HomeMy Public PortalAbout6426 TEMPLE CITY BLVD_Electrical__ TGA683 CESOB 4-6B APPLICATION FOR ELECTRICALPERMIT f
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER eu1LOING �A
BUILDING AND SAFETY DIVISION ADDRESS 7 LeM 4t, NP_
JOHN A LAMBIE COUNTY ENOINEER
COLEMAN W JENKINS, su"RINTENDENT OI BUILDING LOCALITY
NEAREST
FOR APPLICANT TO FILL IN CROSS ST
N C
RECEPT ._ S OWNER �iO 'J �S
MAIL
LIGHT_ TOTAL FIRST 20 20 ADDRESS
SWITCH— OVER 20 10 CITY TEL NO
LIGHTING TOTAL FIRST 20 20PLAN CHECK
PPPLI CANT
FIXTURES OVER 20 10 ADDRESS
RANGE—DRYER—WTR HTR CITY TEL NO
STA COOK_DISP _F A U CONTRACTOR TORY" N.E..
SPACE HTR _AIR CONO ADDRESS
CLOTHES WASH _DISHWASH _ CIT ' \ rr.. TEL NO 0.4
FAN—OTHER I DO LICENSE NO -2Vf% CLASS CJ-1
MOTORS TRANSFORMERS RATING
IND HEATERS ETC HP KW KVA 1 HERE" ACKNOWLEDGE THAT 1 HAVE READ THIS APPLICATION
SIZE 6 TYPE OVER TO ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY
WITH ALL COUNTY OROINAKCES AND STATE LAWS REGULATING
p 1 1 OD ELECTRICAL WMIND
I HEREBY CERTIFY THAT I AM PROPERLY REGISTERED AHOMR
1 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFORNIA OR THAT I AM THE LEGAL OWNER OF AND INTEND TO
10 50 S 00 RESIDE IN TN BOVE OESCRIFED AE AL PROPERTY
SIGNATURE
0.
50 - 100 10 00 OF PERMITTE CD
U
100 - 500 15 00
SIGN GAS D SSRICS GRWJP NE PR ESSED BY
TUBE A SIGN AND ONE CIRCUIT 3 DO .O 1 Z
MARQUEE ADDITIONAL CIRCUITS 1 00 NOTES N
SERVICE NOT -AER 600 VOLTS OR 200 AMP 2 00 Z Qv Z
SERVICE OVER 600 VOLTS OR 200 AMP 5 00
TEMP SERVICE POLE B APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDERSLAB WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
PLAN CHECK FEE (SOX PERMIT FEE) FIXTURES
POWER AUTHORIZED
PERMIT ISSUING FEE 200 Z aw UTILITY CO NOTIFIED 1
SUPPLEMENTARY PERMIT ISSUING FEE 1 DO FINAL
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING ELEC CAL ENGINEER
PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION M 0 CASH
'In^ 0 6 7 7� JUL 9 2 D 4.00^'
D
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE