Loading...
HomeMy Public PortalAbout6411 TEMPLE CITY BLVD_Electrical__ 76AB63 CEP06 10/72 APPLICATIOW FOR ELECTRICAL PERMIT COUNTY OF LOS ANGELES p DEPARTMENT OF COUNTY ENGINEER D BUILDING AND SAFETY DIVISION gDRESS LOCALITY FOR APPLICANT TO FILL IN NEAREST CROSS ST OUTLETS NO EACH FEE OWNER OR RECEPT $ 5 FIRM NAME MAIL ;2471 QV" Sr LIGHT_ TOTAL FIRST 20 25 ADDRESS AV SWITCH_ OVER 20 CITY TEL NO 10 PLAN CHECK LIGHTING FIRST 20 25 APPLICANT TOTAL FI%TURES 10 OVER 20 ADDRESS RESIDENTIAL APPLIANCES CITY rEL NO PERMIT R�ANGEIQ _DRYER_WTR HTR_ APPLICANT STA COOKDISP _F A U _ ADDRESS SPACE HTO AIR COND CITY p4A vF& TEL N0 7/E/ 36 CLOTHES WASH DISHWASH _ REENS NUMBER CLASS FANOTHER 100 1 HERESY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE IS 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 6 TYPE OVER TO 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR O - 1 100 LICENSED AS REOUI BY LOS ANGELES COUNTY AND STATE OF CALIFORNIA OR T 1 I AM THE LEGAL OWNER OF TH ADOV 1 - ID 300 DESCRIPEO REfI NT AL PROPERTY po 10 - 60 500 FERMI I U SIGNATURE 50 - 100 low DISTRICT NO SSED BY LY 100 - SOO 1500 E y s z SIGN GAS SIGN AND ONE CIRCUIT 500 APPROVALS DATE INVEC SSIGNATURE TUBE OR MARQUEE ADDITIONAL CIRCUITS 100 TEMP POWER POLE SERVI CENOT OVER 600 VOLTS OR 200 AMP 300 Q UNDERSLAB WORK SERVI CE OVER 600 VOLTS OR 200 AM P 1000 ROUGH CONDUIT TEMP SERVICE POLE &APPURTENANCES 5OO WIRING 7 d -' -A 7S_ . TEMP LIGHT OR RECEPT SYSTEM 300 FI%TURES POWER AUTHORIZED UTILITY CO NOTIFIED FINAL /Z,i/ - 7r- PERMIT FEE (SUB TOTAL) NOTES PLAN CHECK FEE T6ivvIc45 PERMIT ISSUING FEE 300 U TOTAL FEE QQ PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDA IOZ N _ CK M O CASH 8 1 9i:FEB 18 2 D /0 6.0 () A�36 SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE Te.eaB ceeoe 4.68 APPLICATION FOR ELECTRICAL PE*IfTXZ� a 17 COUNTY OF LOS ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS i JOHN A LAMBIE COUNTY ENGINEER COLEMAN W JENKINS, SUPERINTRNDENT OF BUILDING LOCAL IT - FOR APPLICANT TO FILL IN NEAREST CROSS ST RECEPT _ S NO OWNER �(_l MAIL LIGHT_ TOTAL FIRST 20 20 ADDRESS SWITCH_ OVER 20 10 CITY TEL NO PLAN C LIGHTING iTOTAL FIRST 20 20 APPLICANTK FIXTURES /( OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR _ CITY TEL NO STA COOK_DISP _F A U _ CONTRAC rO SPACE HTR _AIR COND ADDRESS CLOTHES WASH __DISHWASH CITY TEL NO///- FAN-OTHER 1 00 LICENSE NO � � L CLASS G-lO MOTORS TRANSFORMERS RATING IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE B TYPE OVER TO ANG STATE THAT THE ABOVE IB CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING O - I 1 00 ELECTRICAL WIRING 1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AND/OR 1 - 10 3 00 LICENSED AS REOUIgED BY LOS ANGELES COUNTY AND STATE OF CAL)FOANIA OR THAT I AM THE LIO AL OWNER OF AND INTEND TO 10 - 50 5 00 RESIDE IN THE ABOVE DESCRIFED RESIDENTIAL PROPERTY 0 SIGNATURE U 80 - 100 f0 00 OF PERMITTEE p H loo — soo Is DI ST$1CT G P 7,.gNE PROCESSE BY SIGN GAS SIGN AND ONE CIRCUIT 3 00 S �C TUBE OR MARQUEE AODITIONAL CIRCUITS 1 00 NOTES BERVICE NOT OVER BOO VOLTS OR 200 AMP 2 00 D SERVICE O✓ER 600 VOLTS OR 200 AMP 5 00 TEMP$SANIES POLE 5 APPURTENANCES 3 00 APPROVALS DATE INSPECTORS SIGNATURE TEMP POWER POLE UNDERSLAB WORK ROUGH CONDUIT WIRING PERMIT FEE (SUB TOTAL) FIXTURES PLAN CHECK FEE (50% PERMIT FEE) POWER AUTHORIZED PERMIT ISSUING FEE r200 Q UTILITY CO NOTIFIEDSUPPLEMENTARY PERMIT ISSUING FEE FINAL TOTAL FEE JOSEPH C ROOHAN SUPERVISING ELEC )CAL ENGINEER PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cK M O CASH 0�- PAY 14 2 D �/ 4.00- IEE EACH OF APPLICATION FOR COMPLETE FEE SCHEDULE f1/w•_^ '"