HomeMy Public PortalAbout6260 TEMPLE CITY BLVD_Electrical__ COUNTY Of LOB ANGELES APPLICATION FOR PERMIT
Department of Conary EngineerSAAELECTRIC
DIVISION OF BUILDING & SAFETY
WILLIAr J FOX. DODDb EpIEMr
FOR PPLI NT TO FILL IN DISTRICT NO. CROUP ZONE PERMIT No.
ELECTRICIAN
5 Z -I �G305
ADDR RECEIVED SY FIM INSPECTION DATE ISSUED
CITY TEL ND 2-2-J
COUNTYID NSEENo /e. KXPIREB —.10 BUILDI 11
PERI1 FEES ADDRESS
F[[
NUMBER EACH LOCALITY
LIGHT OUTLETS NEAREST
RECEPTACLES CROSS BT
WALL SWITCHES OWNER
TOTAL OUTLETS 60 MAIL
ELEO RANGES SS ADDRESS
ELEG HEATERS GO CITY TEL N0.
FIXTURES 5
1 HEREBY AOKNOWLLD E THAT I HAVE READ THIS
MISO APPLICATION AND STAT[ THAT THE ABOVE IS CORRECT
NUMBER OF LIGHT CIRCUITS AND AGR[[ 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 LOS
Nu
HORSLPOWER FEE ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
NEw Mw HP ovER IND [ADN OF THE RESIDEN IAL PROPERTY DEBCR [D ABOVE.
1 A IEAB B RS. SIGNATURE OF
V. S 60 PEMMITTr
III S 1 Do INSPECTION RECORD
S 115 1 SD
16 SO 250
BO SOO 5 DO
200 Sao 10 GO J
S00 1000 11 00 Z
OVER 1000 20 00 0
Mill RTT/rRQ CHANGER-HP
WELD[R91 AC-KVA O
GENERATORS - Kw
TRANSFORMERS - KVA
TEMP. MOTORS (7/ or calx)
MOVED MOTORS (71 or DRIB
S
SIGNS
NG NO TRANS.
"M X LAMPS APPROVALS
FOR EACH PERMITS DAT[ I INGPECTORIG NAM[
WIRING lAo CONDUIT
FIXTURES Ol GC WIRING
RUMLKMENTARY6D FIXTURES
�J POWER
TOTAL FEE • J UTILITY00 NOTIFIED A
FINAL
9eAeas DRB#IIA W"
IN E[EAVffil1 I I 1 I 1 1
DESCHEMON OF WORKLOCATION BY ROOMS
- • ,
KUMB=OF OUTLWIS ON CIRCUITS
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DB S-A • BEY APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC
WM. J. FOX, CHIEF ENGINEER
NATURE OF INSTALLATION DISTRICT NO. GROUP ZONE PERMIT NO.
WIRING _� FIXTURE{ SERVICE -
READY FOR
RECEIVED BY DATE ISSUED
RANGE HEATER POWER FIRST INSPECTION
SIGNS MISCELLANEOUS
APPLICANT FILL IN HEAVILY OUTLINED PORTION ONLY
Y
z JOB OT
t NAM[ )^ ADDRESS Ate e
CADDRESSf_..� LOCALm
U NEAREST
WJ CITY TEL.NO, CROSS ST.
W COUN
CERT. NO. EXPIR '- NAME
DESCRIPTION OF WORN ; ADDRESS
NUMBER OF OUTLETS ON CIRCUIT$ 0
LOCATION BY ROOMS CITY TEL. NO/7
LIGHT OUTLETS {W. PLUGS ria, 1 AM THE LEGAL POSSEBSpR OF THE AJ30VE LOS
CIRCUIT
A B C D E F G H ANGELES COUNTY CERTI FICATY OF gUALIFI TION.
LIVING ROOMKLECTRiCIAH_
-------- 1 AM THE LEGAL OWNER OF THE PROPERTY DESCRIEED
DINING ROOM ABOVE.
BRFST. RM. —_--------_ OWNER.
BATH _________-_ CORRECTIONS
ENT.HALL
HALL NO. _
FRONTPORCH
OUTSIDE
�
KITCHEN
_------- —
SERV.PCH.
J
BDRM.NO. Z
CLOSET ---------- D
__-----_
BDRM.NO. Q
CLOSET
TOTAL
NO. OF OUTLETS i D APPROVALS
NO. OF FIXTURES / { �r DATE INSPECTOR'S NAME
NO. OF MOTORS H.P. { CONDUIT
NO. OF SIGNS TRANS. { WIRING
NO. OF RANGES OR HEATERS f FIXTURES
MISCELLANEOUS i POWER f
I — 0
PERMIT FE6 { � UTILITY CO.NOTIFIE
TOTAL REE FINAL
��7 6 A G 6 3 - C E f 0 6 4 - 6 8 '