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HomeMy Public PortalAbout6436 TEMPLE CITY BLVD_Electrical__ TeAaBB-cEeoa q-e8 CO-" APY OFPLICATION FOR ELECTRICALPE MIT LLLIII S ANGELES DEPARTMENT OF COUNTY ENGINEER BUILDING BUILDING AND SAFETY DIVISION ADDRESS JOHN A LAMBIE COUNTY ENGINClR 67 COLEMAN W JENKINS, SUP�RINT<NOINT C,.BUILDING LOCALITY FOR APPLICANT TO FILL IN NEAq EST CRO55 $T NO EAC RECEPT _ S OWNER LU MAIL LIGHT_L L FIRST 20 20 ADDRESS SWITCH_ OVER 20 10 CITY TEL NO PLAN CHECK LIGHTING L FIRST 20 20 APPLICANT FIXTURES OVER 20 10 ADDRESS RANGE_DRYER_WTR HTR — CITY TEL NO STA COOK_DISP _F A U CONTRAC rOR CG SPACE HTR _AIR COND ADDRESS CLOTHES WASH —DISHWASH _ CIT TEL N �OdZ2 FAN—OTHER 1 00 LICENSE NO O 3 C CLASS C.,—CO MOTORSTRANSFORMERS RATING IND HEATERS ETC HP KW KVA IHEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION SIZE 6 TYPE OVER TO ANO STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES AND STATE LAWS REGU"TING ELECTRICAL WIRING 0 - 1 1 00 I HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED AMD/OR I 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 a 10 60 6 00 RESIDE IM ABOVE DESCPIEED RESIDE I L PROPERTY CD U SIGNATURE 60 - 100 10 00 OF PERMI EE C 100 - 600 15 00 ~ DIS RI 'RgUP Pf PR E BY w SIGN GAS TUBE OR SIGN AND ONE CIRCUIT 3 00 t /� ` c-� y_ MA ROU EC ADDITIONAL CIRCUITS 1 00 NOTES SERVICE NOT OVER BOD VOLTS OR 200 ANP 2 0 t'ro SERVICE OVER 600 VOLTS OR 200 AMP 6 00 TEMP SERVICE POLE h APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATUIE TEMP POWER POLE UNDERSLAS WORK ROUGH CONDUIT PERMIT FEE (SUB TOTAL) WIRING FIXTURES LLL_CK FEE (SO% IT FEE) POWER AUTHORIZED 200 1� UTILITYCO NOTIFIED SUING FEE1OO FINAL NQ O JOSEPH C ROOHAN SUPERVISING ELE ICAL ENGINEER PLAN CHECK VALIDATION CK M 0 CASH PERMIT VALIDATION C M O CASH IG''_ oS76:a J& 9 2 D 4.00~ v EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE '&� f 7"A DBE"A 7-51 APPLICATION FOR PERMIT DEPARTMENT OFNG AND SAFETY �������� � COUNTY OFF LOS LOS ANGELES WILLIAM J. FOX, CHIEF ENGINEER FOR APPLICANT TO FILL IN DISTRICT NO GROUP I ZONE PERMIT NO. ELECTRICIAN ��11 pp RECEIVED BY READY FOR OAT[ I•BUED ADDR[® l �O�/� /( ACK �.L� ,Q(Js FIRST INBPr OTION A` /� CITY TEL NODo Z. COUNTY 110CNS[ NO E%PI RfS Bu ADDREBNG B PERMIT FEES L NUMBER EACH RE LOCALITY /_ I LIGHT OUTLETS Z CROSS er RECEPTACLES / WALL SWITCHES I OWNER � 14 Elf— &e—'e5 Ong, TOTAL OUTLETS 014 Sc MAIL ELEC "NOES 96 ADDRESS ELEC HEATERS BS CITY TEL NO FIXTURES " 1 HEREBY ACKNOWLEDGE THAT I HAVF READ THIS M10C n� APPLICATION AND STATE THAT THE ABOVE IB CORRECT NUMBER OF LIGHT CIRCUITS A� /r) AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES NUMBER OF RECEPTACLE CIRCUITS h P� AND STAT[ LAWS REGULATING ELECTRICAL WIRING MOTORS 1 CERTIFY THAT 1 POSSESS THE ABOVE VALID LOB NUH"ea HORSEPOWERr[E ANGELES COUNTY LICENSE. OR 1 AM THE LEGAL OWNER NEW M. HP OVER IHC EACH DF THE RESIDENTIAL PRO171,137%y DESCRIBED ABOVE ya " L["" S BS SIGNATURE OF D I/ 1 SO PLRMITT[ s S 1 DD INSPE ION ACORD _ e is 1 Bo 1• SO 250 so 200 5130 < 200 Sao 1000 j Soo 1000 1500 Q Z OVER IOOO 90 00 � M B BET/FRED CHANGER-HP OR F H 7-,P, � WELDERS AC-KVA C GENERATORS - KW I� T/ IN/c'.GG TRANSFORMERS - KVA — J /JD f9 UC TEMP MOTORS (76 of RRIR) C� L1( MOVED MOTORS (75y. of onto) mine SIGNS NO NO TRANS. APPROVALS No NO LAMPS FOR EACH PERMIT. DATE INSPECTOR'S NAM[ WIRING $100 QO CONDUIT 7 FIXTUREB Bloc 0 WIRING SUPPLEMENTARY D FIXTURES POWER TOTAL FEE - • �D UTILITY CO NOTIFIED ^/ FINAL