HomeMy Public PortalAbout6335 TEMPLE CITY BLVD_Electrical__ Teweee A.ID eI APPLICATION FOR ELECTRIC PERMIT
COUNTY OF LOS ANGELES _
DEPARTMENT OF COUNTY ENGINEER SUILDINO .3
BUILDING AND SAFETY DIVISION ADDRESS
JOHN A LAMBIE CouNTY ENGINEER
WILLIAM A JENSEN,SUP T or SUILDING LOCALITY0.
NEAREST
FOR ICA FILL CROSS ST
1 T K.M NO RACN r[[
oUTLETf� FIRST 20) f 20 0 6 p OWNER
LIGIRS IQC[PT tw MAIL
OnTS A®cUNt) ADDRESS c'
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LIGHTING FIXTURES. (FIRRT 20) 20 CITY TEL NO
LIGHTING FIXTURES, (ADDITIONAL) 10 WNTELECTRICIAN
RANOES CLO DRYERS TR A[ 100 ADDRESS /�T 0
GASB DISP RA COO[ 1 ,fJ 6
CITY Y'NO /'
DISHWASH AUTO WASH STATE
SPACE NIRS STA APP IN H r MA[ ) 80 LICENSE NO O
MOTORS. Ov[R MOT OYER HP DISTRI OZONEE
O 1 3 / 100 —
1 2 f100 A INSPECTION RECORD }
2 S 200 5/ [V/JA C_ O
S 16 250
16 DO 200 ' v
50 — 100 500
SIGNS. NO TRANS
No ""a
SERVICE O SOOV NOT ovzn 200A 100
SERVICE O SOOV OvOT 200 A 200
SERVICE OVER SOOV 500
MIBC
PERMIT ISSUING FEE 200 /
SUPPLTiMENTABY PERMIT ISSUING FEE 100
TOTAL FEE f 3 Li
1 O
MKRY AC[MOWL[DO[ THAT 1 HAVE BRAD THIS APPLICATION PPROVAI � MT[ INSP[2TO1 9
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A "AT YN[ AOOV[ IS CORRECT AND AGR[[ TO COMPLY ^v / ,/ 11.y✓��
WND STAY[IT1 ALL COUNTY 0MINANCES AND STATE LAWS IRGULATING CONDUIT
KLECTRICA WIRING WIRING
1 HERESY [
CRTIry THAT 1 AM PROPERLYEO R[OIST[R "DIOR
LICENSED AS ISOUIRED BY LOS ANGELES COUNTY AND STATE Or FIXTURES
CAUMIM1A OR TAT 1 AM TN[ L[OAL OWNER Or T19 ASOVC
DESCRIED RESIDENTIAL rROPERTY POWER
SIGNATURE UTILITY CO NOTIFIED
OF PERMITTEE
FINAL
�LIDATION ARTHUR C VETT
CK MO GSH SUPERVISING ELECTRICAL ENGINEER
01(,02672FS I-At15 2 D 3 .80 M
`" W APPLICATION OR ELECTRIC PERMIT
• COUNTY OF LOS ANGELES T
DEPARTMENT OF COUNTY ENGINEER BUILDING b /6�7 G
BUILDING AND SAFETY DIVISION ADDRHBS
JOHN A. LAMBIIL Couwff ENGINEER
W ILLIAMA JENSEN SUPTOFBUILDING LOCALITY
FOR APPLICANT TO FILL IN DRQ�, U
PEFMT FIES G BJ S ef
IT[r rurGER EACH FEE OWNER D
MAIL
/�� ADDRESS iI✓
l=T REC[FT '. SW (X7 s 10 sIO 60 '
LIGHTING FIXTURES 3 10 JA CITY LGt I Q, TEL NO AM
ELEC RANG" aD DRY ELECTRICIAN
MATER HIAT[RS 60 ADDRESS
ELE4 SFAC[HwR """WA!-
STATE
CITY TEL NO
ARSAO[DISFOEIIm AUTO-
STATE
Awl STA COOKING UNITI 20 LICEN NO
MOTORS OYER IHc HF IS R R /
O— w 2a
w 2 no INSPECTION HECO
2— a 100 cC9fwy) D JEO
a— 1a 150
IB— so 200
50—200 300
E
SIGNS No Harr -
NO LAM" y
SERVICE O-000V 100 O GN I E D
SERVICE OVER EOOV D 00
MISc 6' PF
WIRINGPERMIT 100 u G
FIXTURE PERMIT 100
SUPPLEMENTARY PERMIT a0 HE P5M/ f= i
TOTAL FEE f DX A D•
1 "m y ACRNOWL®GI THAT 1 HA1/E READ THIS A ["TION APPROVALS DATE INSI[ TORSwGNAWRI
ANO STAT[ THAT THE AROVE Ir CORRECT AND AOREE TO COMELY
WITH ALL COUNTY ORDIHANCEY AND STATS LAWS REOU"TINY CONDUIT
EI FCTRICAL WIRING WIRING
1 HERESY CERTIFY THAT I Ar FROFpILY RSYIST�Im AND/OR
LIC W AS RSDUIRED, LOS ANGELES COUNTY AND STATS OF FIXTURES
CALIFORNIA OR THAT'1 TNI O MER OF THE ArOV[
DEECRI11. .,..TI OF POWER
SIGNATURE UTILITYCO NOTIFIED
OF PERMITTE T•.
