HomeMy Public PortalAbout6248-6248 1/2 TEMPLE CITY BLVD_Electrical__ i 4�TSABSS CESLa Id•az APPLICATION FOR ELECTS CAL FERMI
CdUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER SUILDING /
BUILDING AND SAFETY DIVISION ADDRESS lu�
JOHN A LAMBIE COUNTY ENOINEER
WILLIAM A Jl SEN aur T or auILo'Na LOCALITY
MMMMECROSS
OR APPL CA I cR066 eT
later TOTAL No KACII rc[ '' .. LL
OUTLETS rIRaT 20 •IID • OWNER '-LN
LI•xr• MAIL
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ova [0 10
TOTAL CITY TEL NO
LIO HTING rlRar 20 IIO
FI%TURES woo L
DvcR 20 • 10 ELECTRICIAN L2 f
RANGES CLO DRYERS WTR MRS 100 ADDRESS
OARS DIP STA COOK
n CIT TEL N
DIWWAIH AUTO WA (/ STA J
SPAM Mp STA.Arr f w H r a0 LICENSE NO
MOTORS, DYER HOT own NP DISTRI N G U ZONE P SEED BY
o 1 100
1 — a iao INSPECTION RE ORD
a S 200 / oy
7¢^
a — 1e IIao O
V
15 so Soo
ao —
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a1ON8� No TMNS
No LAMPS
eERvlee o eooV Nor oval zoow foo
SERVICE ISOM Oval 200 A 100
SERVICE MIER 600V 500
MISC
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING FEB 100
TOTAL FEE S
I MKREer ACKNowLKDGE THAT I NAYS RSAD "IS AnuurroN L.a M- 7
IN—
K••oMATM
.. "AM THAT TNK ABOVE IS CORIU= AMD AG1 TO COMPLY CONDUIT
WIrN ALL COUMY ORDINANCES AND STATS LAWS REOULATINO
RKCTRICAL WISING WIRING
1 IfENEBY C[Rr1A TIUT I AY P110PERLY alalElRD AND/OS
ucENSED AS IKaU1SED BY lD lee AMo STATS Or FIXTURES
uUM Mu OR THAT I AM L1 L w or TNK ABOVK
lkqC—
Dk cnamo RESIDSNTUI POWER
SIGNATTURE
OF PERMIT I UTILITY CO NOTIFIED
FINAL
VALIDATION ARTHUR C VEIT
MO CASH SUPERVISING ELECTRICAL ENGINEER
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TEMPLE CITY
7GA663-CEDOS 8-82 APPLICATION FOR ELECTRI PERMIT w yp
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDIN
BUILDING AND SAFETY DIVISION ADK5um GIZ 'Z • Y
JOHN A LAMBIE COUNTY ENGIN SEER fr
Vie e/7-z-
WILLSAMA JENSEN SDP T OI eu1LDING LOCALITY
NEAREST
lFOR P O FI IN CRoee SIT
RECEPT I TOTAL
II
OUTLETS FIRST 20 •20 0 OWNER /
LINT MAIL`+1
SWITCH OVER 20 10 ADDIS T
TOTAL CITY TEL NO /
LIGHTING 1 F1RMT 20 YO
FIXTURES J ADD'L 1O ELECTRICIAN
DV R 20
RANDi[ cL0 "Wits W 11 HTR[ 100 ADDRESS
OAIe DIV RA COOK
CITY NO
DIWWAEM AUTO WARN STATE �J
VAC[HTR! [TA ARP (W HR MAX I 60 LICENSE NO ,f
MOTORS, ovm NOT OVER HP DISTRICT NO GROUP ZONE PROCESSED BY
O I 100
I — a ISO INSPECTION RECORD,
a — a 100
e 1e 260
IIS so 300 d
so 100 Boo 0
SIGNS, NO TRAN[ D(
NO "NPS 0
SERVICE O e00V NOT OWN IIOOA lao o y
d
SERVICE e0LU
u IIOOA 100 N
SERVICE OVEV Boo Z
MISC
PERMIT[ISSURE 100 _2 ZPa
SUPPLEMENTARYPERMIT ISSUING FEE f00
L FEE 6
1 HEREBY WLEDOs THAT I HAV[ READ THI[ LIGTIt
DAT[ INV[CTOR•• IAAND [TAT[ HE ASMI[ 1[ CORRECT AND AGREE TO C WITH ALL Y ORDINANw AND [TATs LAWS REGULATIKLECT'111GLG 1 NLAmT IY TMAT 1 AM FROPKALY IQOI[T[IRD ANDIYC[M® AIRED [Y LO[ ANO[L[[ COUNTY AND RAT[RMIAI AM TH[ ". OWNER OP YNE A[OI[[OPROP[RIYSIGNATUROTIFIED
OF PCRMI
9 IDATION ARTHUR C VEIT
MO CAGN SUPERVISING ELECTRICAL ENGINEER
.; jAr. 1 0 5 6- A22 2 D 400 - "
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7eABa3-ceaoB IiTO APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ABUILDING
DDRESS 2
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENGINEER LOCALITY�^
COLEMAN W JENKINS u N N N OF BUILDING
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
OUTLETS NO EACHI FEE OWNER
RECEPT_ S S
MAIL
LIGHT_ TOTAL
FIRST 20 20 ADDRESS
OVER 20 CITY TEL NO
SWITCH 10 PLA HECK
fiaLIGHTING l FIRST 20 p APPLICANT I
)} TOTAL
FI%TURES OVER 20 10 ADDRESS
APPLIANCES CITY TEL NO
PERMIT
RANGE_DRYER_WTR HTR APPLICANT I
STA COOK_DISP _F A U ADDRESS 1
SPACE HTR AIR COND CITY TEL NO
CLOTHES WASH DISHWASH LICENSE NO CLASS
FAN_OTHER 100 1 HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
IND HEATERS ETC HP KW KYA ELECTRICAL WIRING
SIZE A TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - I IOD LICENSED AS REQUIRE BY LOS ANOELHS COUNTY AND STATE OF
�U CALIFORNIA OR THAT 1 M THE LEGAL O NER OF AND INTEND TO
I - 10 300 RESIDE IN THE A 0 E DESCRIBED EIDE NTIAL PROPERTY
SIGNATURE a
10 - 50 BOO OF PERMITTEE 0
V
50 - 100 1000
DI S,�CCT Nps- CLASS GROUP Zoy)<� P Eaa Y CC
100 - 500 15W /I�l,V7 0
SIGN GAS SIGN AND ONE CIRCUIT 300 NOTES ITri
TUBE, OR N
MARQUEE ADDITIONAL CIRCUITS 100 z
SERVICENOTOVER 600 VOLTS OR 200AMP 200 Z nC�
SERVICEOVER 600 VOLTS OR 200AMP a00 APPROVALS DAT[ N>r[CTOx'D DMNUTIIRE
TEMP POWER POLE
TEMPSERVICE,POLE,6APPURTENANCES 300
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
PERMIT FEE (SUB TOTAL) FIXTURES
PLAN CHECKFEE (80% PERMIT FEE) POWER AUTHORIZED
UTILITY CO NOTIFIED
PERMIT ISSUING FE! 200 2
FINAL
SUPPLEMENTARY PERMIT ISSUING FEE ISO
JOSE H C ROOHAN \
TOTAL FEE S ov SUPE ISINO ELECTRICAL ENGINES
PLAN CHECK VALIDATION CK M D CASH PERMIT VALIDATION CK M D CABN
0 6 22 D/�� �5.00�
291 SACK OF APPLICATION FOR COMPLiT[ SCHROUL[ - — /