HomeMy Public PortalAbout6019 TEMPLE CITY BLVD_Electrical__ 7GA663 099 SA 3-513 - APPLICATION FOR PERMIT
' DEPARTMENT OF BUILDING AND SAFETY ' ���� ��
COUNTYIOF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
DISTRICT NO. GROUP ZONE PERMIT NO.
FOR APPLIC T ILL IN r �.�•
ELECTRICIAN J cI `
RE. EIV D BY READY FOR DATE ISSUED
rADESS - '6 FIRST INSPECTIONLd
TEL.NO. NG
« EN E NO.' EXPIRES
-ADDRBUILDESS Lo O f
PERMIT FEES
NUMBER EACH FEE LOCALITY Wi
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES
WALL SWITCHES OWNER f/• (/(J164
TOTAL OUTLETS 50 !a MAIL
ELEC. RANGES 85 6- ADDRESS
ELEC. HEATERS 25 CITY '= - Ji TEL. NO.
FIXTURES S 1 HE 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 '1 POSSESS THE ABOVE VALID LOS
NUMBER HORSEPOWER FEE ANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEW Mw. HP OVER IND. EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
A LESS `a .25 SIGNATURE OF
I/2 2 .50 PERMITTEE
2 5 1.00 INSPECTION RECORD
5 15 1.50
15 50 2.50 �/
50 200 5.00 f�1t �` ���C�
200 BOO 10.00 Q
500 1 ODO 15.00 /:�I/.6��a J Z
OVER 1000 20.00 [�(/ JJ �� �^ _p
M.G. SET/FREQ. CHANGER-HP R'
WELDERS:AC-KVA O
GENERATORS - KW
TRANSFORMERS- KVA
TEMP. MOTORS (75% OF BRIG.)
MOVED MOTORS (75% aF BRIG.)
MISC.
SIGNS
NO. NO.TRANS. APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT: DATE INSPECTOR'S NAME
WIRING CONDUIT
W IU
FIXTURES $1.00 WIRING
BUPPLEM ENTARY .50 FIXTURES
POWER
TOTAL FEE / UTILITY CO.NOTIFIED , ,' \`7 _ / '/�
d lvJe--'f�i f�•:r
p�v
FINAL