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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 � nom - 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 -