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HomeMy Public PortalAbout6238 TEMPLE CITY BLVD_Electrical__ 76AGG3 CE006 4-68 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDR Ess JOHN A LAMBIE COUNTY ENGI N__R COLEMAN W JENKINS, SUP[RINTRNDENT OR BUILOIND LOCALITY/ ;,we4'f/Z.'r LY NEAREST FOR APPLICANT TO FILL IN CROSS ST NCI RECEPT _ s OWNE MAIL LIGHT__ TOTAL FIRST 20 20 ADDRESS SWITCH_ OVER 20 10 CITY TEL NO PLAN CHECK LIGHTING iTOTAL FIRST 20 20 APPLICANT FIXTURES /( OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U _ CONTRAC roR r SPACE HTR _AIR COND ADDRESS ��//�� _ CLOTHES WASH __DISHWASH CITY ^TTEL NO a FAN_OTHER 1 LICENSE NO CLASS MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I RCRLSY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE IS TYPE OVER TO AMD STATE THAT THE ASOVE Ip CORRECT AND AGREE TO COMPLY WI TN ALL CWNTY ORDINANCES AND !TATE LAWS REGULATING 0 00 ELECTRICAL WIRING I .3 E0 A CERTIFY THAT I AM PROPERLY REGISTERED AND/OR I 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES CRNTY AND STATE OF CALIFORNIA OR THAT 1 THE LEGAL OWNER DP AND INTEND TO CD 10 $Q $ QQ RESIDE IN THE OVE VC DEICPIPED IDE NTIIL PROPERTY O U SIGNATOR 80 - 100 10 00 OF PERMITTE 100 - $00 IS 00 U DIST I IGN GAS T GR P 2 P TU6E OR SIGN AND ONE CIRCUIT 3 00 N 2 MARQUEE 1ADDITIONAL CIRCUITS 1 00 NOTES SERVICE HOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 800 VOLTS OR 200 AMP S GO TEMP SERVICE POLE h APPURTENANCES 3 00 APPROVALS DATE INSPECTOR 5 SIGNATURE TEMP POWER POLE UROUGHCONDUIT WORK UITPERMIT FEE (SUB TOTAL)PLAN CHECK FEE (50% PERMIT FEETORIZEDPERMIT ISSUING FEE 200 O TIF IECSUPPLEMENTARY PERMIT ISSUINGFEE 1 00 TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELE CAL ENGINEER DATION CK PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIM 0 CASH TO �rir 9 9 8 9% tWl4 2 D 4.00'- EE PACK OF APPLICATION FOR COMPLETE FEE SCHEDULE /� Gr ►i/ 7GA0!] DMBA 11-[O APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAY= 5�����'� COUNTY OFF LOS LOS ANGELES ��iii WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO. GROUP 7eK PERMIT NO. ELECTRICIAN /G�- � R[[Q[IV[D BY READY FOR DAT[ [D ADDR[88 // RBT INSPECTION / 3 CITY - T[l�NO D /L'CP,' COUNTY LICENBE NO PIRE L21 2A/ Z V 7-aE L��77 MPI. ! T a'aQ�✓rte PERMIT FEES NOR [Ba NUMBER EACH FEE LOCALITY MPL !=1 -re LIGHT OUTLETS CROSS BT. hK/Y RECEPTACLES ti WALL SWITCHES OWNER 17,01,Q Al-19 TOTAL OUTLETS SD S MAIL ELEC RANGESqg ADDRESS ELEC HEATERS ZS CITY TEL.. NO FIXTURES 6 4 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS MIBC 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 WIRING MOTORS I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUNe[R HORBEPOWER ANGELES COUNTY LICENBE. OR 1 AN THE LEGAL OWNER FEE N¢w Mw HP DvcR IBD EACH OF THE RESIDENTIAL PROPERTY DESCRIBED ABOVL I n LE[[ B 10 SIGNATURE OF ya 7 50 PERMITTE a S 100 INSPECTION RECORD B 15 1 50 15 60 250 _ So ZOO Soo _ 200 Sao 1000 -J Soo IGOO 1e OO Q 2 OVER 1000 2000 1 F) MG BET FRED CHANGER-HP Ir WELDERS AC-KVA O GENERATORS_- KW TRANSFORMERS - "A TEMP MOTORS (7S DF DRID) MOVED MOTORS (73 OF DRIO) MIBC BIONS ND NO TRANS. APPROVALS NO NO LAMPS FOR EACH PERMIT' DATE INSPECTOR-9 NAME WIRING mica CONDUIT oO 3L FIXTURES mica Q WIRING L�1 SUPPLEMENTARY SO FIXTURES - POWER TOTAL FEE . y y a UTILITYCG NOTIFIED 2' L3 lr „Li AA FINAL 1 . ' : 1 1I 11 II DESCREMON OF WORK Pw W- If. a NUIAEURR Of'OUTLIrM ON CIRCUM �ocmoomornm■ .� .nr� N �rn■■■■n■■■n , . ��,�w■ r ■■■■■nnFMmWompam ME RUM ■■ �■n■■■ri■©■" ,:: .,l ■Ul■■■n■■■N 1 r ■n■■■■■■■n. �=Mmmm■mm■■■■ NE&f9maimimm ■..■■■■cs��r FA,Wj-W-4nmMMM ■ W, , . rte■■■■■n��■ ■ - - � , n■■■■n■■■ ■ MIN ns r �■n■■■n■n■n■ MIM WIN rr!±�■n■■■n■■■n■ ren■■■■■■■■n■ ■rte■■■■■■■■■■■ en�■r�n■■■rr�r �■ ■ rim 1 1L