HomeMy Public PortalAbout6231-6233 TEMPLE CITY BLVD_Electrical__ ` a
ouw DRn ru a-w APPLICATION FOR PERMIT
DEPARTMENT T OF TG AND SAFETY ELECTRIC 1
COUNTY OFF LOS LOS ANGELES
WILLIAM J. FOX, CHIEF ENBINECR
FOR APPLICANT TO FILL IN DISTR
.T NO. GROUP ZONE PERMIT NO.
ELECTRICIAN v�uv
RECEIVED BY READY ►OR DAT[ IYSYm
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C13 LICENSE NO / 3 EXPIRES -X4 SUILOING
PERMADDRESS
IT FEES r
NUMBER EACH 'EE LOCALITY e G
LIGHT OUTLETS NEAREST
CROSS ST.
RECEPTACLES /�
WALL SWITCHES OWNER /
TOTAL OUTLETS SC MAIL \
ELEC RANGES SS ADDRESS
[LEC HEATERS IIB CITY TEL NO I�
FIXTURES In6 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
MISC APPLICATION AND STAT[ THAT THE ASOV[ IB CORRECT
NUMBER OF LIGHT CIRCUITS AND AOR[[ TO COMPLY WITH ALL COUNTY ORDINANCES
NUMBER OF RECEPTACLE CIRCUITS AND STAT[ LAWS REGULATING ELECTRICAL WIRING
MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOS
NYHnEI1 HORSEPOWER FEE ANDELCS COUNTY LICENSE, OR 1 AM THE L[OAL OWNER
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S 60 P[RMf'IT[L� ��
E B 100 INSPECTION RECORD
B 1B 1.50
10 SO 250
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SOO 1000 1 B 00 =
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GENERATORS - KW ZAI
TRANSFORMERS - KVA
TEMP MOTORS (75OF MOD)
MOVED MOTORS (70 DF Only♦
MISC
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NO. ND TRANS. APPROVALS
N0.LAMPS
FOR EACH PERMITI DATE IMSPECTOnns NAME
WIRIND 01,00 CONOUIT L I
FIXTURES 1.00 WIRING �I K-
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TOTAL FEE 17V UTILITY Cd NOTIFIED
FINAL
75•ea3-cEBoe ase APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
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JOHN A LAMBIE. COUNTY ENGINEER
COLEMAN W. JENKINS, SUPIRRINTLiCIENT M BUILDING
LOCALITY LiM^
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NO RE[RECEPT _ OWNER MAILGHT_ TOTAL FIRST 20 20 ADDRESS
ITCH_ OVER 20 10 CITY TEL NO
PLAN CHECK
GHTING iTOTAL FIRST 20 20 APPLICANT
FIXTURES 1! OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR _ CITY TEL NO
STA COOK_DISP _F A U _ CONTRAC TOR �
SPACE HTR _AIR GOND __ ADDRESS L.5 � evgvAW/
CLOTHES WASH _DISHWASH _ CIT Z TEL NOG CSLI2
FAN—OTHER I LICENSE NO GtO CLASS LO
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
61ZE 6 TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL CWNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
O 1 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AMD/OR
I 10 3 DO LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE Of
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO
10 50 QQ RESIDE IMROVE DI SCR RED RESIDE hT L PROPERTY
SQ - 100 10 Q0 SIGNATURE
OF PERMITTEE; CD
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100 - Soo IS 00
DI RI V N UP 'NyE PROCESSED BY
SIGN GAS SIGN AND ONE CIRCUIT 00 ( D E/ J O
TUBE OR 3 U
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES H
BpiVlfl NOT OVER SOD VOLTS OR 200 AMP 2 00 2 OD
Z
SERVICE OVER 600 VOLTS OR 200 AMP S 00
TEMP SERVICE POLE B APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE)
UNDERSLAS WORK I
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (SDR PERMIT FEE)
POWER AUTHORIZED /1
PERMIT ISSUING FEE 2 00 2 UTI LITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELEC AL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION CK M o CASH
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EE BACK OF APPLICATION FOR COMPLETE FEE SCHECNJ £ ��