HomeMy Public PortalAbout6113-6115 TEMPLE CITY BLVD_Electrical__ DBB-BA 11.811 APPLICATION FQ,:R E L EC V Y E R m I t
DIVISION OF BUILDING AND SAFETY �'
Depwtznent of County ZWmer BUILDING
County of Los Angeles ADDRESS
JOHN A.LAM131E.COUNTY ENGINEER
CASSATT D.GRIFFIN.SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FIL L•IN' CNEAREST
ROSS ST. FJ�
PEMT FEES
F NUMBER OWNER
LIGHT OUTLETS, MAIL
RECEPTACLES ADDRESS
WALL SWITCHES F CITY TEL.NO.
v ' . . TOTAL OUTLETS 0 5!< $ ELECTRICIAN _-
ELEC.RANGES .25
ADDRESS
. ELEC.HEATERS 25
KW CITY TEL.NO:
STATEr
FIXTURES 5 LICENSE NO.
MOTORS DISTRICT NQo-oll GROUPI ZONE I READY FOR INSPECTION
NUMBER HORSEPOWER FEE �.
-24
NEW MVD. HP OVER INC. EACH
II�
LEBB $ .2s OWTION RECORD :
,14 2 .50
2 s 1.00
5 is 1.50
.19 50 2.50 r
50 200 5.00
misc.
NO.SIGNS NO.TRANS.
NO.SIGNS NO. LAMPS
FOR EACH PERMIT:
WIRING $1.00 Do
FIXTURES $1.00 O
SUPPLEMENTARY .SO
APPROVALS.
TOTAL FEE . SAP SD
DATE INSPECTOR'S.S6NATURE
I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION r
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT -LSA
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING WIRING
ELECTRICAL WIRING.
1 HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR FIXTURES
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AN THE LEGAL OWN,, OF THE ABOVE POWER
DESCRIBED RESIDENT PR RTY.SIGNATUREUTILITY CO.NOTIFIED t1y
OF PERMITTEEFINAL A
ag
IOH'N A.LAME31EWCOUNTY GINEER v
CK C.ATION ARTHUR VETT.CHIEF ELECT.INSPECTOR
• MO CASH -,
AM-28. 2 '1.0,8,0 iD
fShem-ClImes.49 APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES ` /�
DEPARTMENT OF COUNTY ENGINEER guILpING /� �/f �%��% ->�' i
BUILDING AND SAFETY DIVISION 'ADDRESS / i ter/` r
JOHN A. LAMBIE, COUNTY ENGINEER
CASSATT D. GRIFFIN,SUPT OF BUILDING LOCALITY 7 � r.
FOR APPLICANT TO FILL• IN
NEAREST
PrJwT FEES cRoss ST.
7 ITEM NUMBER EACH FEE OWNER
OUTLETS: $ MAIL
LIGHTS RECEPT. -SW. 10 ADDRESS
LIGHTING FIXTURES t0 CITY TEL.NO.
ELEC.RANGES CLO.DRYERS / `y/�D ELECTRICIAN
WATER HEATERS ` .50 "� ADDRESS J
ELEC.SPACE HTRS. DISHWASHERS CITY TEL.
NO.
GARBAGE DISPOSERS AUTO.- STATE (�
WASHERS STA.COOKING UNITS .25 LICENSE NO.
MOTORS: OVER INC. H.P.
O_ .$5 DISTRICT NO. I GROUP NE P CESS BY
I/a 2— .
I/z— 2 .50 INSPECTION RECORD
2— 5 1.00
5— is 1.50
is— 50 2.50
50-200 5.00
SIGNS: NO.TRANS. -
NO.LAMP8
SERVICE O-SOOV1.00 !1 C7 `
SERVICE OVER SOOV 5.00
MISC.
WIRING PERMIT 1.00 1 CJ v
FIXTURE PERMIT 1.00
SUPPLEMENTARY PERMIT .SO
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING CONDUIT 3 ,h,AmI
ELECTRICAL WIRING. <, WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR � �
LICENSED AS'REQUIRED BY LOS ANGELES COUNTY AND STATE OF •? FIXTURES
CALIFORNIA OR THAT I AM THE AL. O OF THE ABOVE
DESCRIBED RESIDENTIALY POWER yyn/
SIGNATURE UTILITY CO.NOTIFIED r }`f/!•A� �^iT.i7�1f
OF PERMITTE
FINAL �U
DATION ARTHUR C.VE
SUPERY181NG ELECTRICAL CASH ENGINEER
CK
T,7756uc-1 TV 19. 2 A 2.54 m
7GA663-CE80G 468 APPLICATION FOR ELECTRICAL PERMIT (�
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING //
BUILDING AND SAFETY DIVISION ADDRESS I & (� � Yd•
JOHN A. LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDING. ' LOCALITY X77 ,�'►
NEAREST
FOR APPLICANT TO FILL IN CROSS ST.
NO. EACH FEE
RECEPT._ OWNERMAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TEL. NO.
PLAN CHECK
LIGHTING TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR._ CITY TEL. NO:
STA.COOK._DISP.—F.A.U._ CONTRACTOR
a
SPACE HTR. AIR COND. ADDRESS f
I'►'1 ON
CLOTHES WASH._DISHWASH._ CITY � JY> TEL. NO O
FAN—OTHER 1.00 LICENSE.NO!m_Z.td'3 CjX CLASSc�b
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE,THAT,1 HAVE READ THIS APPLICATION
SIZE & TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 - 10 3.001 LICENSED AS REQUIRED BY LOS ANGELES. COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM-THE LEGAL OWNER OF, AND INTEND TO
10 - 50 5.00 RESIDE IN, OVE DESCRIBED 'RESIDENTIAL PROPERTY.
50 - 10010.00 SIGNATUR d
OF PERMITT O
_ V
100 — Boo IS.Do rD1F7R GR UP P ESSED BY
SIGN,GAS OTUBE, OR IGN AND ONE CIRCUIT 3.00 ^ C~3
MARQUEE LLI
ADDITIONAL CIRCUITS 1.00 NOTES• y
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
Z Uv Z
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT- FEE (SUB. TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED
46,
PERMIT ISSUING FEE 2.00 Zd� UTILITYCO.NOTI.FIED �► �.
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL
TOTAL FEE (fD JOSEPH C. ROOHAN
SUPERVISING ELECT CAL ENGINEER
PLAN CHECK VALIDATION CK. M.D. CASH PERMIT VALIDATION Cc, M.O. CASH
=E'BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE