HomeMy Public PortalAbout6137 TEMPLE CITY BLVD_Electrical__ de-791� 64:�'
7BA683-CESOO 4-68 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER B.UILDING
BUILDING AND SAFETY DIVISION ADDRESS. tpdyj f� Ci LvP
JOHN A. LAMBIE. COUNTY ENGINEER'
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGNEAREST LOCALITY
FOR APPLICANT TO 'FILL IN CROSS ST.
NO. EACH FEE
RECEPT._ S S OWNER 14 S
MAIL
LIGHT TOTAL 'FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITYTEL. NO.
PLAN CHECK
LIGHTING J.TOTAL FIRST 20 .20 APPLICANT
FIXTURES OVER 20 .101 ADDRESS
RANGE—DRYER—WTR.HTR.— CITY TEL, NO.
STA.COOK_DISP._F.A.U._ CONTRACTOR rg S .�%Z , G.
SPACE HTR. AIR COND. ADDRESS
CLOTHES WASH._DISHWASH._ CITY TEL. NO ZIT+
FAN_OTHER 1.001 LICENSE CLASS. "119
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 COR.RECT 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. DESCRIBED RESIDENTIAL PROPERTY.
SIGNATURE d
50 - 100 10.00 OF PERMITT v
SIGN,GAS 100 - soo 15.00 DI$jR1C� G UP P CESSED BY c
TUBE, OR SIGN AND ONE CIRCUIT 3.00 jl �JJ>�;55 �` - v
MARQUEE ADDITIONAL CIRCUITS 1.00 d
NOTES: y
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2.00
SERVICE OVER 600 VOLTS OR 200 AMP 5.00
TEMP SERVICE, POLE, &APPURTENANCES 3.00 APPROVALS DATE INSPECTOR'S SIGNATURE
TEMP. POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (S.UB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 UTILITYCO.NOTIFIED `S
SUPPLEMENTARY PERMIT ISSUING FEE 1.0.0 FINAL L
TOTAL FEE JOSEPH C. ROOHAN
SUPERVISING ELECTRICAL ENGINEER.
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION CK. M.O. CASH
lof AF'_ 0 8 6 4' ,ri!L 9 2 D 4.00-
a
.
:E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
epA$e3-CESOG 10-32 APPLICATION FOR ELECT ICAL PERMIT
" • COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDIN
BUILDING AND SAFETY DIVISION ADORES
JOHN A. LAMBIE, COUNTY ENGINEER
WILLIAM A.JENSEN,SUPT OF BUILDING LOCALITY 1
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
RECEP! TOTAL NO. EACH FMAE
OUTLETS FIRST 2O2O S OWNER
LIGHTALI
MAIL `
SWITCH. m�-/7 OVER'20 .10 ADDRESS
TOTAL CITY TEL.
LIGHTING FIRST ZO 20
FIXTURES / ADD'L .10
VER ZO ELECTRICIA
O
N Vdde
RANGES CLO.DRYERS WTR.HTRS. 11.00 ADDRESSI!
GARB.DISP. STA.COOK
�1 rxi
D19HWASH. AUTO.-WASH.� i'�' CITY TEL.N '? 6
STATE
SPACE HTRS. STA.APP.(Ys-H.P.MAX.) ,50 LICENSE NO.
MOTORS: OVER NOT OVER H.P. DIST�ICT NO. GR ONE P ESSED BY
O 1 1.00 �f
1 a 1.50 INSPECTION R CORD
s s 2.00
a
8 15 2.50 V
15 so 8.00 pZ�
50 100 5.00 0
SIGNS: NO.TRANS.
NO.LAMPS
N
rZ
SERVICE O-sOOV-NOT OVER 200A 1.00
SERVICE O-SOOV-OVER 200 A. 2.00
SERVICE OVER SOOV 5.00
MISC.
PERMIT ISSUING FEE 2.00
SUPPLEMENTARY PERMIT ISSUING FEE 1.00
TOTAL FEE
1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION APPROVALS DATE INSPECTOR'S SIGNATURE
AND STATE THAT THE ABOVE 19 CORRECT AND AGREE TO COMPLY CONDUIT �._ X'
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING r/A�• f
ELECTRICAL WIRING.
WIRING � /o';ry.•�%�
1 HEREBY CERTIFY THAT I AM PROPERLY G19TERED AND/OR
LICENSED AS [RED BY LOS ANGELES •UNTY AND STATE OF FIXTURES
CALIFORNIA R AT L1 AM THE L7EAL NE OF THE ABOVE
DESCRIBED RE NTIA PROPERTY. POWER
SIGNATURE UTILITY CO.NOTIFIED ., i A. A
OF PERMI r
FINAL
,4
LIDATION ARTHUR C. VEIT
CK MO CASH SUPERVISING ELECTRICAL ENGINEER
J J
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