HomeMy Public PortalAbout6221 TEMPLE CITY BLVD_Electrical__ 75A663 Deg EA 7-51 APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY ELECTRIC i
COUNTY OF LOS ANGELES
WILLIAM J. FOX, CHIEF ENGINEER
FOR APPLICANT TO FILL IN DISTRICT NO. GROUP ZONE PERMIT NO.
ELECTRICIAN :HXRLES-W: HADEN 677 g �
x.9.87,PER$IMM1IOfd RECEIVED BY READY FOR DAT IBB ED
ADDRESS
aFIRST INSPECTION �
CITY TEL.N13.1CO
COUNTY LICENSE NO. d EXPIRES ?0-,51 BUILDING / �l �� � /+�+
PERMIT FEES I ADDRESS cr (_f •�r. i
FEE
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST J
RECEPTACLES CROSS BT.
WALL SWITCHES �n7 OWNER
TOTAL OUTLETS 5D 9 OI'S MAIL
ELEC. RANGES 25 ADDRESS
ELEC. HEATERS 25 CITY TEL NO.
FIXTURES 5 �� 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
Minn. 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 WIRfNB.
MOTORS 1 CERTIFY THAT 1 PCBBEBB THE ABOVE VALID LOS
NumsER HORSEPOWERANGELES COUNTY LICENSE, OR 1 AM THE LEGAL OWNER
NEw MVD. HP OVER INC. EACHFEE OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVE.
?
Va i LEe9 S .25 % J , /
SIGNATURE OF
Y2 2 .50 PERM ITTE /✓�I".r�t•i.i-%+•�✓�� s.� _
aB ''°° INSPECTION RECORD
5 15 1.50
15 50 2.50
50 200 5.00
200 Boa 10.00 - n ,9�`Ei�0llli�f�_
600 ,DDD 15.00 _ L ( D(/ l Z
OVER 1000 20.00 /
M.D. BET/FREQ. CHANGER-HP
19
WELDERS:AC-KVA C_- O
GENERATORS - KW
TRANSFORMERS - KVA
TEMP. MOTORS (75% or ams.) �,�` 5,
MOVED M13TORS (75% OF DRIB.)
M ISC.
SIGNS
NO. NO.TRANS.
' APPROVALS
NO. NO.LAMPS
FOR EACH PERMIT'. rDATE INBPECTORPB NAME
WIRING $1.001 CONDUIT 7 .>':''jy t ?
FIXTURES 181.00 /1 Q WIRING `� :�►
SUPPLEMENTARY ,50 FIXTURES
POWER
TOTAL FEE 1 UTILITY CO.NOTIFIED
FINAL 11 � , vkd (- �1,i�.,�,•-•.
76A663-GE806 468 APPLICATION 'FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER FEA
BUILDING AND SAFETY DIVISION
JOHN A. LAMBIE, COUNTY ENGINEER
COLEMAN W. JENKINS, SUPERINTENDENT OF BUILDINGY
FOR APPLICANT TO FILL IN .
NO. EACH FEE
S
RECEPT._ S OWNERMAIL
LIGHT TOTAL FIRST 20 .20 ADDRESS
SWITCH_ OVER 20 .10 CITY TE-11
NO.
PLAN CHE
LIGHTING iTOTAL FIRST 20 .20 APPLICAN
' FIXTURES I OVER 20 .10 ADDRESS
RANGE_DRYER—WTR.HTR._ CITY TEL. NO.
STA.COOK_DISP.—F.A.U._ CONTRACTOR
SPACE HTR. AIR COND.
ADDRESS
CLOTHES WASH._DISHWASH._ CITY EL. NO. !/
FAN—OTHER 1.00 LICENSE IJ O. CLASS.
MOTORS,TRANSFORMERS RATING
IND. HEATERS, ETC. HP. KW. KVA. I HEREBY ACKNOWLEDGE THAT IHAVE 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
ELECTRICAL WIRING.
0 - 1 1.00
I HEREBY CERTIFY THAT I 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 a
10 - SO 5.00 RESIDE IN, THEeiAVE DESCRIED 51 :TIAL PROPERTY. O
SIGNATURE U
50 - 100 10.00 OF PERMITTEE
CD
100 - 500 15.QO I--
DI ST
DIST IGT O. GRO P ZONE PROCESS D BY w
A
TUBE, SIGN AND ONE CIRCUIT 3.00 A
MARQUEE ADDITIONAL CIRCUITS 1.00
NOTES:
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 (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2.00 Od UTILITY CO.NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1.00 FINAL /� /►
TOTAL FEE JOSEPH .C. ROOHAN
SUPERVISING ELCCK.)
AL ENGINEER
PLAN CHECK VALIDATION CK. M.O. CASH PERMIT VALIDATION M.O. CASH
- 1 o 1.5 5Q� juL 1 2 D 4.00-
SEE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE