HomeMy Public PortalAbout6421 TEMPLE CITY BLVD_Electrical__ 76106210'"5` "n n APPLICA IT ON AOR ETRICAL PEWIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEERMA�LICANT
NG
BUILDING AND SAFETY DIVISION 9
ITY
ST
FOR APPLICANT TO FILL IN ST
OUTLETS FEE
RECEPT� $ S
C1
FIRST 20 � S l.:
LIGHT TOTAL D
SWITCH OVER 20 4 Icid
TEL NO
0CN N
LIGHTING FIRST 20 25 ANT
TOTAL
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE HTR_ APPLICANT
STA COOK_DISP_F A U ADORES p
SPACE HTR AIR COND CITY TEL NO
$407-
CLOTHES WASH DISHWASH_ LICENSE NO 3 CLASS,,
FAN_OTHER 100 1 MCREDY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
AND STAT[ THAT THE ABOVE 19 CORRECT AND AGR[[ TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AMO STATE LAWS REOULATINO
IND HEATERS [TC HP MW KVA ELECTRICAL WIRING
BITE S TYPE OVER TO
I HERESY A CCETIFY THAT I AM PROPERLY REGISTERED ANE/OF
O - 1 100 CALIFO[D AS REQUIRED BY LOS ANGELES COUNTY AND !TATE OF d
CALIFORMq OR THAT TNC LOLL OWNER OF, AND INTEND TO 0
- 10 300 R[llOf IM THE OVE DCSCPI D ID[ AL PROPERTY V
SIGNATU10 - SO 500 OF P
ERM
RI
T
TEE �« Qil.[�t,n oC
O
50 - I GO low
DISTRICTNO CLASS T PRocE [o By
100 - 500 1500 , H
SIGN GAS SIGN AND ONE CIRCUIT
TUBE OR 500 NOTES ?
MARQUEE 1ADDITIONAL CIRCUITS IAO
SERVICE NOT OVER 600 VOLTS OR 200 AMP 300
APPROVALS DATE U@EC1011'l SIGNATURESERVICE OVER 600 VOLTS OR 200 AMP I0
TEMP POWER POLE
TEMPSERVICE POLE &APPURTENANCES 500
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM 300
ROUGH CONDIUT
WIRING
FIXTURES V
POWER AUTHORIZED I' 11110
./
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED "
PLAN CHECK FEE
OO FINAL
PERMIT ISSUING FEE 300
TOTAL FEE
•
PLAN CHECK VALIDATION CK M o CASH PE IT LIDATION CK M o CASH
Q( 2 3 1 0'73 9 2 D 9.45s Q
SEE BACK OF APPLICATION FOR COMPLETE SCHEDULE
7i�
'°•'°' ��°• ' APPLI TfON FOR ELECTRICAL PERMIT
'GbUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS W, l P r,
JOHN A LAMBIE COUNTY ENOIN991,
COLEMAN W. JENKINS, SUPKRINTSNDRNT CII BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
N
RECEPT _
s OWNER
MAIL
LIGHT_ TOTAL FIRST 20 20 ADDRESS
SWITCH__ OVER 20 10 CITY TEL NO
PLAN CHECK
LIGHTING (TOTAL FIRST 20 20 APPLICANT
FIXTURES /( OVER 20 10 ADDRESS
RANGE_DRYER—WTR HTR _ CITY TEL NO
STA COOK_DISP F A U co 14 T R A C TOR 44f_;
SPACE HTR _AIR COND _— ADDRESS
CLOTHES WASH _DISHWASH CITY TEL NO
FAN—OTHER 1 00 LICENSE NO CLASS
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW MVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE 6 TYPE OVER TO AND STATE THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING
0 - I 1 00
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED ANDMR
1 - 10 3 00 I
CENSED AS REOUIRED BY LOS ANGELES CO TY AND STATE OF Y
LI FORMIA OR THAT I AM THE L OI A INTEND TO10 50 5 00 SIDE IN THE AB DESPROPERTY CD
- GNATURE50 - f00 10 00 PERMITTEE SIGN CAS 100 - Soo 1s IS!TRICT GROUP 2 NE PROCESSED BY TUBE A SIGN AND ONE CIRCUIT 3 00 V MAROUEE ADDITIONAL CIRCUITS 1 00 OTE$ `7 �4' � �SERVICE MOT OVER BOD VOLTS DR 200 AAO 2 00 SERVICE OVER 800 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE Q P`URTIE ANCES 3 00 APPROVALS DATE GSPECTOIR'S SIGNATURE
da e EMP POWER POLE
NDERSLAB WORK
104 OUGH CONDUIT
WIRING
PERMIT FEE (SUB TOTAL)
FIXTURES
PLAN CHECK FEE (SO% PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 200 a0 U T ILITYCONOTIFIED
SUPPLEMENTARY PERMIT ISSUING FEE 1 00 FINAL Lf
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELEC ICAL ENGINEER
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION cM M o CASH
pr„9 9 6 9% MAY14 2 D /� 4.00-
16E WICK OF APPLICATION FOR COMPLETE FEE SCHEDULE /{(�I�y/,lc
70A003-CEaOO 3.69
• APPLICATION FOR ELECTRICAL PERM
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER
