HomeMy Public PortalAbout6111 TEMPLE CITY BLVD_Electrical__ DBS-SA 8-98 S3 APPLICATION FOR ELECTRIC PERMIT - 1
DMSION OF BUMDING AND SAFETY
Department of County EngineerBUILDj /
C011ntp Of L08 Angeles ADDREISS �� p✓I/I��
WM.J.FOX. COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING
LOCALITY
FOR APPLICANT TO FILL IN a NEAREST �pR
PERM FEES CROSS ST: " I6
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I
NUMBER EACH FEE'
LIGHT OUTLETS OWNER
' RECEPTACLES MAIL
ADDRESS
WALL SWITCHES
TOTAL OUTLETS 5'¢ $ CITY TEL.NO.
ELEC.RANGES 25 ELECTRICIAN
_ELEC. HEATERS 25 ADDRESS �r/A/y
KW EA CITY ✓ / TEL.NoAMS- -
FIXTURES S 5-o LICENSE NO.
1 NUMBER OF LIGHT CIRCUITS
DISTRICT NO.. I GROUP ZONE I READY FOR INSPECTION
NUMBER OF RECEPTACLE CIRCUITS
MOTORS
NUMBER HORSEPOWER FEE INSPECTION RECORD
NEW MVD. HP OVER INC. EACH �
V2&LESS $ .25 J 0
2 .50
2 5 1.00
5 1.5 1.50
15 50 2.50
50 200 5.00
1.
3
misc.
NO.SIGNS NO.TRANS.
NO.SIGNS NO.LAMPS
FOR EACH PERMIT:
WIRING $1.00
FIXTURES $i.00 417
SUPPLEMENTARY .50 APPROVALS
TOTAL FEE $ ® DATE PECTOR'JjSIGfjATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLIC T ION CONDUIT
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
a WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING l
ELECTRICAL WIRING..
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR FIXTURES /
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF '
CALIFORNIA OR THATAM THE. LEGAL WNE70HE ABOVE POWER
DESCRIBED RESIDENTIA OPERT
SIGNATURE UTILITY CO.NOTIFIED r
OF PERMITTEE FINAL , 7!.l0� �A
WILLIAM J.FOX,KOUNTY ENGI ER ff VALIDATION A.C.YEIT,CHIEF ELECT.INSPECTOR
1 C01 2 2 3N OCT 1 Q 2. '5.4.4 0 �
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'BA663-CEBOO 10-59 APPLICATION FOR ELECTRIC PERMIT' 1
COUNTY OF LOS ANGELES / J �/
DEPARTMENT OF COUNTYBUILDING AND SAFETY ENGINEER
pppREss !i'�"
JOHN A. LAMBIE. COUNTY ENGINEER
WILLIAM A.JENSEN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
PERMIT FEES CROSS ST.
ITEM NUMBER EACH FEE OWNER /"
OUTLETS: $ $ MAIL
1 LIGHTS RECEPT. SW. ,10
ADDRESS � / /`e
LIGHTING FIXTURES .f0 CITY +Qi l TEL.NO.
ELEC.RANGESIY CLO.DRYERS ELECTRICIAN
/ g.
WATER HEATERS .SO _ ADDRESS .,{�j ,,,&- +�Q.
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.NO
GARBAGE DISPOSERS AUTO.- STATE D� V
WASHERS STA.COOKING UNITS .2S LICENSE NO.
MOTORS: OVER INC. H.P. DISTRI T NO GROUP I ZONE PR CE BY
O— 1/z .25
Vz- 2 .50 INSPECTION CORD
2— 5 1.00
S— 15 1.50
is— 50 2.50
50-200 5.00
SIGNS: NO.TRANS.
NO.LAMPS
SERVICE 0-600V 1..00 d�
i
� SERVICE OVER 800V 5.00
MISC.
WIRINGPERMIT 1.00
FIXTURE PERMIT 1.00
r SUPPLEMENTARY PERMIT 50
TOTAL FEE SO
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 18 CORRECT AND AGREE TO COMPLY -
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT.
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR WIRING
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF FIXTURES
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL PROPERTY. POWER
SIGNATURE ' UTILITY CO.NOTIFIED
OF PERMITTE ✓ i v
:. FINAL
�P T ARTHUR C.VETT.
CK.Mo
CK Mo CASH SUPERVISING ELECTRICAL ENGINEER
L!
2.5 0 t
76A669-CE806 468 APPLICATIONFOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
ADDRESS %yj �� r�If/ d
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. AC FEE
RECEPT._ $ $ OWNERr�/
MAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES -r-OVER 20 .10 ADDRESS
RANGE_DRYER_WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP._F.A.U._ COIJTRAC TOR
SPACE HTR. . AIR COND.. ADDRESS 2.!Er a" awpo
CLOTHES WASH._DISHWASH._ CITY.J _ TEL. N Q0•-+Z-
FAN_OTHER 1.001 LICENSE wo.' Za 3 q 3 CLASS6—I(7
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 — 1 1.00
•ELECTRICAL WIRING.
I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR
1 — 10 3.00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF, AND INTEND'To
10 — 50 5.00 RESIDE IN, THE ABOVE OESCRIBED REBID TIAL PROPERTY. C)
50 :- 100 10.00 SIGNATURE
V
OF PERMITTEE 01
100 - 500 15.00 I•
SIGN,GAS DIS�RI T NO. UP �1;E P ESSED BY
TUBE, OR SIGN AND ONE CIRCUIT 3.00 S`O -J
MARQUEE Z
ADDITIONAL CIRCUITS 1.00 NOTES: "
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00 a
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSEA B.WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 � 0� UTILITYCO.NOTIFIED f '6
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 IFINAL
TOTAL FEE 14 JOSEPH C. ROOHAN
SUPERVISING ELE ICAL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION ,CK M.O. CASH
f Ar- 0 8 o 9 NO Vii. 9 2 D 4,0 0
M BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE