HomeMy Public PortalAbout6330 TEMPLE CITY BLVD_Electrical__ Te•eas-cE[De aee APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COYNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 633 o e GT
JOHN A LAMBIE COUNTY NOINEER
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY % - R
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
No PACI
RECEPT_ $ OWNER
MAIL
LIGHT_. TOTAL FIRST 20 20 ADDRESS 0
SWITCH— OVER 20 10 CITY jl TEL NO .3
PLAN CH CK
LIGHTING iTOTAL FIRST 20 20 APPLICANT
FIXTURES /( OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_OISP _F A U CONTRAC iOR Q
SPACE HTR _AIR COND _ ADDRESS
CLOTHES WASH _DISHWASH CITY TEL NO
FAN—OTHER- 1 00 LICENSE NO CLASS
MOTORSTRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
$12E 6 TYPE OVER TO AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - 1 00
HEREBY A CRE REQUIRED
THAT I AM PROPERLY REGISTERED AND/Op
1 10 3 00 LICE NS[D A8 RE HAT I BY LOS ANGELES COUNTY AND NTATE OF
CESIDE NIA OR THAT 1 •M THE LEGAL OWNER OF AND INTEND TO CL
10 $D $DD RESIDE IM THE ABOVE DCICRICEO RESIDENTIAL PROPEpTY O
U
SIGNATURE
SO - 100 10 00 1 OF PERMITTEE C
100 — Soo 1s o0 DISTRICT O GROUP Z NE PROCESSE BY w
TUBE SIGN A
SIGN AND ONE CIRCUIT 3 00 y
MAROU EE ADDITIONAL CIRCUITS 1 00Z
NOTES
SERVICE NOT OVER 800 VOLTS OR 200 AAP 2 00 00
SERVICE OVER BOO VOLTS OR 200 AMP S 00
TEMP SERVICE POLE h APPURTENANCES 1 3 00 APPROVALS DATE INSPECTOR f SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED O/
PERMIT ISSUING FEE 200 O0 UTILITY CONOTIFIED ~REh
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL ✓I
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELEC L ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION K O CASH
1 4G APR22 2 D 4.Q0~
IEE PACK OF APPLICATION V014 COMPLETE FEE SCHEDULE
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76A663-CERO612.60 APPLICATION FOR ELECTRI L PERMIf7 'fl
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �1
BUILDING AND SAFETY DIVISION ADDRESS 3O Cl,-' U
JOHN A LAMBIE COUNTY ENGINEER [f
COLEMAN W JENKINS, SLIP6RINT6NDSNTDFBUILDING LOCALITY PL
NEAREST Ll U F
CA F CROBS ST f
RECEPT TOTAL
NO EACH O UTLETB I FIRST 20 $20 Q OWNER L L
LIGHT
SWITCH ADD L f0 ADDRESS 3 O a_ C T
OVER 20
1 TOTAL FIRST 20 20 U CITY #0L r-- Cl TEL NO 3
LIGHTING l FIXTURES
FIXTURES J ADD L 10 CONTRACTOR
OVER 20
RANGES DRYERS WT" Nrp 100 ADDRESS
OARS p1V RA COOK
CITY TEL NO
DISH WASH AUTO WAIN / STATE
SPACE HTR. STA APPL SO J O LICENSE NO
MOTORS. ovER NOTOVIR HP DIBTRI( Nfiy G P ZO P BY
o 1 too �/ '
1 6 too INSPECTION RECORD d
O
6 B 200 `. r V u
B f6 260 >1 O
1B 60 300 Yrj
a
so too 300
BIONS. NO TRANS
NO LAMPS
SERVICE O 600V NOT OVER 200A 100
SERVICE O 600V OVER 200 A 200
SERVICE OVER 600V 600
OTHER .SEE COMPLETE PER SCHEDULE)
PERMIT ISSUING FEE 200
SUPPLEMENTARY PERMIT ISSUING PER 1100 A DATE IM
TOTAL FEE
1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS AfPLIGTION UNDERSLAB WORK
AN
STATE THAT THE ABOVE II CORRECT AND AGREE TO COMPLY ROUGH CONDUIT
WITH ALL COUNTY ORDINANCIS AND STATE LAWS REOULATIMO
ELECTRICAL WIRING WIRING
I HERESY CERTIFY THAT 1 AM PROPERLY REGISTERED AMO/OR FI XTUREY
LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT M TM LE AL OWNER OF AND INTEND TO POW
BESIDE IN THE ASOV SC E EIIOE I PR TY
EIR
SIGNATUREUTI LITS CONOTIFIED 410
OF PERMITTE!
FINAL 7
NIDATION JOSEPH C R ELECTRICAL
1 MO CASON SUPKRVISING ELECTRICAL LAC07236% FEB20 2 D 5.10TV
IS
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