®I ATTON ARTHURC VEIT
CX rO CAW 6UPERVIBING-1 FECTTRRIICAL ENGINEER
, i104Ju) 16 2D 19.05 I
T41.6i Pee ew „-,. APPLICATION FOR PERMIT
DEPARTMENT OF BUILDING AND SAFETY
COUNTY OF LOS ANGELES ELECTRIC i
WILLIAM J. FOX, CHIEr ENGINEER
FOR APPLICANT TO FILL IN DIStRICT�10. GROUP ZONE PERMIT NO.
ELECTRICIAN SG
R[C[IV[ BY READY rOR 1 DAT[ ISSUED
ADDRESS rIReT INSPECTION
CITY TEL NO
COWNTY LICENSE NQ EXPIRES BUILDING
F`E
ADDRESS
PERM ,Q
NUMBER OUTLETS EACH �[ LOCALITY
LIGHT Sc /is NEAREST
CROBB ST
RECEPTACLES S
FIXTUa[B u ' OWNER
"ES S MAIL
RANGES 16 ADORERS
W
f ELEO HEATERS as CITY TEL NO
1913 1 HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS
NUMBER OF CIRCUITS INBTALLLOI
TOTAL- APPLICATION AND STAT[ THAT THE A•DVE IS CORRECT
LIGHTS RECEPTACLES AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES
MOTORS AND STATE LAWS REGULATING ELECTRICAL WIRING
NUMBER HORSEPOWER FEE I CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB
Nm MVD HP t m INP EPOH ANGELES COUNTY LICENSE, OR I AM THE LEGAL OWNER
ve • "" S 26 OF THE RESIDENTIAL PROPER D[BORISED ABOVE
va a SO SIGNATURE OF I
7 S 1,00 PERM ITT[
S is ISO INSPECTION RECORD
IS SO YSO
SO am 500 ---
200
00100 6OO 101313 ro
600 IDDO 15013 J
OVER IOOO 20 00
Q
Hill BET FRED OHANG[R-HP
WELDERS.AC-KVA Q'
GENERATORS - KIN T O
TRANSFORMERS - WA
TEMP MOTORS (76 of oBIR)
MOVED MOTORS (76 Or ORIS) ' V
O
SIGNS
TYPE G.
TYPE- ND MPe APPROVALS
rOR EACH P[RMITt DAT[ I NSPEOTOR'S NAM[
WIRING $1.00 CONDUIT
FIXTURES $1013 WIRING
SUPPLEMENTARYso FIXTURES
POWER
TOTAL FEE • UTILITY CO NGTIF1[D
FINAL --0
7e•ee3-cn06 4.88
APPLICATION FOR ELECTRICALPEelT
COUNTY OF LOB ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS 33S
JOHN A LAMBIE COUNTY ENGINEER
COLEMAN W. JENKINS, SurtRINTSNoeNr OF BUILDING LOCALITY CNl E ct T-
FOR APPLICANT TO IFNILo
ILL IN NEAREST
CROSS ST LORI N
REC EPT
S OWNER a
MAIL _
LIGHT_ TOTAL FIRST 20 20 ADDRESS T"'=NPL
SWITCH_ OVER 20 10 CITY T � . TEL NOc.frX
U(7
PLAN CHECK
LIGHTING 1TOTAL FIRST 20 20 APPLICANT
FIXTURES /( OVER20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_-DISP _F A U — CONTRACTOR ow N E
SPACE HTR _AIR COND _ ADDRESS V t>
CLOTHES WASH _DISHWASH CITY G Y TEL NOA r OO
FAN—OTHER 1 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE S TYPE OVER TOAND STATE THAT THE ABOVE 13 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
0 1 100 FLECTAICAL WIRING
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
1 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND ATEND TO
10 50 a 00 RESIDE IN THE ABOVE OE SCA ITED REBID E NTIA OPERTY
SIGNATURE E d
SO - 100 1000 OF PERMITTEE U
100 - 500 15 0
SIGN a•sDISTR4CT GR P N-TE PROCESS 8Y p
TUBE OR SIGN AND ONE CIRCUIT 3 00 -i U
MA ROU EE ADDITIONAL CIRCUITS 1 00
HOT 5 -0/ y
2
SERVICE NOT OVER 800 VOLTS OR 200 AMP 2 00 D r
SERVICE WER BOO VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE G APPURTENANCES 3 00 APPROVALS DATE INSPECTOR'S SIGNATURE 7�S
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
-
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES b^V
PLAN CHECK FEE (SOX PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 61(9UTIL ITY CO NOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL ,
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELECTRICAL ENGINE
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M o A
LAfr9 7 4 5—� MAY 2 2D 4,00- `V'
:E BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE