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•_^ '"