HomeMy Public PortalAbout6018 TEMPLE CITY BLVD_Electrical__ 76AB68 DOS SA 9-81 APPLICATION FOR PERMIT
DEPARTMENT OFNG AND SAFETY ��������
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLICAN
ELECTRICI N C
RECEIVED BY READY FOR DATE ISSUED
_ADDRESS 0 - FIRST INSPECTION
CITY
COUNTY LICENSE NO. EXPIRES ^® v BUILDING
PERMIT FEES ADDRESS
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
dw CROSS BT.
RECEPTACLES
WALL SWITCHES OWNER
TOTAL OUTLETS 5c $ MAIL
ELEC. RANGES 25 ADDRESS —
ELEC. HEATERS 25 CITY TEL. NO.
FIXTURES 5 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS
MISO. 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 LOS
NUMBER HORSEPOWERANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
FEE
NEW MVD. HP OVER INC. EACH OF THE RESIDENTIAL PROPERTY RIBED ABOVE.
Jf
1/2 A LESS 9 .25 SIGNATURE OF
�/2 2 .50 PERMITTEE_
2 5 1.00 INSPECTION RECORD
5 1S 1.50
0
15 50 2.50
50 200 5.00
200 500 10.00 J
_ 500 1000 15.00 Z
OVER IOOO 20.00 (�
M.G. SET/FREQ. CHANGER-HP Q�
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% OF ORiB.)
M OTORS (75% O is.) 00
MISC
SIG
NO. NO.TRAN
NO. NO.LAMPS APPROVALS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING91.00 CONDUIT -
--
FIXTURES $1,00 WIRING
SUPPLEMENTARY .50 F IXTU REB
1/0 POWER _
TOTAL FEE 9 11 UTILITY CO.NOTIFIED,
1l�,,.S!
FINALt-... f
lwF
COUNTY OF LOS ANGELES APPLICATION FOR PERMIT
Department of County EngineerELECTRIC
DIVISIONDIVISIONOF BUILDING & SAFETY
WILLIAM J. FOX, County Engineer
FOR APPLIC T TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN d `� '- Pr3 t1, " .7
RECEIVED BY READY FOR DATE ISSUED
ADDRESS CA T ` FIRST INSPECTION w �/
CITY 0 TEL.NF IC0.
COUNTY LICEN13EI NO. IV fg EXPIRES 4BUILDING
PERMIT S ADDRESS
NUMIJERIEACH FEE LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS ST.
WALL SWITCHES OWNER fnjd
TOTAL OUTLETS SD 41 MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 20 CITY TEL NO.
FIXTURES 9
1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC. APPLICATION AND STATE THAT THE ABOVE IB 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 PROPERTY DEH IB ABOVE:
Yz A LESS 41 .25 SIGNATURE OF
0
%z 2 .50 PERMITTEE
2 s 1.00 INSPECTION RECORD
5 is 1.50
Ts so 2.50
513 200 5.00
22Ii; • ' s60 10.013 ,1
500 1 1000 15.00 Z
OVER 1000 20.00
_MOVED MOTORS (73% or DR10a �
M.O. B T/FRED. CHANGER-HP O
WELDERS'AC-KVA
GENERATORS - KW
TRANSFORMERS - KVA
MIBC. _. .•
SIGNS
NO. NO.TRANS.
APPROVALS
NO. NO.LAMPS
FOR EACH PERMITC DATE INSPECTOR'S NAME
CONDUIT
WIRING 411.00 1. 190
OF9XTURES 411.00 WIRING
SUPPLEMENTARY ,50 w-�- FIXTURES
J POWER `
TOTAL FEE 41 UTILITY CD.NOTIFIED } •"
FINAL
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