BUILDING AND SAFETY DIVISION BUILDING
JOHN A LAND S COUNTY ENGINEER ADDRESS Z Cln.t. C f L
COLEMAN W JENKINS, SUPERINTENDENT OF BUILDING LOCALITY L( ! L
FOR APPLICANT TO FILNEAREST
L IN CROSS ST e.LLti. vl
NO X.C.1 IEC
RECEIPT $ 3 OWNER
MAIL
LIGHT_ TOTAL FIRST 20 20 ADDRESS L-
CITY TEL NO
SWITCH_ OVER 20 10 PLAN CHECK
LIGHTING 1j TOTAL FIRST 20 20 APPLICANT
FIXTURES J OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR Q K N
SPACE HTR AIR COND ADDRESSg�
CLOTHES WASH _DISHWASH / CITY ` / TEL NO ,o�z�-[t/
FAN_OTHER 6 1 00 16 �� LICENSE NO O A'
J / CLASS (l—/O
MOTORS TRANSFORMERS RATING I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
IND HEATERS ETC HP KW KVA AND STAT[ THAT THE ABOVE IN C0 ARECT AND ALAE[ TO COMPLY
SIZE Q TYPE OVER TO WITH ALL COUNTY OMCINANCCS AND STAT[ LAWS R[QULATINO
ELECTRICAL WINING
D - 1 1 OO 1HEREBY CERTIFY THAT I AM PROPERLY REGISTERED MID/OR
LICENSED AS REQUIRED BY LOS AND C COUNTY ANO STATED'
1 - 10 3 DG CALI IO RNIA OR THAT I AM THE O OW ER OI AND INTEND To d
IILSIDE IN THE 1BOV III [SIO TIAIC OPCRTY O
10 — 50 5 00 V
SIGNATURE
O
SO — 100 1000 OF PERMITTEE O
100 - SOO is00 D
ISTRICT NO----TORO zon
SIGN,
A SIGN AND ONE CIRCUIT 3 00 �. O O LLZl
MARQUEE ADDITIONAL CIRCUITS 1 00 OTES —
SERVICE NOT OVER 600 VOLTS OR 200 AMP 2 00 SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE, POLE, C APPURTENANCES 3 00 APPROVALS DATE NBP[crons SIOIATYRE
EMP POWER POLE
NDERSLAS WORK
CONDUIT
IRING
PERMIT FEE (SUB TOTAL) IXTURES
OWER AUTHORIZED
PLAN CHECK FEE (SOX PERMIT FEE)
PERMIT 4 dol
ISSUING FEE 2 00 UTILITY CO NOTIFIED �-'
SUPPLEMENTARY PERMIT ISSUING FEE 1 001 1 FINAL
TOTAL FEE O I OSEPH C ROOHAN
SUPERVISING ELEC ENGINEER
PLAN CHECK VALIDATION CK M O CASH PERMIT VALCK
IDATION M D CASH
I �(` 8 1 1 5:z DEC 23 2 D 1 0////.0/(�0/- o
a V
SCE BACK OF APPLICATION FOR COMPLETE FC[ SCHEDULE
TeAaee-ceeoa I,_TI APPLICATION MR ELECTRICAL PERMIT LJ
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING �/'t ''
BUILDING AND SAFETY DIVISION ADDRESS . 1 /1NPL G/7yitlo
LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST /4qG
OUTLETS O e FEE
S S OWNER
RECEPT_ MAIL
LIGHT TOTAL
FIRST 20 2S ADDRESS
SWITCH OVER 20 CITY xlp Y TEL NO 2
10 PLAN CHECK
FIRST 20 h� APPLICANT
LIGHTING TOTAL 25
OVER 20 ADDRESS
FIXTURES 10
RESIDENTIAL APPLIANCES CITY TEL NO
PERMIT
RANGE HTR_ APPLICANT IffA 6 P I ->
STA COOK DISP_F A U ` ADDRESS (FI CO of fRowN!!%
SPACE HTR AIR GOND Clry /A /N 4P,4 tgv TEL NO (j C9fs
CLOTHES WASH DISHWASH _ LICENSE NO 2 7 31- C CLASS C/c
FAN OTHERiD0 V I HEREBY ACKNOWLEDGE THAT 1 HAV! READ THIS APPLICATION
AMD STAT[ THAT THE ABOVE 15 CORRECT AND AGREE TO COMPLY
MOTORS TRANSFORMERS RATING WITH ALL COUNTY ORDINANCES AND STAT! LAWS REGULATIMG
IND HEATERS ETC HP KW RVA ELECTRICAL WIRING
SII! B TYPE OVER TO
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
0 - 1 IDD LICENSED AS REOUI RED BY LOS ANGELS COUNTY AND STATE OF
CALIFORNIA OR THAT 1 AM THE LEGAL OWNER OF AND INTEND TO Q
1 - 10 yDD RESID! IN THE ABOVE DESCRIBED RESIDENTIAL PROPERTY U
10 - SO a00 SIGNATURE yJ /J
OF PERMITTEE O
SO - 100 low DISTRI TNO CLASS Z ROLE !D B
100 - SOO 500 IT
SIGN GAS SIGN AND ONE CIRCUIT 500 INOTFS 6_ ?
TUBE OR
MARQUEE ADDITIONAL CIRCUITS 1.00 4 / SIr9
SERVI CENOTOVER 600 VOLTS OR 200 AMP 900
SIOfIAIVR[
SERVI DEDVER 600 VOLTS OR 200 AMP low__ APPROVALS DAT[ INSPECTORS
TEMP POWER POLE
TEMP SERVICE,POLE &APPURTENANCES 600
UNDERSLAB WORK
TEMP LIGHT OR RECEPT SYSTEM BOO
ROUGH CONDIUT
WIRING
FIXTURES
POWER AUTHORIZED
PERMIT FEE (SUB TOTAL)
UTILITY CO NOTIFIED
PLAN CHECK FEE
PERMIT ISSUING FEE 900 00 FINAL
TOTAL FEE
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VA.!:.I ION 1.0M 0 CAM
S[[ SAM OF APPLICATION FOR COMPLETE SCHEDULE ��� 1 8 2 9-73 JUN 22 2 D 8.0 O- �