Loading...
HomeMy Public PortalAbout6242 TEMPLE CITY BLVD_Electrical__ 7RA663-CESOB 4.68 APPLICATION FOR ELECTRIC PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING JQ BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENOINEEM COLEMAN W. JENKINS, SUPRRINTLNGLNT Gr BUILDING LOCALITY ANT TO FILL IN NEAREST CROSS ST F77 s OWNSMAIL ST 20 20 ADDRESS _ER 20 10 CITY TELNO IFPLAN CHECK ST 20 20 APPLICANT FIXTURES / OVER 20 10 ADDRESS RANGE-DRYER_WTR HTR CITY TEL NO STA COOK_DISP _F A U _ CONTRAC rOR SPACE HTR _AIR CONO ADDRESS D r _ CLOTHES WASH -DISHWASH CITY �rJ9£C NO FAN-OTHER 11 00 LICENSE NO CLASS 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 12 CORRECT AND AGREE TO COMPLY WIT N ALL COUNTY ORDINANCES AND STATE LAWS REGULATING ELECTRICAL WIRING 0 - I 1 00 1 HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND" I 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO 10 SO , 6 00 RESIDE IN SOVE DESCRIPED IDENTIAL PROPERTY SO - 10010 00 SIGNATUR 1 OF PERMITT O U GAS 100 - 500 IS 0 DISTRICT OIG R E TIGN UBE OR SIGN AND ONE CIRCUIT 300 'Fl U MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES 1 SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE ODEA 600 VOLTS OR 200 AMP S 00 TEMP SERVICE POLE h APPURTENANCES 3 00 APPROVALS DATE INSPECTGIS SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING PLAN CHECK FEE (SO% PERMIT FEE) FIXTURES POWER AUTHORIZED PERMIT ISSUING FEE 2 00 Q ✓ UTILITY CO NOTIFIED SUPPLEMENTARY PERMIT ISSUING FEE.1 00 FINAL / TOTAL FEE JOSEPA C ROOHAN SUPERVISING ELECTRICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION 0 M D CASH 99910 MAY 14 2 D 4.09 EE HACK OF APPLICATION FOR COMPLETE FEE SCHEDULE 7Sg663-CEB06 10/72 APPLICATION FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER JOB 2¢ �� BUILDING AND SAFETY DIVISION T , r /� M�- LOCALITY FM 4, (..SIT NEAREST FOR APPLICANT TO FILL IN CROSS ST D'YI OUTLETS NO EACH FEE OWNER OR F RM NAME L- Y N 7a 4EFT RECEPT_ S $ MAILLIGHT w��11 FIRST 20 L� �yy ADDRESS 2 4V /«F Ora LLL^O CITY 7- TEL NO2� ®vV SWITCH_ TOTAL _ OVER 20 �S� y PLAN CHECK GHTING TOTALO-D LFIRST 20 0 y APPLICANT FI%Il /( ,� OVER 20 �, ADDRESS TURES +1B RESIDENTIAL APPLIANCES CITY }}�� TEL NOPERM IT RANGE_DRYER_WTR HTR_ APPLICANT //JWZ :` iG STA COOK_DISP_F A U ' AGGRESS lV S. W ,41 �` SPACE HTR AIR COND CITY TEL NO ` CLOTHES WASH DISHWASH REG NNUMBER CUSS FAN_OTHER100 I HERESY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY MOTORS, TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING IND HfA T[RS ETC HR KW RVA ELECTRICAL WIRING SIZE & TYPE OYER TO _ I HERESY CERTIFY THAT I AM PROPERLYlRLO A OR 0 — 1 100 LICENSED AS R[ )RED BY LOS ANGELES COUNTYNTYAND ST Oe CALIFORNIA OR THAI I AM THE LEGAL OWNER OF THE SOVE 1 — 10 300 OESCPIf EO RESIDENTIAL PROPERTY 10 — 50 B00 PERMITEE SIGNATURE CC O 50 - 100 1000 DISTRICT NO PROCE EO BV loo - 500 1500 IS: 0 B SIGN GAS SIGN AND ONE CIRCUIT SOO APPROVALS DATE' INSPECTOR S SIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS TDO TEMP POWER POLE SERVICENOT OVER 600 VOLTS OR 200AMP 300 UNOERSLAB WORK SERVICEOVER600 VOLTS OR 200AMP 1000 ROUGH CONDUIT TEMPSERVICE POLE &APPURTENANCES 500 WIRING X76 TEMP LIGHT OR RECEPT SYSTEM 300 FIXTURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL G {- PERMIT FEE (SUB TOTAL) NOTES SC//tV�C'E+ PLAN CHECK FEE ' PERMIT ISSUING FEE 0 TOTAL FEE PLAN CHECK VALIDATION CR M 0 CASH PERMIT VALI TION EA u o CASH SEE BACR OF APPLICATION FOR COMPLETE SCHEDULE 2 Z 4 nCEB 17 2 3 6,7 O ,L