HomeMy Public PortalAbout6441 TEMPLE CITY BLVD_Electrical__ 76AS63 CEBOG 488 APPLICATION FOR ELECTRICAL PERMIT
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER BUILDING
BUILDING AND SAFETY DIVISION ADDRESS
_ JOHN A LAMBIE COUNTY ENGINEER E� ��
COLEMAN W JENKINS, SUMMINTEE
NOMT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEAREST
CROSS ST
NO C
RECEPT _
f OWNER
MAIL
LIGHT_. TOTAL FIRST 20 20 ADO R E SS Q
SWITCH_ OVER 20 10 CIT TEL NO
PLAN CHECK
LIGHTING iTOTAL FIRST 20 20 APPLICANT
FIXTURES /( OVER 20 10 ADDRESS
RANGE_DRYER_WTR HTR _ CITY TEL NO
STA COOK_DISP _F A U _ CONTRAC rOR
SPACE HTR _AIR GOND _ ADDRESSc2m 464,6(2
CLOTHES WASH _DISHWASH CITY !L NO
FAN—OTHER I DO LICENSE NO S2 rd zziwcCLASS
MOTORSTRANSFORMERS RATING
IND HEATERS ETC HP KW KVA I HEREBY ACKNOWLEDGE THAT I HAVE READ THIS APPLICATION
SIZE B TYPE OVER TO AMD STATE THAT THE ADOVe IS CORRECT AND ACRE! TO COMPLY
WITH ALL COUNTY ORDINANCES AND STATE LAWS TO
ELECTRICAL WIRING
0 — 100
1 HEREBY CERTIFY THAT 1 AM PROPERLY REGISTERED ANOAOR
1 10 3 00 LICENSED AS REQUIRED BY LOS ANGELES COUNTY AND STATE OF
CALIFOR MIA ON THAT 1 AM THE LEGAL OWNER Of AND INTEND TO
10 50 5 DO RESIDE IM THE ABOVE OCICRIIE IGIDENTIAL PROPERTY CD
U
SIGNATURE
50 — 100 10 00 OF PERMITTE
100 - 500 15 o DISTR CT N GR E C
SIGH GAS SIGN AMC ONE CIRCUIT 3 00 y
TUBE OR
Z
MARQUEE ADDITIONAL CIRCUITS 100
�G NOTES 7 2 � T OA4 D TE
SERVICE NOT OVER SOD VOLTS OR 200 AMP 2 00
SERVICE OVER BOO VOLTS OR 200 AMP 5 00 tiGGC.,.� o••• y ^� 7-4-9'
TEMP SERVICE POLE B APPURTENANCES 3 00 APPROVALS DATE INSPECTOR S SIGNATURE
TEMP POWER POLE
UNDERSLA8 WORK
ROUGH CONDUIT
PERMIT FEE (SUB TOTAL) WIRING
FIXTURES
PLAN CHECK FEE ISOx PERMIT FEE)
POWER AUTHORIZED
PERMIT ISSUING FEE 2 00 UTILITY CO NO TI FIED R If
SUPPLEMENTARY PERMIT ISSUING FEE 100 FINAL 0--
4 A
TOTAL FEE JOSEPH C ROOHAN
SUPERVISING EL EC CAL ENGINEER-
PLAN CHECK VALIDATION CK M o CASH PERMIT VALIDATION CK M Q CASH
�( 1 J 3 5'G JJL 1 8 2 D
EE BACK OF APPLICATION FOR COMPLETE FEE SCHEDULE
TSASO-asOe T BE
APPLICATION FOR ELECTRIC PERMIT 1
COUNTY OF LOS ANGELES
DEPARTMENT OF COUNTY ENGINEER ABUILDING DDRESS t^ 4
BUILDING AND SAFETY DIVISION
JOHN A LAMBIE COUNTY ENOINSER
CASSATT D GRIFFIN SUPT OF BUILDING LOCALITY
FOR APPLICANT TO FILL IN NEARESTST. Oi✓GOoA/
PEFMW FEES CROS
I r [ M NUMBER 8ACI1 IQ OWNER
oUTLESSMAIL
LION» 7_R[CPl SW ' IO S (� ADDRESS
LIGHTING FI XTUREB 10 CITY TEL NO
¢Lac RAN Lo Dar ELECTRICIAN E
WATER HATERS Z SO �D ADDRESS _
ELEC SPACE HTIIS DISHWASHERS
I
OAnpAO[ DISPOSERS AUTO 'CITY TEL NO
STATE
WASHERS BTA COOKING UNITS 40 LICENSE NO /
Moioae ov[n INC N P DISTRICT NO G P
V. O P ESS D BY
o— 1 2B � -
V.— 2 BO IIi3PECTlON CORD
2— D 1 00
D— 1E 1 50
16— 50 280
EO—200 Boo
TRANS
SIGNS NO T
NO LAMPS
SERVICE O-BOON 100 Q
SERVICE OVER BOON 500
MISE
r _
WIRING PERMIT 100
FIXTURE PERMIT 100 a
SUPPLEMENTARY PERMIT p0
TOTAL FEE , )�7 rf APPROVAIS
1HEREBY ACKNOWLEDGE THAT THIS APPLICATION DAT[ INBP¢CTOR8 SIGNATURE
AND STATE THAT THE ABOVE IS CORRECT AND AGREE TO COMPLY CONDUIT
WITH ALL COUNTY ORDINANCES AND STATE LAWS REGULATING
ELECTRICAL WIRING WIRING
I HERESY CERTIFY THAT I AM PROPERLY REGISTERED AND/OR
LICQNBBD AS REQUIRED BY LOS ANGELES COUNTY AND STAT[ OF FIXTURES
CALIFOENIA OR THAT 1 AM THE "GAL OWNER OF THE ABOVE
DESCRIBED RESIDENTIAL P POWER
SIGNATURE 0 UTILITY CO NOTIFIED Z-
OF PERMITTE
VADAIION ARTHUR C VETT
C[/ No CASH BUPHRVIBING ELECTRICAL ENGINEER
11x„6496 DEC 4 2 A 1120
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