /rS ��S FIRST INPPECTION
CITY l TEL. NO/9/ y�F�f �� II��II(_" —�
COUNTY LICENSE NO. EXPIRES-1�7D" BUILDING QQaRX
PERMIT FEES ADDRESS
NUMBER EACH FEE LOCALITY
LIGHT OUTLETS NEARES9T.
T
CPO a
RECEPTACLES e
WALL SWITCHES OWNER �� j�j
TOTAL OUTLETS Ae/ 5C S 2- MAIL
ELEC. RANGES 85 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 D 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STATE LAWS REGULATING ELECTRICAL WIRING.
MOTORS I CERTIFY THAT I POSSESS THE ABOVE VALID LOB
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE. OR 1 AM/THE LEGAL OWNER
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL ROPERTY ESOR SED ABOVE.
I/S S LESS $ .25 SIGNATURE OF
yz 2 .50 PERMITTE I
2 5 1.00 INSPECTION RECO
5 1S 1.50
1550 2.SO
50 200 5.00
200 500 10.00 J
500 1000 15.00 Z
OVER 1000 20.00
M.G. HET/FREm CHANGER-HP
WELDERS*AC-KVA O
GENERATORS - KW _
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF DRIG.)
MOVED MOTORS (75% OF CRIB.)
MIS*.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT* �7zDATE INSPECTOR'S NAME
OD CONDUIT /f sq
WIRING $1.00
FIXTURES $1.00 ®� WIRING
SUPPLEMENTARY .50 FIXTURES
POWER
TOTAL FEE s UTILITY 00.NOTIFIED
FINAL